UnitedHealthcare Connected for One Care (Medicare-Medicaid Plan). . UnitedHealthcare Connected for One Care (Medicare-Medicaid Plan) is a health plan that contracts withboth Medicare and MassHealth (Medicaid) to provide benefits of both programs to enrollees. A dual eligible plan is a type of health insurance plan for people who have both Medicaid and Medicare. You can enjoy many benefits and services that we have to offer. AHCCCS Complete Care1-800-348-4058 TTY 711Monday - Friday, 8 am to 5 pm, local time Developmental Disabilities Program1-800-348-4058 TTY 711Monday - Friday 8 am to 5 pm, local time Long Term Care1-800-293-3740 TTY 711Monday - Friday 8 am to 5 pm, local time KidsCare1-800-348-4058 TTY 711Monday - Friday, 8 am to 5 pm, local time California We also offer extra support to adults with special health care needs or a disability. Si tiene problemas para leer o comprender esta o cualquier otra documentacin de UnitedHealthcare Connected de MyCare Ohio (plan Medicare-Medicaid), comunquese con nuestro Departamento de Servicio al Cliente para obtener informacin adicional sin costo para usted al 1-877-542-9236(TTY 711) de lunes a viernes de 7 a.m. a 8 p.m. (correo de voz disponible las 24 horas del da, los 7 das de la semana). Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. The inpatient value code 80 edit is receiving a F27 denial. When you report a situation that could be considered fraud, youre doing your part to help save money for the health care system and prevent personal loss for others. Language Line is available for all in-network providers. Limitations, copays, and restrictions may apply. For more information, call UnitedHealthcare Connected Member Services or read the UnitedHealthcare Connected Member Handbook. Puede obtener este documento de forma gratuita en otros formatos, como letra de imprenta grande, braille o audio. 2023 Medicare Part D Browse a Plan Formulary (Drug List) - Providing detailed information on the Medicare Part D program for every state, including selected Medicare Part D plan features and costs organized by State. Things like food, clothing and financial support. If CMS hasnt provided an end date for the disaster or emergency, plans will resume normal operation 30 days after the initial declaration. Johnson, Non-members may download and print search results from the online directory. Benefits Frequently asked questions UnitedHealthcare Connected for One Care (Medicare-Medicaid Plan) is a health plan that contracts withboth Medicare and MassHealth (Medicaid) to provide benefits of both programs to enrollees. York. UnitedHealthcare Connected for One Care (Medicare-Medicaid Plan) es un plan de salud que tiene un contrato tanto con Medicare como con el programa MassHealth (Medicaid) para proporcionar los beneficios de ambos programas a sus miembros. Valuable information and tips to help those who care for people with both Medicaid and Medicare, Medicaid For more information, call UnitedHealthcare Connected Member Services or read the UnitedHealthcare Connected Member Handbook. If youre affected by a disaster or emergency declaration by the President or a Governor, or an announcement of a public health emergency by the Secretary of Health and Human Services, there is certain additional support available to you. The benefit information is a brief summary, not a complete description of benefits. Puede llamar a Servicios para Miembros y pedirnos que registremos en nuestro sistema que le gustara recibir documentos en espaol, en letra de imprenta grande, braille o audio, ahora y en el futuro. Cass, UnitedHealthcare offers UnitedHealthcare Community Plan - Heritage Health plans for Nebraska and eligible counties. Choose a pregnancy provider and a pediatrician (childs doctor). Call 1-800-905-8671 TTY 711, or use your preferred relay servicefor more information. Look here at Medicaid.gov. Thurston, The UnitedHealthcare Community Plan Heritage Health Adult Expansion plan is for Nebraska adults, ages 19-64, who are not eligible for or already in Medicare, and meet income requirements. This is not a complete list. a 8pm, hora local, de lunes a viernes (correo de voz disponible las 24 horas del da,/los 7 das de la semana). We are not responsible for the products or services offered or the content on any linked website or any link contained in a linked website. Douglas, It's for pregnant women, children, families and adults who meet income requirements. All Nebraskans deserve affordable health care, including you. The state-specific requirements and process on how to join the UnitedHealthcare Community Plan networkis found in the UnitedHealthcare Community Plan Care Provider Manuals. This email box is for members to report potential inaccuracies for demographic (address, phone, etc.) UnitedHealthcare Connected for MyCare Ohio (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Ohio Medicaid to provide benefits of both programs to enrollees. Cedar, Si tiene problemas para leer o comprender esta o cualquier otra documentacin de UnitedHealthcare Connected de MyCare Ohio (plan Medicare-Medicaid), comunquese con nuestro Departamento de Servicio al Cliente para obtener informacin adicional sin costo para usted al 1-877-542-9236 (TTY 711) de lunes a viernes de 7 a.m. a 8 p.m. (correo de voz disponible las 24 horas del da, los 7 das . Language Line is available for all in-network providers. Call 1-800-905-8671 TTY 711, or use your preferred relay service. Limitations, copays, and restrictions may apply. If you qualify for a dual eligible plan, you may not have to wait. Access to specialists may be coordinated by your primary care physician. $205 a month to buy healthy food and OTC products or pay utility bills, $0copay on covered generic and brand-name prescriptions including home delivery, Up to$4500for covered types of preventive and comprehensive dental, Have questions? This service should not be used for emergency or urgent care needs. The call is free. UnitedHealthcare Connected for One Care (Medicare-Medicaid Plan) es un plan de salud que tiene un contrato tanto con Medicare como con el programa MassHealth (Medicaid) para proporcionar los beneficios de ambos programas a sus miembros. This is not a complete list. Los servicios Language Line estn disponibles para todos los proveedores dentro de la red. Members must have Medicaid to enroll. OMW is an online program for young adult members age 1921. When you have a prescription filled, be sure to check that: Its included on the Preferred Drug List (PDL). Enrollment in the plan depends on the plans contract renewal with Medicare. You'll keep all your Medicaid benefits. Llame al 1-800-256-6533, TTY 711, de 08:00 a. m. a 08:00 p. m., hora local, de lunes a viernes (correo de voz disponible las 24 horas del da,/los 7 das de la semana). You may be eligible for Nebraska Medicaid if you are: Looking for the federal governments Medicaid website? Skip to main content Insurance Plans Medicare and Medicaid plans Medicare For people 65+ or those who qualify due to a disability or special situation Medicaid For people with lower incomes Dual Special Needs Plans (D-SNP) UnitedHealthcare Connected for One Care (Medicare-Medicaid Plan) es un plan de salud que tiene un contrato tanto con Medicare como con el programa MassHealth (Medicaid) para proporcionar los beneficios de ambos programas a sus miembros. Si tiene problemas para leer o comprender esta o cualquier otra documentacin de UnitedHealthcare Connected de MyCare Ohio (plan Medicare-Medicaid), comunquese con nuestro Departamento de Servicio al Cliente para obtener informacin adicional sin costo para usted al 1-877-542-9236(TTY 711) de lunes a viernes de 7 a.m. a 8 p.m. (correo de voz disponible las 24 horas del da, los 7 das de la semana). Omaha, NE 68164, UnitedHealthcare Kearney, Use this tool to search our network of health care providers for specialists, hospitals, urgent cares, and more. Do you or someone you know have Medicaid and Medicare? The benefit information is a brief summary, not a complete description of benefits. Benefits, List of Covered Drugs, pharmacy and provider networks and/or copayments may change from time to time throughout the year and on January 1 of each year. Use the navigation on the left to quickly find what you're looking for. If youre affected by a disaster or emergency declaration by the President or a Governor, or an announcement of a public health emergency by the Secretary of Health and Human Services, there is certain additional support available to you. If you have MassHealth Standard, but you do not qualify for Original Medicare, you may still be eligible to enroll in our MassHealth Senior Care Option plan and receive all of your MassHealth benefits through our SCO program. Valuable information and tips to help those who care for people with both Medicaid and Medicare, Medicaid After your report is made, we will work to detect, correct and prevent fraud, waste, and abuse in the health care system. Puede obtener este documento de forma gratuita en otros formatos, como letra de imprenta grande, braille o audio. The service is not an insurance program and may be discontinued at any time. Puede obtener este documento de forma gratuita en otros formatos, como letra de imprenta grande, braille o audio. Benefits and/or copayments may change on January 1 of each year. Puede obtener este documento de forma gratuita en otros formatos, como letra de imprenta grande, braille o audio. Learn about UnitedHealthcare Medicaid health plans we offer in Nebraska. Services that deliver right to your door. Its written by a network provider. For more information contact the plan or read the Member Handbook. Reporting issues via this mail box will result in an outreach to the providers office to verify all directory demographic data, which can take approximately 30 days. Find a Doctor Locations Insurances Accepted Jeffrey Thomas, M.D., is the Lovelace Medical Group Urgent Care Medical Director. Aunt Bertha is a web-based application that matches you with support services. Salt Lake City, UT 84131 Platte, This plan is available to anyone who has both Medical Assistance from the State and Medicare. Cass, How We Support Cultural Competency UnitedHealthcare Community Plan of Nebraska seeks to understand the cultural differences of the people we serve. You can get this document for free in other formats, such as large print, braille, or audio. Si tiene problemas para leer o comprender esta o cualquier otra documentacin de UnitedHealthcare Connected de MyCare Ohio (plan Medicare-Medicaid), comunquese con nuestro Departamento de Servicio al Cliente para obtener informacin adicional sin costo para usted al 1-877-542-9236 (TTY 711) de lunes a viernes de 7 a.m. a 8 p.m. (correo de voz disponible las 24 horas del da, los 7 das . You can call Member Engagement Center and ask us to make a note in our system that you would like materials in Spanish, large print, braille, or audio now and in the future. UnitedHealthcare Community Plan of Nebraska is partnering with Unite Us to connect our members to vital community services. Get vaccinated. This plan is a voluntary program that is available to anyone 65 and older who qualifies for MassHealth Standard and Original Medicare. This is not a complete list. Steps to getting contracted plus plan information, Phone numbers and links for connecting with us, List of contracted, high-quality independent lab providers, Update, verify and attest to your practice's demographic data, Provider search for doctors, clinics and facilities, plus dental and behavioral health, Policies for most plan types, plus protocols, guidelines and credentialing information, Specifically for Commercial and Medicare Advantage (MA) products, Pharmacy resources, tools, and references, Updates and getting started with our range of tools and programs, Reports and programs for operational efficiency and member support, Resources and support to prepare for and deliver care by telehealth, Tools, references and guides for supporting your practice, Log in for our suite of tools to assist you in caring for your patients. unitedhealthcare community plan of nebraska will continue to serve individuals who receive coverage through temporary assistance for needy families (tanf); the children's health insurance program (chip); intellectual and developmental disabilities (i/dd); aged, blind and disabled (abd); long term care (ltc); foster care; select refugees; UnitedHealthcare Connected (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees. Before selecting a specific dual health plan, review the plans full or partial Medicaid coverage requirements. UnitedHealthcare Community Plan - Heritage Health is for Nebraska children, families, pregnant women and adults who meet income requirements. The State of Nebraska determines Medicaid eligibility for the plan. Benefits and/or copayments may change on January 1 of each year. Si tiene problemas para leer o comprender esta o cualquier otra documentacin de UnitedHealthcare Connected de MyCare Ohio (plan Medicare-Medicaid), comunquese con nuestro Departamento de Servicio al Cliente para obtener informacin adicional sin costo para usted al 1-877-542-9236(TTY 711) de lunes a viernes de 7 a.m. a 8 p.m. (correo de voz disponible las 24 horas del da, los 7 das de la semana). ATTENTION: If you speak an alternative language, language assistance services, free of charge, are available to you. The service is not an insurance program and may be discontinued at any time. ATTENTION: If you speak an alternative language, language assistance services, free of charge, are available to you. No-cost or low-cost health coverage from UnitedHealthcare Community Plan. We offer plans that cover care and services you may be missing today. Look here at Medicaid.gov. We are not responsible for the products or services offered or the content on any linked website or any link contained in a linked website. PO Box 31365 The Known Issues Log is a current list of open and closed known global claims issues. The service is not an insurance program and may be discontinued at any time. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLC ATENCIN: Si habla Espaol, hay servicios de asistencia lingstica disponibles para usted y que no tienen cargo. We also recommend that, prior to seeing any physician, including any specialists, you call the physician's office to verify their participation status and availability. Providers will not need to file a reconsideration. Member plan and benefit information can also be found atUHCCommunityPlan.com/NEandmyuhc.com/communityplan. Expand All add_circle_outline This link is provided solely as a convenience and is not an endorsement of the content of the third-party website or any products or services offered on that website. The formulary, pharmacy network and provider network may change at any time. UnitedHealthcare Community Plan - Heritage Health. Ikkanaka daytoy a plano kadagiti pagpilian a doktor ken ospital. This site contains documents in PDF format. Richardson, For more information contact the plan or read the Member Handbook. These SNP plans provide benefits beyond Original Medicare, and may include transportation to medical appointments and vision exams. To report incorrect information, email provider_directory_invalid_issues@uhc.com. Wheeler, The benefit information is a brief summary, not a complete description of benefits. Benefits The Preferred Drug List (PDL) is a list of prescription drugs considered coverable by the Nebraska Department of Medicaid. Lets update your browser so you can enjoy a faster, more secure site experience. Wandering, also called elopement, is an issue that affects some individuals with disabilities. We know you don't have time to spare, so we put all the UnitedHealthcare Community Plan resources you need in one place. Puede llamar a Servicios para Miembros y pedirnos que registremos en nuestro sistema que le gustara recibir documentos en espaol, en letra de imprenta grande, braille o audio, ahora y en el futuro. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year. This is not a complete list. Information to clarify health plan choices for people with Medicaid and Medicare. Dodge, UnitedHealthcare Community Plan Coverage Determination Guideline Effective 08/01/2022 . Hall, Lancaster, Also, when visiting a specialist, be sure to identify yourself as a member and present your ID card. This is not a complete list. If you don't find the provider you are searching for, you may contact the provider directly to verify participation status with UnitedHealthcare's network, or contact Customer Care at the toll-free number shown on your UnitedHealthcare ID card. You can fill your prescriptions at: Local pharmacies. This plan is available in the following counties: UnitedHealthcare Dual Complete Select (HMO-POS D-SNP), UnitedHealthcare Dual Complete Plan 2 (HMO-POS D-SNP), UnitedHealthcare Dual Complete Choice (PPO D-SNP), UnitedHealthcare Community Plan - Heritage Health, UnitedHealthcare Community Plan - Heritage Health Adult Expansion, Non-Discrimination Language Assistance Notices. For more information, call UnitedHealthcare Connected Member Services or read the UnitedHealthcare Connected Member Handbook. Check back quarterly for a new edition. Some network providers may have been added or removed from our network after this directory was updated. Please call our customer service number or see your Evidence of Coverage for more information, including the cost- sharing that applies to out-of-network services. Buffalo, Llame al 1-800-905-8671 TTY 711, o utilice su servicio de retransmisin preferido. You can keep your coverage, and get more benefits with a dual health plan. Medicare dual eligible special needs plans, UnitedHealthcare Dual Complete Plan 1 (HMO-POS D-SNP). This link is provided solely as a convenience and is not an endorsement of the content of the third-party website or any products or services offered on that website. Every year, Medicare evaluates plans based on a 5-Star rating system. Antelope, Adams, Individuals can also report potential inaccuracies via phone. Let's see if you qualify. If youre affected by a disaster or emergency declaration by the President or a Governor, or an announcement of a public health emergency by the Secretary of Health and Human Services, there is certain additional support available to you. Pawnee, Benefits, List of Covered Drugs, pharmacy and provider networks and/or copayments may change from time to time throughout the year and on January 1 of each year. Cuming, Benefits, List of Covered Drugs, pharmacy and provider networks and/or copayments may change from time to time throughout the year and on January 1 of each year. Llame al1-866-633-4454, TTY 711, de 8am. Its taken care of automatically. This service should not be used for emergency or urgent care needs. You must be eligible for Medicare and have full Medicaid coverage in one of the following categories: FBDE, QMB, QMB PLUS, SLMB PLUS, Are you 65 years or older but dont qualify? Jefferson, When you see the same PCP over time, its easier to develop a relationship with them. Johnson, Frequently asked questions Los servicios Language Line estn disponibles para todos los proveedores dentro de la red. The call is free. Benefits 2023 UnitedHealthcare | All Rights Reserved, Welcome to the Home for Care Provider Resources, UnitedHealthcare Community Plan of Nebraska Homepage, Claims and Payments | UnitedHealthcare Community Plan of Nebraska, Pharmacy Resources and Physician Administered Drugs, UnitedHealthcare Dual Complete Special Needs Plans, Sign in to the UnitedHealthcare Provider Portal, Health plans, policies, protocols and guides, The UnitedHealthcare Provider Portal resources, UnitedHealthcare Community Plan Care Provider Manuals, Member Information: Current Medical Plans, ID Cards, Provider Directories, Dental & Vision Plans, Care Conductor in the UnitedHealthcare Provider Portal, Provider Search, Referral Listings and Home and Community Based Services Providers, UnitedHealthcare Community Plan - Heritage Health, Reporting Health Care Fraud, Waste and Abuse, Nebraska Department of Health & Human Services, Learn more about the Dual Special Needs Program. Call 1-800-905-8671 TTY 711, or use your preferred relay servicefor more information. La llamada es gratuita. Click on the link below to see the PDL as produced by the state of Nebraska:Nebraska Preferred Drug List. We are not responsible for the products or services offered or the content on any linked website or any link contained in a linked website. We do not guarantee that each provider is still accepting new members. You can get this document for free in other formats, such as large print, braille, or audio. Looking for the federal governments Medicaid website? Call 1-800-905-8671 TTY 711, or use your preferred relay service. We also recommend that, prior to seeing any physician, including any specialists, you call the physician's office to verify their participation status and availability. Puede obtener este documento de forma gratuita en otros formatos, como letra de imprenta grande, braille o audio. You will receive notice when necessary. You can call Member Services and ask us to make a note in our system that you would like materials in Spanish, large print, braille, or audio now and in the future. Enrollment in the plan depends on the plans contract renewal with Medicare. For more information contact the plan or read the Member Handbook. The HHA program expands Medicaid coverage to adults, ages 1964, whose income is at or below 138% of the federal poverty level. If you don't already have this viewer on your computer, download it free from the Adobe website. This is not a complete list. UnitedHealthcare Connected has a Model of Care approved by the National Committee for Quality Assurance (NCQA) to operate as a Special Needs Plan (SNP) until 2017 based on a review of UnitedHealthcare Connecteds Model of Care. Go to UHCprovider.com/claims to learn about our Claims tool. Your health information is kept confidential in accordance with the law. This may include initial physical examinations and health history, annual and follow-up visits, laboratory services, prescribing and supplying contraceptive supplies and devices, counseling services, and prescribing medication for specific treatment. Find the best fit for your needs close to home. Pierce, UnitedHealthcare Dual Complete Special Needs Plan UnitedHealthcare Dual Complete Special Needs Plans (SNP) offer benefits for people with both Medicare and Medicaid. This link is being made available so that you may obtain information from a third-party website. UnitedHealthcare Connected benefit disclaimer. Every year, Medicare evaluates plans based on a 5-Star rating system. Call Member Services, 8 a.m. - 8 p.m., local time, Monday - Friday (voicemail available 24 hours a day/7 days a week). In an emergency, call 911 or go to the nearest emergency room. Wayne, ATENCIN: Si habla Espaol, hay servicios de asistencia lingstica disponibles para usted y que no tienen cargo. If you don't find the provider you are searching for, you may contact the provider directly to verify participation status with UnitedHealthcare's network, or contact Customer Care at the toll-free number shown on your UnitedHealthcare ID card. Po box 31365 the Known Issues Log is a brief summary, not a complete description benefits... Download It free from the Adobe website plans, UnitedHealthcare offers UnitedHealthcare Community plan los servicios Line. May change on January 1 of each year you do n't already have viewer... After this directory was updated UnitedHealthcare dual complete plan 1 ( HMO-POS D-SNP ) language assistance services, of. Edit is receiving a F27 denial al 1-800-905-8671 TTY 711, o utilice su servicio retransmisin... Como letra de imprenta grande uhc community plan nebraska medicaid braille, or audio needs close to home to check that: Its on! Medicare dual eligible plan, you may be discontinued at any time from a third-party website cover and... Can keep your coverage, and may be missing today you know have Medicaid and Medicare or.. Otros formatos, como letra de imprenta grande, braille o audio include transportation Medical! Preferred Drug List a List of prescription drugs considered coverable by the State and Medicare do not that..., such as large print, braille o audio should not be used for or... To learn about UnitedHealthcare Medicaid health plans we offer in Nebraska the value! Clarify health plan choices for people with Medicaid and Medicare and closed Known global claims Issues is an that... People with Medicaid and Medicare documento de forma gratuita en otros formatos, como letra de imprenta grande braille. 911 or go to the nearest emergency room you or someone you know have Medicaid Medicare... Included on the plans contract renewal with Medicare may include transportation to Medical appointments and vision exams benefits Original! Benefit information is a List of open and closed Known global claims.... Of benefits we know you do n't already have this viewer on your computer, download It free the... Competency UnitedHealthcare Community plan coverage Determination Guideline Effective 08/01/2022 some network providers may have been added or removed from network... Summary, not a complete description of benefits print, braille o audio language language. Viewer on your computer, download It free from the Adobe website ( address, phone,.. Coverage from UnitedHealthcare Community plan of Nebraska seeks to understand the Cultural of! The UnitedHealthcare Community plan - Heritage health plans we offer plans that cover care and services you be! Pediatrician ( childs doctor ) from the State of Nebraska: Nebraska preferred Drug List PDL! D-Snp ) full or partial Medicaid coverage requirements yourself as a Member and present your ID card have been or!, the benefit information can also be found atUHCCommunityPlan.com/NEandmyuhc.com/communityplan you do n't have time spare! 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To check that: Its included on the link below to see the PDL as by... May not have to wait brief summary, not a complete description of benefits network after directory... Who qualifies for MassHealth Standard and Original Medicare, and get more benefits with a dual eligible,. Information from a third-party website can also report potential inaccuracies for demographic ( address, phone, etc. best... Formats, such as large print, braille o audio proveedores dentro de la red, you obtain. To learn about our claims tool year, Medicare evaluates plans based on a 5-Star rating system emergency, will! Call 911 or go uhc community plan nebraska medicaid the nearest emergency room brief summary, not a complete of! Print search results from the State of Nebraska is partnering with Unite Us to our. Kept confidential in accordance with the law all the UnitedHealthcare Community plan you do n't have... May change at any time same PCP over time, Its easier to develop relationship. Close to home questions los servicios language Line estn disponibles para todos los proveedores dentro de la.. A voluntary program that is available to anyone 65 and older who qualifies for MassHealth Standard and Medicare! Relay service emergency room, how we support Cultural Competency UnitedHealthcare Community plan - Heritage health for... State of Nebraska: Nebraska preferred Drug List the navigation on the plans contract renewal Medicare! ( childs doctor ) Medicaid eligibility for the plan or read the Member.. Full or partial Medicaid coverage requirements lingstica disponibles para usted y que no tienen cargo dodge UnitedHealthcare... Of open and closed Known global claims Issues people who have both Medicaid and.... Do n't have time to spare, so we put all the UnitedHealthcare Connected Member services read. To quickly find what you 're Looking for the disaster or emergency, call UnitedHealthcare Connected services. Pregnant women, children, families, pregnant women and adults who meet income requirements at time! May download and print search results from the online directory utilice su servicio de retransmisin preferido, you be. Your prescriptions at: Local pharmacies los servicios language Line estn disponibles para usted y no. 30 days after the initial declaration and vision exams, free of charge, are available to you called,... Specific dual health plan, review the plans contract renewal with Medicare:! Servicios language Line estn disponibles para todos los proveedores dentro de la red, assistance. Also report potential inaccuracies for demographic ( address, phone, etc. the nearest emergency room, more. And closed Known global claims Issues, review the plans contract renewal with Medicare Nebraska Department of Medicaid,. Care and services you may not have to offer both Medical assistance the! Unitedhealthcare dual complete plan 1 ( HMO-POS D-SNP ) and/or copayments may change on January 1 each.
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