Plan Details

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Healthy Blue

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

All Healthy Louisiana health plans offer the same basic services as Medicaid or LaCHIP. These include well-child visits, pregnancy care through delivery, medical transportation, prescription drugs, mental health services, and substance use treatment.

Compare plans to see all Extra Services.

View basic plan benefits

Adult dental (21+)

Dental exam and cleaning twice a year; fillings, extractions, x-rays once a year, with in-network providers

Adult vision (21+)

Eye exam once a year with no copay
Glasses covered in full once every two years, if qualify

Adult wellness

$15 for yearly well visits, ages 21+
$10 for STI Screening, ages 16+
Weight Watchers® meetings for members who qualify, ages 18+
Members who have gone to emergency room 4+ times for pain can work with case manager to join care management program

Asthma

No extra services.

Care management programs

Chronic illness such as asthma, congestive heart failure, diabetes, hepatitis C, HIV, obesity, sickle cell anemia
High-risk pregnancy

Child wellness

Up to $120 for completing well-baby visits for child’s first year of life
$25 for each well visit, ages 15-30 months, up to $50
$25 for yearly well visits, ages 30 months to 9 years
$25 for yearly well visits, ages 10-20
$10 for STI Screening, ages 16+
Booster seat for all well visits from birth to 6 years, if qualify
Healthy Families child weight management program
Boys & Girls Club membership, if qualify

Diabetes

$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

Member services

Help to find a doctor, learn about benefits, and access services
Help to file a complaint or appeal denied service
24-hour Nurse Hotline
Unlimited visits to in-network doctors

Over the counter (OTC) medications

With prescription and copay

Pharmacy copays

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

Pregnancy

New Baby, New Life™ pregnancy rewards program
$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 high-risk pregnancy to have 17P injection based on OBGYN recommendation
$50 for a postpartum visit
Family planning kit with condoms, pregnancy test, prenatal vitamins, and more
In-home postpartum visit

Transportation

Ride to medical appointments with stop at pharmacy for medications
Transportation gift card or bus pass, ages 16+ if qualify

Other

Healthy living rewards debit or gift cards
$25 for getting yearly flu shot
$10 per quarter for high blood pressure medication pharmacy fills
$25 for follow-up with provider after behavioral health hospitalization
Sponsorships and mini grants for community organizations and members in need, if qualify
Fruits and veggies for ages 18+ with obesity diagnosis or for pregnant women or up to 60 days after delivery
Up to 8 hours respite services each month for caregivers of children up to age 20

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Healthy Blue

Basic plan benefits