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Healthy Blue

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1-844-521-6941
TTY: 711
Available Monday – Friday, 7 a.m. – 7 p.m.
www.myhealthybluela.com

We’re about more than just doctor’s visits. With special services like health education, events and rewards we offer you many ways to get and stay healthy.

Compare plans to see all Extra Services.

Member Services

Each plan's Member Services can help you: find a doctor, learn about benefits, access services, file a complaint about a provider or appeal a denied service. All plans have a 24 hour Nurse Hotline to help you figure out if you need to go to the emergency room or learn about health issues. All health plans allow unlimited visits to in-network doctors, as needed.

Care management programs

All of the health plans have special programs to help members with chronic illness such as asthma, congestive heart failure, diabetes, hepatitis C, HIV, obesity and sickle cell anemia. If they do not have a program in place that fits your needs, they will work with you to create one. They also have programs for pregnant women with a high risk of problems during pregnancy and delivery.

Adult dental (21+)

Dental exams and cleanings (twice a year)
Fillings and extractions
x-rays (once a year)
 

Adult vision (21+)

Eye exam (No co-pay) (once a year)
Glasses covered in full* (once every two years)

Rides to appointments

All health plans will set up a ride for members who don’t have a way to get to medical appointments. Stop at the pharmacy after your appointment to get medications.

Rewards for healthy living

All of the health plans offer rewards for healthy behaviors. Unless otherwise noted, rewards are available once a year per member in the form of a reward debit card or gift card.

Child well visits

Up to $120 for completing well-baby visits for your child’s first year of life
$25 for yearly well visits (ages 15 months-9 years)
$25 for yearly well visits (ages 10 to 20 years)
Booster seat for all well visits from birth to 6 years*

Adult well visit (21+)

$15 for annual well visits members 21+

Wellness screenings

$10 for STI Screening, members 16+

Diabetic screening

$25 for diabetic HbA1C screening
$25 for diabetic nephropathy screening
$25 for diabetic eye exam
$5 for completing a 'What do you know about diabetes?' quiz

Other rewards

$25 for a flu shot
$10 per quarter for high blood pressure medication pharmacy fills
$25 for follow-up with provider after behavioral health hospitalization

Adult pain management

Members who have gone to the emergency room 4+ times for pain can work with a case manager to go into a case management program.

Pregnancy reward program

New Baby, New Life℠

Prenatal exams

$25 for prenatal visit in the first trimester of pregnancy
Portable crib or an infant car seat for 7 prenatal visits
$25 for members with a high risk pregnancy to complete 17P injection based on their OBGYN’S recommendations

Postpartum exam

$50 for a postpartum visit

Other pregnancy rewards

Family planning kit to help you have a healthy pregnancy when you’re ready. Kit includes condoms, pregnancy test, prenatal vitamins and more.

Extra pregnancy benefits

In-home postpartum visit
 

Community programs

All health plans offer sponsorships and/or mini-grants for community organizations and members in need.*

Boys & Girls Club membership for eligible members.*

Pharmacy copays

There are no copays for children, pregnant women, family planning supplies, members in the hospital, members of a home and community based waiver, women who have Medicaid due to breast or cervical cancer, members getting hospice services, Native American or Alaska Native members. For others, if the medicine is: 
$10 or less = $0.50 copay
$10.01 - $25 = $1 copay
$25.01 - $50 = $2 copay
Over $50 = $3 copay

Over the counter (OTC) medications

Available with a prescription and co-pay.

Adult weight management

Weight Watchers® meetings for eligible members age 18 and older

Pediatric weight management program

Healthy Families - a program to help families get fit and healthy

Asthma benefits

No extra services.

Other benefits

Respite Services for Caregivers - Up to 8 hours each month for caregivers of children up to age 20


*Please contact the health plan for eligibility requirements and details for this benefit.