Do you or a family member have trouble managing asthma or COPD symptoms?
You will get a customized treatment plan and medicine to:
Help you stay active.
Build a health future for you and your baby — and earn great rewards — through Baby Blocks. This program helps keep you and your baby healthy during your pregnancy and your baby’s first 15 months of life.
Baby Blocks includes:
Email appointment reminders.
Fun program to keep track of appointments.
Reward gift cards for clothing and more.
Once you sign up, you can choose a $20 Old Navy gift card or a stylish diaper bag. The choice is yours.
When a member has complex health care needs, a care manager can really help. He or she will:
Work with you and family members and friends on a plan of care.
Explain medical terms in plain language.
Coordinate your doctor appointments.
Provide your care team with your medical records.
Our plan includes limited visits for chiropractic care when ordered by a network physician.
Choice of Birth Center
Where you have your baby is an important choice. That’s why you can pick from our large network of hospitals or Birthing Center.
We also encourage you to tour the hospital’s birthing center. This way you will be familiar with it and be better informed when you have your baby.
Choice of Doctor
Each member can choose a primary care provider (PCP). Use the Doctor Lookup tool to see if your doctor is in our network.
The PCP is the main doctor for:
Treatment if you are sick or injured.
Care coordination with specialists.
For members who don’t have a doctor or whose doctor is not in our network, member services can help find a new one close by.
Equipment and Supplies
Our member’s health and safety at home are important.
Our plan covers medical equipment ordered by the doctor or care manager. This can include supplies like:
Wheelchairs or walkers.
We provide the exams you need 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.
Healthy First Steps®
Our Healthy First Steps® program makes sure that both mom and baby get good medical attention.
We will help:
Find a doctor for both mother and baby.
Get good advice on nutrition, fitness and safety.
Get supplies, including breast pumps for nursing moms.
Trouble hearing can affect your everyday life in many ways. Our plan includes services and support to help protect your hearing.
Exams, aids and tests.
Hearing aids and batteries.
After surgery or a serious illness, you may need in-home medical visit(s) to check on how well you are healing.
With approval, our plan covers:
In-home medical visit(s).
Medical equipment like hospital beds, walkers or wheelchairs.
Disposable medical supplies.
This plan pays for expenses related to a hospital stay, so our members can rest and heal.
Hospitalization coverage includes:
Room and board.
Supplies and equipment.
Treatment and therapies.
Diagnostic tests and exams.
And after leaving hospital, we can provide transitional care services. We make sure you get follow-up care to continue healing at home.
Hospice services are covered when they are ordered by a physician.
You and your doctor need to understand each other. We have interpreters for you if your provider does not speak your language. This is free when you speak to us, your provider, or NurseLine.SM
Lab and X-rays
Knowing what’s wrong and finding it early can make all the difference. Our plan covers:
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.
Members can get information in their preferred language. You will get member materials in English and Spanish. We can give you member materials in a language or format that is easier for you to understand. Just ask.
Sometimes you might need a little help understanding your health care options. Call us. We’ll answer your questions simply and completely.
We help you find:
Hospitals or other health facilities.
Services for behavioral health and substance use disorders are covered by Magellan Behavioral Health.
You will not have a copayment for care and services covered by our plan.
This includes in network services:
Visits to doctors
Treatments at hospitals and clinics.
Home medical equipment and supplies to help you be at your best.
Medical questions and situations can come at inconvenient times. When you have questions about your health, you can call a 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.
Your pregnancy is a journey you’ll want to make with the help of friends, family and a pregnancy doctor.
All recommended prenatal clinical visits and tests are covered by our plan.
At these visits, the clinic will:
Make sure both you and your baby are healthy.
Explain what to expect at each stage of your pregnancy.
Answer your questions.
Most people know the bad health effects of smoking. And they know they need to quit. That’s why we encourage members to talk to their doctor about getting smoking cessation support. Counseling is covered when you enroll with the Nebraska Tobacco-Free Quit Line. Medication for smoking cessation are available through Nebraska Medicaid.
After a serious illness, surgery or injury, you may need extra nursing and therapy. If needed, our plan covers short stays in a skilled facility where you can heal.
Nursing home services.
24-hour nursing care.
Help with activities of daily living.
Physical, occupational and speech therapy.
Shots and Vaccines
Routine shots help protect members and their family from illness. Our plan covers:
Pneumonia, influenza and shingles shots.
Vaccines and Immunizations. Routine shots to help keep your child healthy.
Other recommended shots and vaccines.
Text4baby can help new and expecting mothers keep themselves and their babies healthy.
You’ll get text messages throughout your pregnancy and your baby’s first year. Each text contains health and safety tips for topics like:
Labor and delivery.
Car seat safety.
So you and your baby can make a great start on life.
Physical, occupational and speech therapy can help you recover from a serious injury or illness, or simply reach your full potential.
Our plan provides:
Transportation services to medical visits are provided by the state of Nebraska. We offer extra transportation for health related activities, like:
WIC (Women, Infant and Children) appointments.
Prenatal and pregnancy classes.
Approved exercise and nutrition classes.
Alcoholics Anonymous meetings.
IntelliRide provides Transportation to a medical provider for State of Nebraska.
Unlimited Primary Care Provider Visits
There may be times when a member’s health requires repeated doctor visits. Our plan does not limit the number the number of visits to a primary care provider (PCP). This way the members get the care they need. And the doctor can see how their health is progressing.
Our members get the routine eye exams, frames and prescription lenses to see life more clearly. Coverage includes:
Eye exams and eyeglasses, if needed, provided every 12 months to age 20.
Eye exams and eyeglasses, if needed, provided every 24 months for age 20 and older.
This benefit is offered by Superior Vision.
Well visits with your doctor can help keep you healthy. These visits can catch health problems early, so they can be treated. Preventive services include: