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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

Our goal is to help you get the medical care you need and respect you deserve. Medicaid benefits plus support and rewards to live your best.

Compare plans to see all Extra Services.

Care management program

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 vision (21+)

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

Adult dental (21+)

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

Adult pain management

Members who have gone to the Emergency room 5+ times for pain can work with a case manager to find ways to manage pain. 

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.*

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 (birth - 20)

$20 for all well visits from birth to 15 months*
$20 for annual well visits (ages 2 - 9)
$25 for annual well visits (ages 10+)
Booster seat for all well visits from birth to 6 years

Adult well visit (21+)

$15 for annual well visits

Wellness screenings

$10 for STI Screening, members 16+

Diabetic screening

$10 for all: dilated eye exam, kidney screening and A1C blood test for all members*

Other rewards

$5 for a flu shot

Pregnancy reward program

Taking Care of Baby and Me®

Prenatal exams

$25 for prenatal visit in the first 6 weeks of pregnancy
Portable crib or an Infant car seat for 7 prenatal visits

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 

Circumcision

All health plans cover newborn male circumcision.  Check with the individual plan to find out more about their rules for getting this service. 

Asthma benefits

Inhaler sensor to help control asthma for members diagnosed with asthma*

Help to Stop Smoking

All health plans cover coaching and medications (with a prescription) to help members stop smoking.* 

Other Benefits

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

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

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

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.

Over the counter (OTC) medications

Available with a prescription, see copays above.

Extra medication supply for school

No extra services.

Adult vaccinations

All health plans cover all recommended vaccinations, including: for HPV (human papilloma virus), pneumonia, the flu (influenza), chicken pox, shingles, meningitis, DTAP (diphtheria, tetanus and pertussis), MMR (measles, mumps and rubella) and hepatitis A and B.

Cell phone

Up to 500 MB of data or 500 minutes of talk time.

Texting and social media programs

Text4Baby, Text4Kids, Text4Health, My Advocate

Access to health information online

www.livehealthonline.com

Video chat with a doctor through LiveHealth Online. It's an easy way to see the doctor when you can't make it to the doctor's office. Great for getting help with colds, flu, fevers, rashes, infections and allergies.

Mobile apps

Free download for members in the Apple App Store and on Google Play.

Search for Healthy Blue Mobile

Healthy Blue logo

  • View your ID card
  • Email or fax your card to your doctor, pharmacy or other service provider
  • Interactive symptom checker
  • Health A to Z Encyclopedia
Member access to community services

Healthy Blue Community Resource Link, a site with an easy to search tool that can help you find free or low-cost services and resources in your area.

Community health outreach
  • Back-to-school supply drives
  • Diaper drives
  • Health educators
  • Health fairs

*Please contact the Health Plan for eligibility requirements and details for this benefit.