Individual care to help control asthma, allergies or COPD symptoms.
Do you or your child have trouble managing asthma, allergies or COPD symptoms? A nurse who specializes in breathing issues can really help. You’ll get a customized treatment plan and medicine to:
Let you or your child stay active.
Choice of Doctor
You get a primary care physician (PCP), who is your main doctor. Use the Doctor Lookup tool to see if your doctor is in our network.
If you don't have a doctor or if your doctor is not in our network, we can help you find a new one close to you.
Your PCP is your main doctor for:
Treatment if you are sick or injured.
Referrals to specialists for certain conditions.
Checkups are covered.
Exams and cleanings every six months help keep teeth and gums strong and healthy. If there is a dental problem that needs to be fixed, that’s covered as well.
See life more clearly with routine eye exams and glasses, if needed. We also include:
Medicaid approved frames.
New eyeglasses every two years.
This benefit is offered by March Vision care.
*Vision and dental benefits are available through purchase of Essential Plus plans or as a standard benefit in Essential Plan 3 and 4 plans; these benefits are not available for Essential Plan 1 and 2 Standard Plans.
If you have diabetes, you may need insulin, needles, wipes and glucose strips. We cover all that and more.
Our plan also steps up with services to help you manage your diabetes, including:
Classes on keeping diabetes in control.
Coordinating doctor care.
Nutrition and diet.
Durable Medical Equipment
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:
Wheelchairs or walkers.
Trouble hearing can affect your everyday life in many ways. Our plan includes services and support to help protect your hearing.
Our plan covers:
Exams, therapy and tests.
Hearing aids and batteries.
This plan pays for all expenses related to a hospital stay, so you can rest and heal.
Hospitalization coverage includes:
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.
Our plan covers prescription drugs and refills with a small copayment. Your copay is:
Over-the-counter medicines with a written order from your doctor are available for a copayment for each medicine.And we make getting your medicine easy. You can fill your prescriptions at:
Services that deliver right to your door.
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 is as important as physical health. That’s why we have coverage for both.
Required care is 100% covered. This includes:
Substance abuse treatment.
* Copays will apply for Essential Plan 1.
* Alaskan Natives and American Indian members are exempt from co-pays and co-insurance.
Sometimes you may need continued care after you leave the hospital or urgent care. If your health is at risk after a serious illness, surgery or injury, a nurse will visit you at home to:
Provide medical care for you.
Answer your questions and concerns.
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 help improve your health or be your best.
After a serious illness, surgery or injury, you may extra 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.
Do you have family members or friends who care for you at home? If so, we want to support their hard work too. That’s why we provide respite care to give your caregivers a rest. Respite care offers caregivers time away from their loved one who is ill or has special care needs.
Shots and Immunizations
Routine shots help keep you healthy. So, our plan covers:
Recommended shots and vaccines.
Diagnostic tests and exams.
Well visits with your doctor can help you stay healthy. These visits can catch health problems early, so they can be treated. Preventive services include:
Checkups for adults and children.
Care for women expecting a baby.
Routine shots and tests.
Ready to get started?
Call Us To Enroll: 1-888-617-8979
Enrollment: Monday - Friday 8 a.m.-8 p.m. EST.
Member Services: 1-866-265-1893
Member Services: Monday - Friday 8 a.m.-6 p.m. EST.Benefits: Monday - Friday 8 a.m.-6 p.m. EST.