Asthma and COPD Support

Do you need help trouble managing asthma or COPD (chronic obstructive pulmonary disease) symptoms? A nurse who specializes in breathing issues can really help. You'll get a customized treatment plan and medicine to:

• Manage flare-ups.
• Reduce symptoms.
• Help you stay active.

Care Management

A serious health problem requires extra care and support. If your health needs qualify, then our care managers are in your corner. They will:

• Explain medical terms in plain language.
• Coordinate your doctor appointments.
• Provide your care team with your medical records.

Your care manager will stay close by throughout the medical journey. He or she will:

• Think beyond immediate medical needs.
• Make sure you have support at home.

Chiropractor Services

Our plan includes visits for chiropractic care. Whether chiropractor services are your primary or alternative treatment method, you're covered.

Members covered for up to $700 in chiropractic care costs per year. And you do not need to get approval prior to scheduling a visit to your chiropractor.

Choose a Birth Center

Where you have your baby is an important choice. That’s why you can pick from partner hospitals across Mississippi.

We also encourage you to tour the hospital's birthing center. This way you will be familiar with it. And be more relaxed when you have your baby.

Choice of Doctor

Members can choose a primary care provider (PCP). Use the Doctor Lookup tool to see if your doctor is in our network.

The PCP is your main doctor for:

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

For members who don’t have a doctor or whose doctor is not in our network, we can help find a new one close by.

Dental Care

Checkups and emergency care are covered.

Dental checkups and cleanings can help keep teeth and gums healthy. Covered services include:

• Cleanings.
• X-rays.
• Certain dental work, including some extractions.

The benefits for both children and adults are:

• $2500 maximum each year dental care.
• $4200 maximum for braces per child.

Diabetes Services

If you have diabetes, we'll help make life a little easier for you. You'll get medicine, supplies and education to help you reach and stay your best.

Our diabetes program also includes self-care training and classes focused on:

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

Equipment and Supplies

Your health and safety at home are important.

Our plan covers medical equipment ordered by your doctor or case manager. This can include supplies like:

• Hospital beds.
• Oxygen tanks.
• Wheelchairs or walkers.

Foot Care

We provide the exams needed 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.

Farm to Fork Program

A diet that includes fresh vegetables and fruit goes a long way to helping you stay at your best. That's why our plan includes farm-fresh produce for members.

We make getting your produce easy. You can pick up your free bag at one of the many Farm to Fork Program sites across the state.

The program runs from May through September.

Please view a complete list of distribution sites and schedule.

Healthy First Steps®

When you’re pregnant, you receive help and advice from your mom, aunts, sisters and girlfriends. Yet every pregnancy is different. This program will support you through your pregnancy.

We can help you:

• Find a doctor for both mother and baby.
• Learn about nutrition, fitness and safety.
• Get supplies, including breast pumps for nursing moms.

Hearing Care

Trouble hearing can affect your child’s everyday life in many ways. Our plan covers hearing exams and services for members up to age 21.

Hospitalization

This plan pays for all expenses related to a hospital stay, so you can rest and heal.

Our plan covers:

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

And after you leave the hospital, you are not alone. We make sure you get follow-up care to continue healing at home.

Interpreters

Your doctor and you need to understand each other. Not speaking English well makes this difficult. We can arrange for a medical interpreter to be at your appointments.

We also have people in member services who speak more than one language. Chances are, we have someone who speaks your language.

Kidney Disease Care

Kidney disease is a serious medical condition.

Our plan includes:

• Dialysis.
• Medications.
• Health education and support.
• Organ transplant if needed.

Lab and X-ray Services

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

• 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.

Language Help

You can get information in another language. Just ask. Then anything we write to you will only be in that language. This is provided at no cost to you.

Medicines

For members over age 21, our plan includes up to six prescription drugs and refills each month. For members up to age 21, there are no limits.

We make getting your medicine easy. You can fill your prescriptions at:

• Local in-network pharmacies.
• Services that deliver routinely 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 24/7. We'll answer your questions simply and completely.

We can also help you find:

• Home care providers.
• Dentists and vision providers.
• Adult day health centers.

Mental Health

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

Required care is 100% covered. This includes:

• Individual therapy.
• Outpatient psychiatric care.
• Crisis services and medications.

NurseLine℠

Medical questions and situations come at inconvenient times. For questions about health, members or their caregivers can call a trained nurse 24/7.

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.

Home Health Care

Sometimes continued care is needed after leaving the hospital or urgent care. For example, after a serious illness, surgery or injury. In these cases, a nurse will make home visits to:

• Provide medical care.
• Answer any questions and concerns.

Adult members can get up to 25 home health care visits per year. For children, there is no limit on the number of visits.

Obesity Care

Obesity is common and serious. It can also lead to other health problems. To help members live healthier, we will:

Obesity is common and serious. It can also lead to other health problems. To help our members be their best, our plan includes:

• Provide information on a healthy diet and exercise.

Connect you to support in the community.

Prenatal Visits

A pregnancy is a journey that’s easier with the help of friends, family and a pregnancy doctor, or OB/GYN.

All recommended prenatal clinical visits and tests are covered by our plan.

At these visits, the clinic will:

• Make sure both mom and baby are healthy.
• Explain what to expect at each stage of your pregnancy.
• Answer questions.

Residential Care

After a serious illness, surgery or injury, you may need ongoing nursing and therapy. If needed, our plan covers short stays in a rehabilitation center where you can heal. Included are:

• Nursing home services.
• 24-hour nursing care.
• Help with activities of daily living.
• Physical, occupational and speech therapy.

Shots and Immunizations

Routine shots help keep you healthy. Our plan covers:

• Pneumonia, influenza and shingles shots.

Other recommended shots and vaccines.

Physical, Speech or Occupational Therapy

Physical, occupational and speech therapy can help you recover from a serious injury or illness, or simply reach your full potential.

Our plan provides up to 12 visits for:

• Occupational therapy.
• Physical therapy.
• Speech therapy.

Transportation

Whether you live in the city or in the country, our plan provides rides to and from health care locations. That includes trips to:

• Doctor and therapy visits.
• Health departments.
• Vision clinics.
• Urgent care centers.

Unlimited Doctor Visits

There may be times when your health requires regular visits to a primary care provider (PCP).

Our plan does not limit the number of times you can see your PCP. This way you get care when you need it. And the doctor can see how your health is progressing.

Urgent Care

You may have an injury or sudden illness that is not life-threatening but needs immediate attention. So our plan covers care at:

• Urgent care centers.
• Medical aid units.
• Other walk-in clinics.

Vision Care

You'll get the care, eyeglasses and treatment that let you see life more clearly.

• Children can get up to two pair of eyeglasses per year.
• Adults receive new eyeglasses every three years.

This benefit is offered by Vision Service Plan.

Well Visits

These visits can catch health problems early, so they can be treated.

Preventive services :

• Checkups for adults and children.
• Well-baby care.
• Care for women expecting a baby.
• Routine shots and tests.
• Mammograms.