Real People, Real Stories, Real Help
A teenager on Heritage Health was diagnosed as a toddler with a complex genetic disorder. Due to the condition she has delayed development, intellectual disability, speech impairment, severe seizures and significant problems with movement and balance. The member uses alternative communication modes and historically ambulates through the use of a wheelchair. Her mother’s priorities are clear: to control her seizures and to control her weight. One of Nebraska Total Care’s developmental disabilities care managers has been working with the member and her mother. As a value-added benefit for Heritage Health members, NTC offers complementary YMCA memberships, which this member has chosen to participate in. Recently, the member’s mother reported that although her weight fluctuates, she has gained “balance and stability” that she did not have before participating in the YMCA water aerobics program. She can now walk on a treadmill for 5 minutes. Perhaps the most important improvement noted by the member is her ability to walk with crutches between her classes at school. Her mother reports that this alone has done more for her daughter’s social acceptance by her peers than anything else.
One of Heritage Health’s priorities is to improve birth outcomes through prenatal and postnatal care, reduce early deliveries and reduce Cesarean sections, as well as close gaps in care, educate members on healthy pregnancy, how to care for themselves and their babies and the impact of substance use during pregnancy. Heritage Health provider UnitedHealthcare Community Plan of Nebraska holds baby showers for expectant parents who receive Medicaid services. At a recent baby shower on the Omaha Tribe’s reservation in Macy, Nebraska, 38 expectant parents came together with plan members to navigate the complexities of pregnancy by providing educational resources and support information. Tribal elders made handmade star quilts, a traditional Native American gift, for the expectant parents.
A 55-year-old Heritage Health member was facing institutionalization due to her decline in both medical and mental health. She was diagnosed with diabetes, cataracts and schizophrenia, and not taking her medications because her income forced her to choose between getting her prescriptions or having enough food for the month. She had not seen a psychiatrist in several months. Her Heritage Health WellCare care manager coordinated appointments for her with an ophthalmologist, a dentist and a psychiatrist. He arranged transportation for each appointment and made sure that she kept each appointment. He ensured that she got her prescriptions filled and also assisted her in identifying and applying for community resources that provide free cell phones and another which helped her lower her monthly utility bills.