This plan is for adults who need extra support and care. You get many services to help with daily activities that other Virginia Commonwealth Coordinated Care Plus (CCC Plus) plans don’t offer. You qualify based on income and health needs. This includes the new, expanded, low cost Medicaid coverage now available to Virginia adults and parents who are between 19–64 years old.
This includes the new, expanded, low cost Medicaid coverage now available to Virginia adults and parents who are between 19–64 years old.
View the benefits below to see all that our Virginia Medicaid plan offers.
This plan is available in all counties.
Individual care to help control your child's asthma.
Does your child have trouble managing asthma or COPD symptoms? A nurse who specializes in breathing issues can really help. Your child will get a customized treatment plan and medicine to:
Behavioral health is as important as physical health. That's why we have coverage for both.
Required care is 100% covered with no copay. This includes:
Where you have your baby is an important choice. That's why you can pick from a large network of hospitals all across Washington.
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.
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:
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. You are also rewarded with gift cards for taking simple steps to manage your diabetes.
Our diabetes program also includes self-care training and classes focused on:
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:
If you have diabetes or a circulatory condition, good foot care can help prevent much more serious problems. We provide the needed exams to help keep your feet in great shape.
Our podiatry coverage includes:
Free coaching to help improve your health or to address a condition.
Our plan includes coaching on diabetes, nutrition and more. You can even get a ride, if needed, to and from the class at no cost to you.
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. Get pregnancy and parenting support by calling (toll-free) 1-800-599-5985 (TTY 711).
We can help you:
Trouble hearing can affect your everyday life in many ways. Our plan includes services and support to help protect your hearing.
We cover exams and testing, as well as hearing aids for enrollees age 20 and younger.
After surgery or a serious illness — or if you have disability — you may need extra help with day-to-day tasks. You may even need an in-home medical visit to check on how well you are healing. With approval, our plan covers:
This plan pays for all expenses related to a hospital stay, so you can rest and heal.
And after you leave the hospital, you are not alone. We make sure you get follow-up care to continue healing at home.
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 or they can connect you with our interpreter service which covers more than 170 languages.
Kidney disease is a serious medical condition. After the kidneys stop working, regular treatments, called renal dialysis or an organ transplant are needed to live. Dialysis uses a machine to clean the blood just like healthy kidneys do.
Our plan includes:
Knowing what's wrong and finding it early can make all the difference. Our plan covers:
We’ll help you get the information needed to improve your health or be at your best.
You can receive information in your preferred language. Just ask. We also have people at our customer service centers who speak more than one language. Chances are, we have someone who speaks your language or they can connect you with our interpreter service which covers more than 170 languages.
Our plan includes prescription drugs and refills with no copays. We also cover over-the-counter medicines with a written order from your doctor.
And we make getting your medicine easy. You can fill your prescriptions at:
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:
While your health care is low-cost or free, the care quality is high. You get:
Medical questions and situations sometimes happen at inconvenient times. When you have questions about your health, you can call a nurse 24 hours a day, 7 days a week: 1-877-543-3409 (TTY 711).
Our nurses will:
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:
Sometimes the basics are hard to do yourself after an illness or injury. If needed, we provide someone to help with:
Do you or a family member have a serious health problem? If your health needs qualify then our care managers are in your corner. They will:
Your care manager will stay with you throughout the medical journey. He or she will:
Kids with positive role models make more healthy choices. That's why we provide free memberships to the Boys & Girls Clubs in your area.
Along with fun and games, these clubs offer help with:
Your pregnancy is a journey you'll want to make with the help of friends, family and a pregnancy doctor, or OB-GYN. With our plan, you will also be rewarded with gift cards for prenatal and postpartum doctor visits.
All recommended prenatal clinical visits and tests are covered by our plan.
At these visits, the clinic will:
After a serious illness, surgery or injury you may need extra nursing and therapy. If needed, our plan covers short stays in a rehabilitation center where you can heal. Included are:
You know the bad health effects of smoking. You know you need to quit. We support you while you quit with coaches and supplies. The only thing you won't get from us is a lecture. Call 1.866.QUIT.4.LIFE (1.866.784.8454) Or visit www.quitnow.net.
Routine shots help protect your child from illness.
So, our plan covers:
Physical, occupational and speech therapy can help you recover from a serious injury or illness, or simply reach your full potential.
Our plan provides:
You'll get the care and treatment that let you see life more clearly. Coverage includes:
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:
There are no copayments for preventive care.
Commonwealth Coordinated Care Plus (CCC Plus)
You are eligible for CCC Plus when you have full Medicaid benefits, and meet one of the following categories:
• You are age 65 and older,
• You are an adult or child with a disability,
• You reside in a nursing facility (NF),
• You receive services through the CCC Plus home and community based services waiver (formerly referred to as the Technology Assisted and Elderly or Disabled with Consumer Direction (EDCD) Waivers),
• You receive services through any of the three waivers serving people with developmental disabilities (Building Independence, Family & Individual Supports, and Community Living Waivers), also known as the DD Waivers.
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