Healthchek is Ohio's early and periodic screening, diagnostic, and treatment (EPSDT) benefit. Healthchek covers medical exams, immunizations (shots), health education, and laboratory tests for everyone eligible for Medicaid under the age of 21 years. These exams are important to make sure that young adults are healthy and are developing physically and mentally. Members under the age of 21 years should have at least one exam per year.
Healthchek also covers complete medical, vision, dental, hearing, nutritional, developmental, and mental health exams, in addition to other care to treat physical, mental, or other problems or conditions found by an exam. Healthchek covers tests and treatment services that may not be covered for people over age 20; some of the tests and treatment services may require prior authorization.
Healthchek services are available at no cost to members and include:
- Preventive check-ups for young adults under the age of 21.
- Healthchek screenings:
- Complete medical exams (with a review of physical and mental health development)
- Vision exams
- Dental exams
- Hearing exams
- Nutrition checks
- Developmental exams
- Laboratory tests for certain ages
- Medically necessary follow up care to treat physical, mental, or other health problems or issues found during a screening. This could include, but is not limited to, services such as:
- Visits with a primary care provider, specialist, dentist, optometrist and other UnitedHealthcare Connected for MyCare Ohio (Medicare-Medicaid Plan) providers to diagnose and treat problems or issues
- In-patient or outpatient hospital care
- Clinic visits
- Prescription drugs
- Laboratory tests
- Health education
Additionally, care management services are available to all members. Please see page 16 of the Member Handbook (Coming Soon) to learn more about the care management services offered by our plan.