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:
Our members’ safety is our focus. For members who need extra care, like after a major illness, we’ll visit them at home to make sure they’re doing okay.
During this visit, we:
Do you or a loved one have a serious health problem? If so, our case managers are in your corner. They will:
Your care manager will stay close by throughout the medical journey. He or she will:
So you can focus on getting better.
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:
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.
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:
Proper nutrition is essential to good health. Yet you may not be able to safely fix meals for yourself at home. So we’ll arrange for home meal delivery.
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.
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.
We make getting your medicine easy.
There are no copays for covered drugs. You can fill your prescriptions at:
We also cover over-the-counter medicines with a written order from your doctor.
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:
Mental health is as important as physical health. That's why we have coverage for both.
Required care is 100% covered. This includes:
You pay nothing for covered services.
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 the basics are hard to do yourself after an illness or injury. If needed, we provide someone to help for:
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:
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.
Whether you live in the city or in the country, rides are available. Our plan provides up to 12 round trips to and from plan locations. This includes trips to and from the pharmacy to fill your prescriptions.
You'll get the care and treatment that let you see life more clearly. Coverage includes:
Get 10 vouchers toward local Weight Watchers programs.
Weight Watchers encourages a healthy approach for eating and living. The program helps you change your eating habits and become more active. Weekly meetings give you advice and support. So you can stay on track and meet your goal.
Commonwealth Coordinated Care Plus (CCC Plus)
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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