MississippiCAN

Nothing is more important than the health and well-being of a mother and her baby. That's why member benefits include:

• Choice of Birth Center. Pick from our partner hospitals across Mississippi.
• Choice of Doctors. Find a doctor you trust in our network.
• Healthy First Steps®. Get extra support and rewards to keep you and your baby healthy.
• Prenatal Visits. Care for you before your baby is born.

Learn more

If you have asthma, diabetes or another long-term condition, you can depend on us. Our plan makes sure you get the care and services you need. Benefits include:

• Asthma and COPD Care. Exams, testing and supplies are covered.
• Care Management. If you qualify, get personal help managing health conditions.
• Diabetic Services. Education and supplies to manage your diabetes.
• Kidney Disease Care. Dialysis and medicine are covered.
• Mental Health. Counseling and crisis services are covered.
• Residential Care. Brief stay at a care facility while you recover from sickness or injury.
• Obesity Care. Get local resources and help with lifestyle choices.

Make sure your sight, smile and hearing are at their best. Benefits include:

• Dental. Exams, cleaning and some dental work are covered.
• Hearing. Exams and services for members up to age 21.
• Vision. Covers eye exams and glasses.

If you are recovering from a serious illness or surgery, you may need extra support. Our plan includes the care and equipment needed to recover safely at home. Benefits include:

• Home Health Care. Care to help members safely recover at home.
• Equipment and Supplies. Your in-home safety equipment is covered.

Sometimes you might need a little extra help using child's health plan. For those times, you can rely on:

• Nurse Hotline℠. Speak with a registered nurse 24/7.
• Interpreters. Have an interpreter with you at your child's doctor visits.
• Language Help. Translated medical materials are available at no cost.
• Member Services. Your benefit questions are answered 24/7.
• The Farm to Fork Program. Pick up a bag of fresh produce monthly.
• Shots and Immunizations. Routine shots to help protect against illness.
• Therapies. Physical or other therapy to help you recover.
• Well Visits. Annual checkups can help keep you healthy.
• Unlimited Doctor Visits. Get medical care whenever you need it.
• Urgent Care. Immediate care for a sudden injury or illness.
• Chiropractor Services. Chiropractic visits for members who qualify.

You have the right to file an “Advance Directive.” An Advance Directive states in advance what kind of treatment you would like to receive if you have a serious medical condition that prevents you from telling your doctor how you want to be treated.

There are two types of an Advance Directive: 1) a Living Will; and, 2) a Medical Power of Attorney (which may also be called a "durable power of attorney for health care or heath care agent"). An "agent" is the person you trust to speak for you when you are not able to do so for yourself.

You should think carefully about the person you choose to be your health care agent. You should have a long talk with your agent about your advance directive so they are able to make the decision the way you would.

Two examples of Advance Directives can be found below or at https://member.uhc.com/communityplan.

Advance Directives Example 1

Advance Directives Example 2

Do you need help trouble managing asthma or COPD (chronic obstructive pulmonary disease) symptoms? A nurse who specializes in breathing issues can really help. You'll get a customized treatment plan and medicine to:

• Manage flare-ups.
• Reduce symptoms.
• Help you stay active.

A serious health problem requires extra care and support. If your health needs qualify, then our care managers are in your corner. They will:

• Explain medical terms in plain language.
• Coordinate your doctor appointments.
• Provide your care team with your medical records.

Your care manager will stay close by throughout the medical journey. He or she will:

• Think beyond immediate medical needs.
• Make sure you have support at home.

Our plan includes visits for chiropractic care. Whether chiropractor services are your primary or alternative treatment method, you're covered.

Members covered for up to $700 in chiropractic care costs per year. And you do not need to get approval prior to scheduling a visit to your chiropractor.

Where you have your baby is an important choice. That’s why you can pick from partner hospitals across Mississippi.

We also encourage you to tour the hospital's birthing center. This way you will be familiar with it. And be more relaxed when you have your baby.

Members can choose a primary care provider (PCP). Use the Doctor Lookup tool to see if your doctor is in our network.

The PCP is your main doctor for:

• Preventive care.
• Treatment if you are sick or injured.
• Referrals to specialists for certain conditions.

For members who don’t have a doctor or whose doctor is not in our network, we can help find a new one close by.

Dental checkups and cleanings can help keep teeth and gums healthy. Covered services include:

• Cleanings.
• X-rays.
• Certain dental work, including some extractions.

The benefits for both children and adults are:

• $2500 maximum each year dental care.
• $4200 maximum for braces per child.

If you have diabetes, we'll help make life a little easier for you. You'll get medicine, supplies and education to help you reach and stay your best.

Our diabetes program also includes self-care training and classes focused on:

• Planning healthy meals.
• Managing stress.
• Living a healthy lifestyle.

Your health and safety at home are important.

Our plan covers medical equipment ordered by your doctor or case manager. This can include supplies like:

• Hospital beds.
• Oxygen tanks.
• Wheelchairs or walkers.

We provide the exams needed to help keep your feet in great shape. And if you have diabetes, good foot care can help prevent much more serious problems.

Our podiatry coverage includes:

• Routine foot exams.
• Tips about foot care and choosing the right shoes.
• Information about nerve damage warning signs.

A diet that includes fresh vegetables and fruit goes a long way to helping you stay at your best. That's why our plan includes farm-fresh produce for members.

We make getting your produce easy. You can pick up your free bag at one of the many Farm to Fork Program sites across the state.

The program runs from May through September.

Please view a complete list of distribution sites and schedule.

Build a healthy future for you and your baby and earn great rewards with Healthy First Steps. Our program will help you take the right steps to keep you and your baby healthy. Plus you can earn $20 just for signing up. 

We will help you:

• Choose a pregnancy provider and a pediatrician (child’s doctor).
• Schedule visits and exams and arrange rides to your visits.
• Earn rewards for going to visits throughout your pregnancy and baby’s first 15 months of life.
• Get supplies, including breast pumps for nursing moms.
• Connect with community resources such as Women, Infants and Children (WIC) services.

Trouble hearing can affect your child’s everyday life in many ways. Our plan covers hearing exams and services for members up to age 21.

Sometimes continued care is needed after leaving the hospital or urgent care. For example, after a serious illness, surgery or injury. In these cases, a nurse will make home visits to:

• Provide medical care.
• Answer any questions and concerns.

Adult members can get up to 25 home health care visits per year. For children, there is no limit on the number of visits.

Our plan covers:

• Nursing care.
• Room and board.
• Supplies and equipment.
• Treatment and therapies.
• Diagnostic tests and exams.

And after you leave the hospital, you are not alone. We make sure you get follow-up care to continue healing at home.

Your doctor and you need to understand each other. Not speaking English well makes this difficult. We can arrange for a medical interpreter to be at your appointments.

We also have people in member services who speak more than one language. Chances are, we have someone who speaks your language.

Kidney disease is a serious medical condition.

Our plan includes:

• Dialysis.
• Medications.
• Health education and support.
• Organ transplant if needed.

Knowing what's wrong and finding it early can make all the difference. Our plan covers most:

• Labs and testing.
• X-rays, scans and other imaging.

We'll help you get the information needed to improve your health or be at your best.

You can get information in another language. Just ask. Then anything we write to you will only be in that language. This is provided at no cost to you.

Sometimes you might need a little help understanding your health care options. With us, you have someone you can call. We'll answer your questions simply and completely.

We can also help you find:

• Home care providers.
• Dentists and vision providers.
• Adult day health centers.

Mental health is as important as physical health. That's why we have coverage for both.

Required care is 100% covered. This includes:

• Individual therapy.
• Outpatient psychiatric care.
• Crisis services and medications.

Mental Health Crisis Line call 1-877-743-8731, TTY 711,  24 hours a day, 7 days a week. 

Medical questions and situations come at inconvenient times. For questions about health, members or their caregivers can call 1-877-370-4009, TTY 711 to speak with a trained nurse 24 hours a day, 7 days a week.

Our nurses will:

• Listen to symptoms.
• Help with self-care.
• Advise you about getting care at a doctor visit or an urgent care center.
• Help you know when to go to the emergency room.

Obesity is common and serious. It can also lead to other health problems. To help members live healthier, we will:

Obesity is common and serious. It can also lead to other health problems. To help our members be their best, our plan includes:

• Provide information on a healthy diet and exercise.

Connect you to support in the community.

A pregnancy is a journey that’s easier with the help of friends, family and a pregnancy doctor, or OB/GYN.

All recommended prenatal clinical visits and tests are covered by our plan.

At these visits, the clinic will:

• Make sure both mom and baby are healthy.
• Explain what to expect at each stage of your pregnancy.
• Answer questions.

After a serious illness, surgery or injury, you may need ongoing nursing and therapy. If needed, our plan covers short stays in a rehabilitation center where you can heal. Included are:

• Nursing home services.
• 24-hour nursing care.
• Help with activities of daily living.
• Physical, occupational and speech therapy.

Routine shots help keep you healthy. Our plan covers:

• Pneumonia, influenza and shingles shots.

Other recommended shots and vaccines.

Physical, occupational and speech therapy can help you recover from a serious injury or illness, or simply reach your full potential.

Our plan provides up to 12 visits for:

• Occupational therapy.
• Physical therapy.
• Speech therapy.

Whether you live in the city or in the country, our plan provides rides to and from health care locations. That includes trips to:

• Doctor and therapy visits.
• Health departments.
• Vision clinics.
• Urgent care centers.

There may be times when your health requires regular visits to a primary care provider (PCP).

Our plan does not limit the number of times you can see your PCP. This way you get care when you need it. And the doctor can see how your health is progressing.

    You may have an injury or sudden illness that is not life-threatening but needs immediate attention. So our plan covers care at:

• Urgent care centers.
• Medical aid units.
• Other walk-in clinics.

You'll get the care, eyeglasses and treatment that let you see life more clearly.

• Children can get up to two pair of eyeglasses per year.
• Adults receive new eyeglasses every three years.

This benefit is offered by March Vision Care..

Well visits with your doctor can help you stay healthy. These visits can catch health problems early, so they can be treated. Preventive services include:

• Checkups for adults and children.
• Well-baby care.
• Care for women expecting a baby.
• Routine shots and tests.
• Mammograms.

There are no copayments for preventive care.