community. - Welcome to the - UnitedHealthcare Community
Transcript Of community. - Welcome to the - UnitedHealthcare Community
community. Welcome to the
Louisiana Member Handbook For Mental Health and Substance Use Treatment Services
© 2018 United Healthcare Services, Inc. All rights reserved. CSLA17MC4053577_002
UnitedHealthcare Community Plan does not treat members differently because of sex, age, race, color, disability or national origin.
If you think you were treated unfairly because of your sex, age, race, color, disability or national origin, you can send a complaint to:
Civil Rights Coordinator UnitedHealthcare Civil Rights Grievance P.O. Box 30608 Salt Lake City, UTAH 84130 [email protected]
You must send the complaint within 60 days of when you found out about it. A decision will be sent to you within 30 days. If you disagree with the decision, you have 15 days to ask us to look at it again.
If you need help with your complaint, please call the toll-free member phone number listed on your health plan member ID card, TTY 711, Monday through Friday, 7:00 a.m. to 7:00 p.m.
You can also file a complaint with the U.S. Dept. of Health and Human Services. Online: https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html
Phone: Toll-free 1-800-368-1019, 1-800-537-7697 (TDD)
Mail: U.S. Dept. of Health and Human Services 200 Independence Avenue SW Room 509F, HHH Building Washington, D.C. 20201
If you need help with your complaint, please call the toll-free member phone number listed on your member ID card.
We provide free services to help you communicate with us. Such as, letters in other languages or large print. Or, you can ask for an interpreter. To ask for help, please call the toll-free member phone number listed on your health plan member ID card, TTY 711, Monday through Friday, 7:00 a.m. to 7:00 p.m.
Important Information
Member Services: Available 7:00 a.m. – 7:00 p.m. Monday – Friday, excluding state holidays. Toll-Free. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-866-675-1607, TTY 711
Mental Illness and Addiction Crisis Line Available 24 hours a day, 7 days a week. Toll-Free Phone Number. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-866-675-1607, TTY 711
NurseLine. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-877-440-9409
Your Health Providers
Be sure to fill in the blanks so you will have these numbers ready. Emergency . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 911 My Member ID: __________________________________________________________________ My Provider’s Name: ______________________________________________________________ My Provider’s Phone Number: ______________________________________________________ My Provider’s Address: ____________________________________________________________
CSLA17MC4053578_002
Thank you for choosing
UnitedHealthcare Community Plan
for your mental health and substance use treatment plan.
We’re happy to have you as a mental health and substance use treatment member. You are our customer. You are important to us. We want to help you in an easy and caring manner. We work hard to improve the health and quality of life for our members. We look for ways to make our health plan better for you and your family every day.
Our goal is to support your recovery. If you are a parent or guardian, we want to make sure that you have the tools you and your child or dependent needs to promote resiliency.
UnitedHealthcare Community Plan gives you access to many mental health and substance use providers so you have access to all the services you need. We’re dedicated to improving your health and well-being.
Remember, answers to any questions you have are just a click away at myuhc.com/CommunityPlan. Member Services is available to speak with you at 1-866-675-1607, TTY 711, Monday through Friday 7:00 a.m. – 7:00 p.m. We are here to help you get the care that you need.
Welcome to UnitedHealthcare Community Plan.
Please take a few minutes to review this Mental Health and Substance Use Treatment Member Handbook. We’re ready to answer any questions you may have. You can find answers to most questions at myuhc.com/CommunityPlan. Or, you can call Member Services at 1-866-675-1607, TTY 711, Monday through Friday, 7:00 a.m. – 7:00 p.m.
Getting started.
We want you to get the most from your mental health and substance use treatment plan right away. Start with these three easy steps:
Call your provider to schedule an appointment.
1
We know that finding a provider you like and trust is important. If you need help scheduling an appointment, call Member Services at 1-866-675-1607, TTY 711,
Monday through Friday 7:00 a.m. – 7:00 p.m. We’re here to help. Your member ID card
was sent to you in a separate mailing. Please show the card when you see your provider.
Take your Mental Health and Substance Use Treatment Assessment.
2
This is a short and easy way to get a big picture of your current lifestyle and health. This helps us match you with the benefits and services available to you. Go to
myuhc.com/CommunityPlan to complete the Mental Health and Substance Use
Treatment Assessment today. Also, we will call you soon to welcome you to the
UnitedHealthcare Community Plan. During this call, we can explain your plan benefits.
We can also help you complete the Mental Health and Substance Use Treatment
Assessment over the phone. See page 14.
Get to know your Mental Health and Substance Use Treatment plan.
3
Start with the Health Plan Highlights section on page 8 for a quick overview of your new plan. Be sure to keep this booklet handy, for future reference.
What to Do in a Mental Health and Substance Use Treatment Emergency
You should call 911 if you are having a life-threatening mental health and substance use treatment emergency. If you receive emergency services, call your Mental Health and Substance Use Treatment provider to schedule a follow-up visit as soon as possible. Please call 1-866-675-1607, TTY 711 and let us know of the emergency care you received.
Call NurseLineSM for help. If you think that it is not an emergency, but you need help, call the NurseLine at 1-877-440-9409.
5
Table of Contents
8 Health Plan Highlights 8 Member ID Card 9 Recovery, Resiliency, Wellness and Peer Support 13 Member Support 14 Your Mental Health and Substance Use Treatment Assessment
15 Your Mental Health and Substance Use Treatment Provider 15 Choosing Your Mental Health and Substance Use Treatment Provider 15 Mental Illness and Addiction Crisis Line 16 NurseLineSM Services 16 Making an Appointment With Your Mental Health and Substance Use
Treatment Provider 17 Transportation Services 18 Preparing for Your Appointment 18 Once You Have Made the Appointment 19 If You Need Care and Your Provider’s Office Is Closed 19 If You Need Care When Out of Town 19 Out-of-Network Providers 19 No Coverage Outside of United States 19 Member’s Right to Refuse Treatment 20 Getting a Second Opinion 20 Prior Authorizations 20 Continued Care if Your Mental Health and Substance Use Treatment Provider
Leaves the Network 21 Emergency Care 21 Post-Stabilization Services 21 Tobacco Education and Prevention 21 Gambling Disorders
6
22 Benefits 22 Benefits Covered by UnitedHealthcare Community Plan 30 Referral to Coordinated System of Care (CSoC) Services 32 Specialized Services for Adults
33 Other Plan Details 33 Finding a Network Mental Health and Substance Use Treatment Provider 33 Mental Health and Substance Use Treatment Provider Directory 34 Interpreter Services and Language Assistance 34 Payment for Services 35 Other Health Insurance (Coordination of Benefits – COB) 36 Reporting Marketing Violations 36 Updating Your Information 37 Fraud and Abuse 38 Your Opinion Matters 38 Advance Directives 40 Member Rights and Responsibilities 42 Grievance and Appeals 47 Grievance and Appeals Form 49 Request for State Fair Hearing Form 51 Privacy Notices
7
Health Plan Highlights
Member ID Card
Your plan ID number Your member ID number Member Services phone number
In an emerIgneanncyemgoetrogennecayregsot teomneeragreensctyemroeormgeonrccyarlol 9o1m1.or call 911.Printed: XX/XX/XPXrinted: XX/XX/XX
Health PlanHe(8a0lt8h4P0l)an (89081401)-87971216--8074726-04
MemberMIDem: 9b9er9I9D9: 999999999
MemberM: ember: SUBSCRSIUBBESRCBRRIBOEWRNBROWN
87726 87726
DOB: DOB: 02/08/2012 02/08/2012
This card dToheis cnaortdgduoaerasnnteoet gcuoavrearnatgeee. cBoyvuesraingge.thBisy cuasridngyothuisacgarerde ytoouthaegrreeleatosethoef release of medical infmoremdaictaiolninafosrsmtaatteiodninasyosutarteMdeimnbyeoruHr Manedmbboeork.HTaonfdinbdooakp. rToovfidinedr aorpfrioleviader or file a grievance cgarilel vMaenmcebecralSl eMrevimcebseroSr veirsviitcweswwor.MviysUitHwCw.wco.Mmy/CUoHmCm.cuonmit/yCPolmanm. unityPlan.
For MemFboerrMs:embers: 1-866-6715-81660-7675-1607
TTY 711TTY 711
NurseLinNe:urseLine: 1-877-4410-897470-9440-9409
TTY 711TTY 711
Report FRraeupdo:rt Fraud1:-800-4818-820901-7488-2917
TTY 711TTY 711
Mental IllMneesnsta&l IAllndedsicsti&onACddriiscitsioLninCer:is1is-8L6in6e-6:715-81660-7675T-T1Y607711TTY 711
For ProvFidoer r:Psrovidwewr:sw.UnitwedwHwe.UalnthitceadrHeeOanltlihncea.creoOmnline1.c-8om66-6715-81660-7675-1607 Claims: Claims: PO Box 3P1O34B1o, xSa3l1t3L4a1k,eSCailtyL, aUkTe 8C4it1y3, 1U-0T38441131-0341
0501 0501
AdministerAedmbyinUisnteitreeddHbeyaUlthncitaerdeHoefaLltohucsairaenao,f ILnocusiana, Inc
Your mental health and substance use treatment member ID card holds a lot of important information. It gives you access to your mental health and substance use treatment benefits. You should have received your member ID card in the mail within 10 days of joining UnitedHealthcare Community Plan. Each family member will have their own card. Check to make sure that all the information is correct. If any information is wrong, call Member Services at 1-866-675-1607, TTY 711.
• Take your member ID card to your appointments.
• Have it ready when you call Member Services; this helps us serve you better.
• Do not let someone else use your card(s). It is against the law.
Lost your member ID card?
If you or a family member loses
a card, you can print a new one
at myuhc.com/CommunityPlan
or call Member Services at
1-866-675-1607, TTY 711.
8
Health Plan Highlights
Your Behavioral Health Provider
Health Plan Highlights
Recovery and Resiliency
Recovery is a journey of healing which allows a person to live a meaningful life in a community of his or her choice. It means striving to achieve your full potential. Resiliency is our own personal ability to bounce back from life’s obstacles. Peer Groups can be valuable here. Use the resources in this section to explore life in recovery, and strategies to help you bounce back and succeed. We can also connect you with a Peer/ Recovery Coach.
What is a recovery coach? A recovery coach is someone who’s walked the same path you’re now taking. Plus, he or she has received training to provide the support you may need. Your recovery coach will get to know you and be there for you every step of the way.
Our recovery coaches have dealt with major mental health and substance use treatment issues. They are successfully managing their recovery. So they understand what it’s like and can help you in ways that no one else can. Recovery coaches provide support and encouragement. Their goal is to help you as you return to your community.
The Recovery Coaching Program helps you feel empowered and accepted. We promote freedom of choice and personal responsibility. Your recovery coach will listen to you. He or she will help you develop other supportive relationships.
What are Peer Coaching Services? Peer Coaching Services are a form of community support services aimed at helping adults with mental health and substance use treatment conditions feel empowered and engaged in their recovery or help parents of children with mental health and substance use treatment issues navigate the health care system and better support their children.
• There are four models of peer coaching: – Peer Coaches who serve adults with mental health issues. – Recovery Coaches who serve adults with addiction recovery issues. – Whole health coaches who serve adults with co-occurring physical and mental health issues. – F amily Peer Partners who serve the parents of children with mental health and substance use treatment issues.
• Performed by a Peer Specialist, Recovery Coach or Parent Support Partner who has special training and has life experience in living and recovering from a serious mental illness or helping their own child.
9
Benefits
Other Plan Details
Health Plan Highlights
Services may include: • Coaching with navigating through health care system; engaging in recovery. • Assistance with accessing clinical and community support services. • Help with developing a WRAP (wellness recovery action plan), advance directive, recovery plan or plan for managing relapse (Why Now for frequent readmissions). • Activating members in their own self-care through teaching and encouraging the use of tools, resources and support services. • Supporting parents; engaging family members. • Help the member build recovery capital and recovery goals.
Peer Coaching Services complement the member’s mental health and substance use treatment services. Your mental health provider may offer peer support services. The peers who provide this support are trained to be peer specialists. They have special skills, information and ways to help you. Call Member Services at 1-866-675-1607, TTY 711, to learn what peer support is available to you. There is no cost to use this service. A good way to learn is to connect with people who offer peer support. You also can:
• Ask your mental health provider for more information. • Use the Internet to search for the information you want. • Call Member Services at 1-866-675-1607, TTY 711.
There Are Also Online Resources and Face-to-Face Support Groups
Liveandworkwell.com. This online resource for UnitedHealthcare Community Plan members has many recovery tools and resources. It is a great one-stop shop to start your journey to health and well-being. https://www.liveandworkwell.com/public/ All of the links on the next few pages can be accessed through www.liveandworkwell.com.
10
Louisiana Member Handbook For Mental Health and Substance Use Treatment Services
© 2018 United Healthcare Services, Inc. All rights reserved. CSLA17MC4053577_002
UnitedHealthcare Community Plan does not treat members differently because of sex, age, race, color, disability or national origin.
If you think you were treated unfairly because of your sex, age, race, color, disability or national origin, you can send a complaint to:
Civil Rights Coordinator UnitedHealthcare Civil Rights Grievance P.O. Box 30608 Salt Lake City, UTAH 84130 [email protected]
You must send the complaint within 60 days of when you found out about it. A decision will be sent to you within 30 days. If you disagree with the decision, you have 15 days to ask us to look at it again.
If you need help with your complaint, please call the toll-free member phone number listed on your health plan member ID card, TTY 711, Monday through Friday, 7:00 a.m. to 7:00 p.m.
You can also file a complaint with the U.S. Dept. of Health and Human Services. Online: https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html
Phone: Toll-free 1-800-368-1019, 1-800-537-7697 (TDD)
Mail: U.S. Dept. of Health and Human Services 200 Independence Avenue SW Room 509F, HHH Building Washington, D.C. 20201
If you need help with your complaint, please call the toll-free member phone number listed on your member ID card.
We provide free services to help you communicate with us. Such as, letters in other languages or large print. Or, you can ask for an interpreter. To ask for help, please call the toll-free member phone number listed on your health plan member ID card, TTY 711, Monday through Friday, 7:00 a.m. to 7:00 p.m.
Important Information
Member Services: Available 7:00 a.m. – 7:00 p.m. Monday – Friday, excluding state holidays. Toll-Free. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-866-675-1607, TTY 711
Mental Illness and Addiction Crisis Line Available 24 hours a day, 7 days a week. Toll-Free Phone Number. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-866-675-1607, TTY 711
NurseLine. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-877-440-9409
Your Health Providers
Be sure to fill in the blanks so you will have these numbers ready. Emergency . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 911 My Member ID: __________________________________________________________________ My Provider’s Name: ______________________________________________________________ My Provider’s Phone Number: ______________________________________________________ My Provider’s Address: ____________________________________________________________
CSLA17MC4053578_002
Thank you for choosing
UnitedHealthcare Community Plan
for your mental health and substance use treatment plan.
We’re happy to have you as a mental health and substance use treatment member. You are our customer. You are important to us. We want to help you in an easy and caring manner. We work hard to improve the health and quality of life for our members. We look for ways to make our health plan better for you and your family every day.
Our goal is to support your recovery. If you are a parent or guardian, we want to make sure that you have the tools you and your child or dependent needs to promote resiliency.
UnitedHealthcare Community Plan gives you access to many mental health and substance use providers so you have access to all the services you need. We’re dedicated to improving your health and well-being.
Remember, answers to any questions you have are just a click away at myuhc.com/CommunityPlan. Member Services is available to speak with you at 1-866-675-1607, TTY 711, Monday through Friday 7:00 a.m. – 7:00 p.m. We are here to help you get the care that you need.
Welcome to UnitedHealthcare Community Plan.
Please take a few minutes to review this Mental Health and Substance Use Treatment Member Handbook. We’re ready to answer any questions you may have. You can find answers to most questions at myuhc.com/CommunityPlan. Or, you can call Member Services at 1-866-675-1607, TTY 711, Monday through Friday, 7:00 a.m. – 7:00 p.m.
Getting started.
We want you to get the most from your mental health and substance use treatment plan right away. Start with these three easy steps:
Call your provider to schedule an appointment.
1
We know that finding a provider you like and trust is important. If you need help scheduling an appointment, call Member Services at 1-866-675-1607, TTY 711,
Monday through Friday 7:00 a.m. – 7:00 p.m. We’re here to help. Your member ID card
was sent to you in a separate mailing. Please show the card when you see your provider.
Take your Mental Health and Substance Use Treatment Assessment.
2
This is a short and easy way to get a big picture of your current lifestyle and health. This helps us match you with the benefits and services available to you. Go to
myuhc.com/CommunityPlan to complete the Mental Health and Substance Use
Treatment Assessment today. Also, we will call you soon to welcome you to the
UnitedHealthcare Community Plan. During this call, we can explain your plan benefits.
We can also help you complete the Mental Health and Substance Use Treatment
Assessment over the phone. See page 14.
Get to know your Mental Health and Substance Use Treatment plan.
3
Start with the Health Plan Highlights section on page 8 for a quick overview of your new plan. Be sure to keep this booklet handy, for future reference.
What to Do in a Mental Health and Substance Use Treatment Emergency
You should call 911 if you are having a life-threatening mental health and substance use treatment emergency. If you receive emergency services, call your Mental Health and Substance Use Treatment provider to schedule a follow-up visit as soon as possible. Please call 1-866-675-1607, TTY 711 and let us know of the emergency care you received.
Call NurseLineSM for help. If you think that it is not an emergency, but you need help, call the NurseLine at 1-877-440-9409.
5
Table of Contents
8 Health Plan Highlights 8 Member ID Card 9 Recovery, Resiliency, Wellness and Peer Support 13 Member Support 14 Your Mental Health and Substance Use Treatment Assessment
15 Your Mental Health and Substance Use Treatment Provider 15 Choosing Your Mental Health and Substance Use Treatment Provider 15 Mental Illness and Addiction Crisis Line 16 NurseLineSM Services 16 Making an Appointment With Your Mental Health and Substance Use
Treatment Provider 17 Transportation Services 18 Preparing for Your Appointment 18 Once You Have Made the Appointment 19 If You Need Care and Your Provider’s Office Is Closed 19 If You Need Care When Out of Town 19 Out-of-Network Providers 19 No Coverage Outside of United States 19 Member’s Right to Refuse Treatment 20 Getting a Second Opinion 20 Prior Authorizations 20 Continued Care if Your Mental Health and Substance Use Treatment Provider
Leaves the Network 21 Emergency Care 21 Post-Stabilization Services 21 Tobacco Education and Prevention 21 Gambling Disorders
6
22 Benefits 22 Benefits Covered by UnitedHealthcare Community Plan 30 Referral to Coordinated System of Care (CSoC) Services 32 Specialized Services for Adults
33 Other Plan Details 33 Finding a Network Mental Health and Substance Use Treatment Provider 33 Mental Health and Substance Use Treatment Provider Directory 34 Interpreter Services and Language Assistance 34 Payment for Services 35 Other Health Insurance (Coordination of Benefits – COB) 36 Reporting Marketing Violations 36 Updating Your Information 37 Fraud and Abuse 38 Your Opinion Matters 38 Advance Directives 40 Member Rights and Responsibilities 42 Grievance and Appeals 47 Grievance and Appeals Form 49 Request for State Fair Hearing Form 51 Privacy Notices
7
Health Plan Highlights
Member ID Card
Your plan ID number Your member ID number Member Services phone number
In an emerIgneanncyemgoetrogennecayregsot teomneeragreensctyemroeormgeonrccyarlol 9o1m1.or call 911.Printed: XX/XX/XPXrinted: XX/XX/XX
Health PlanHe(8a0lt8h4P0l)an (89081401)-87971216--8074726-04
MemberMIDem: 9b9er9I9D9: 999999999
MemberM: ember: SUBSCRSIUBBESRCBRRIBOEWRNBROWN
87726 87726
DOB: DOB: 02/08/2012 02/08/2012
This card dToheis cnaortdgduoaerasnnteoet gcuoavrearnatgeee. cBoyvuesraingge.thBisy cuasridngyothuisacgarerde ytoouthaegrreeleatosethoef release of medical infmoremdaictaiolninafosrsmtaatteiodninasyosutarteMdeimnbyeoruHr Manedmbboeork.HTaonfdinbdooakp. rToovfidinedr aorpfrioleviader or file a grievance cgarilel vMaenmcebecralSl eMrevimcebseroSr veirsviitcweswwor.MviysUitHwCw.wco.Mmy/CUoHmCm.cuonmit/yCPolmanm. unityPlan.
For MemFboerrMs:embers: 1-866-6715-81660-7675-1607
TTY 711TTY 711
NurseLinNe:urseLine: 1-877-4410-897470-9440-9409
TTY 711TTY 711
Report FRraeupdo:rt Fraud1:-800-4818-820901-7488-2917
TTY 711TTY 711
Mental IllMneesnsta&l IAllndedsicsti&onACddriiscitsioLninCer:is1is-8L6in6e-6:715-81660-7675T-T1Y607711TTY 711
For ProvFidoer r:Psrovidwewr:sw.UnitwedwHwe.UalnthitceadrHeeOanltlihncea.creoOmnline1.c-8om66-6715-81660-7675-1607 Claims: Claims: PO Box 3P1O34B1o, xSa3l1t3L4a1k,eSCailtyL, aUkTe 8C4it1y3, 1U-0T38441131-0341
0501 0501
AdministerAedmbyinUisnteitreeddHbeyaUlthncitaerdeHoefaLltohucsairaenao,f ILnocusiana, Inc
Your mental health and substance use treatment member ID card holds a lot of important information. It gives you access to your mental health and substance use treatment benefits. You should have received your member ID card in the mail within 10 days of joining UnitedHealthcare Community Plan. Each family member will have their own card. Check to make sure that all the information is correct. If any information is wrong, call Member Services at 1-866-675-1607, TTY 711.
• Take your member ID card to your appointments.
• Have it ready when you call Member Services; this helps us serve you better.
• Do not let someone else use your card(s). It is against the law.
Lost your member ID card?
If you or a family member loses
a card, you can print a new one
at myuhc.com/CommunityPlan
or call Member Services at
1-866-675-1607, TTY 711.
8
Health Plan Highlights
Your Behavioral Health Provider
Health Plan Highlights
Recovery and Resiliency
Recovery is a journey of healing which allows a person to live a meaningful life in a community of his or her choice. It means striving to achieve your full potential. Resiliency is our own personal ability to bounce back from life’s obstacles. Peer Groups can be valuable here. Use the resources in this section to explore life in recovery, and strategies to help you bounce back and succeed. We can also connect you with a Peer/ Recovery Coach.
What is a recovery coach? A recovery coach is someone who’s walked the same path you’re now taking. Plus, he or she has received training to provide the support you may need. Your recovery coach will get to know you and be there for you every step of the way.
Our recovery coaches have dealt with major mental health and substance use treatment issues. They are successfully managing their recovery. So they understand what it’s like and can help you in ways that no one else can. Recovery coaches provide support and encouragement. Their goal is to help you as you return to your community.
The Recovery Coaching Program helps you feel empowered and accepted. We promote freedom of choice and personal responsibility. Your recovery coach will listen to you. He or she will help you develop other supportive relationships.
What are Peer Coaching Services? Peer Coaching Services are a form of community support services aimed at helping adults with mental health and substance use treatment conditions feel empowered and engaged in their recovery or help parents of children with mental health and substance use treatment issues navigate the health care system and better support their children.
• There are four models of peer coaching: – Peer Coaches who serve adults with mental health issues. – Recovery Coaches who serve adults with addiction recovery issues. – Whole health coaches who serve adults with co-occurring physical and mental health issues. – F amily Peer Partners who serve the parents of children with mental health and substance use treatment issues.
• Performed by a Peer Specialist, Recovery Coach or Parent Support Partner who has special training and has life experience in living and recovering from a serious mental illness or helping their own child.
9
Benefits
Other Plan Details
Health Plan Highlights
Services may include: • Coaching with navigating through health care system; engaging in recovery. • Assistance with accessing clinical and community support services. • Help with developing a WRAP (wellness recovery action plan), advance directive, recovery plan or plan for managing relapse (Why Now for frequent readmissions). • Activating members in their own self-care through teaching and encouraging the use of tools, resources and support services. • Supporting parents; engaging family members. • Help the member build recovery capital and recovery goals.
Peer Coaching Services complement the member’s mental health and substance use treatment services. Your mental health provider may offer peer support services. The peers who provide this support are trained to be peer specialists. They have special skills, information and ways to help you. Call Member Services at 1-866-675-1607, TTY 711, to learn what peer support is available to you. There is no cost to use this service. A good way to learn is to connect with people who offer peer support. You also can:
• Ask your mental health provider for more information. • Use the Internet to search for the information you want. • Call Member Services at 1-866-675-1607, TTY 711.
There Are Also Online Resources and Face-to-Face Support Groups
Liveandworkwell.com. This online resource for UnitedHealthcare Community Plan members has many recovery tools and resources. It is a great one-stop shop to start your journey to health and well-being. https://www.liveandworkwell.com/public/ All of the links on the next few pages can be accessed through www.liveandworkwell.com.
10