Florida Healthy Kids

Asthma and Allergy Care

Does your child have asthma or respiratory allergies? Then you may be on the watch for a breathing emergency.

Your child can be assigned a nurse with special knowledge of childhood breathing problems. Your child's nurse will:

• Get to know your child.
• Learn his or her triggers and activities.
• Develop a customized treatment plan.

So your child will have:

• Reduced symptoms.
• Less need for emergency care.

Care Management

Does your child have a serious health problem? Then our case managers are in your corner. They will:

• Explain medical terms in plain language.
• Coordinate doctor appointments.
• Provide your child's care team with his or her medical records.

Your case manager will stay with your child throughout the medical journey. He or she will:

• Think beyond immediate medical needs.
• Make sure you or your child has support at home.

So you can focus on helping your child get better.

Choice of Doctor

Your child gets a primary care physician (PCP), who is his or her main doctor. Use the Doctor Lookup tool to see if your child's doctor is in our network.

If your child doesn't have a doctor or if this doctor is not in our network, we can help you find a new one close to you.

Your PCP is your main doctor for:

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

Diabetes Support

If your child has diabetes, we'll make life a little easier for him or her. Your child will get needed medicine, supplies and education.

Our diabetes program includes self-care tips for your child and classes to help your child manage diabetes. The content is focused on:

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

Hearing Care

Trouble hearing can affect your child's everyday life in many ways. Our plan includes services and support to help protect your child's hearing.

We cover:

• Exams.
• Therapy.
• Tests.

Hospitalization

This plan pays for all your child's expenses related to a hospital stay, so you can focus on helping your child rest and heal.

Our plan covers:

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

And after leaving the hospital, we make sure your child gets follow-up care to continue healing at home.

Lab and X-rays

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

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

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

Language Help

You can receive information in your preferred language. Just ask. We also have people at our customer service who speak more than one language. Chances are, we have someone who speaks your language.

Medicines

There are no copays for covered drugs.

Your child's prescriptions and refills are provided by our plan.

You can fill prescriptions at:

• In Network Local pharmacies.
• Services that deliver right to your door.

Member Services

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:

• Primary Care Physicians and Specialists.
• Local pharmacies.

Mental Health

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

NurseLine℠

Medical questions and situations sometimes happen at inconvenient times. When you have questions about your child's health, you can call a trained nurse 24 hours a day, 7 days a week.

Our NurseLine nurses will:

• Listen to symptoms.
• Guide you on caring for your child.
• Advise you about getting care at a doctor visit or an urgent care center.
• Help you know when to go to the emergency room.

Quitting Tobacco

You know the bad health effects of smoking. You know you need to quit. We support members who want to quit tobacco with coaches and supplies. The only thing they won't get from us is a lecture.

Shots and Vaccines

Routine shots help keep your child healthy.

So, our plan covers:

• Recommended shots and vaccines.
• Influenza shots.

Well Visits

Well visits with your doctor can help your child stay healthy. These visits can catch health problems early, so they can be treated.

Preventive services include:

• Annual checkups for children.
• Well-baby care, ages 5-17
• Hearing screening.
• Routine shots and tests.

There are no copayments for preventive care.