One hypoallergenic mattress cover and one hypoallergenic pillowcase for qualifying members with a diagnosis of severe asthma.
Does your child have a serious health problem? If so, our case 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 case manager will stay with you on your child's medical journey. He or she will:
Think beyond your medical needs.
Make sure you have support at home.
So you can focus on helping your child get better.
Checkups, routine and emergency care 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.
Equipment and Supplies
Your child's health and safety at home are important.
Our plan covers medical equipment ordered by your doctor or case manager. This includes:
Walker or wheelchair.
Sports and school physicals at no cost to you.
Our plan covers up to two free physicals each year so your child can:
Go to camp.
Join a team.
Play a school sport.
An ounce of prevention can be worth a pound of cure. It can also be worth great rewards. Your child can earn great gifts for things like getting his or her yearly wellness exam.
This plan pays for all expenses related to a hospital stay, so your child can rest and heal.
Room and board.
Supplies and equipment.
Treatment and therapies.
Diagnostic tests and exams.
After your child leaves the hospital, you are not alone. We make sure your child gets follow-up care to continue healing at home.
Your child's 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 child's appointment.
We have people at our phone centers that speak more than one language. A service lets us connects with others that speak hundreds of languages.
You can ask to receive information in another language. Then anything we write to you will only be in that language. This is provided at no cost to you.
We make getting your child's medicine easy.
There are no copays for covered drugs. You can fill your child's prescriptions at:
Services that deliver routinely right to your door.
We also cover over-the-counter medicines with a written order from your child's doctor.
Sometimes you might need a little help understanding your child's 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.
Mental health is as important as physical health. That's why we have the same coverage for both.
Required care is 100% covered with no copay. This includes:
You pay nothing for covered services.
While your health care is low-cost or free, the care quality is high. You get:
Care from highly skilled and compassionate doctors.
Treatments at respected hospitals and clinics.
Home medical equipment and supplies to help your child be at his or her best.
Medical questions and situations come at inconvenient times. When you have questions about your health or your child's health, you can call a trained nurse 24 hours a day, 7 days a week.
Our NurseLine nurses will:
Listen to the symptoms.
Guide you on self-care.
Advise you about getting care at a doctor visit or an urgent care center.
Suggest you go right to the emergency department.
If needed, we provide someone to help with:
Programs for Kids and Teens
We provide free memberships to local youth organizations, like the Boys & Girls Clubs or Neighborhood Centers, Inc. (NCI) in your area.
Along with fun and games, these clubs offer help with:
We provide respite care to give caregivers a rest. Respite care offers caregivers time away from their loved one who has special care needs to run errands or just relax.
Whether you live in the city or in the country, rides are available. Our plan provides up to round trips to and from plan locations. This includes trips to and from the pharmacy to fill your prescriptions.
Vaccines and Immunizations
All of the immunizations your child needs are covered.
Your child can get the care, eyeglasses and treatment that lets him or her see life more clearly. Coverage includes $105 each year toward frames or contact lenses.
This benefit is offered by certain stores and retailers.