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Amerihealth Caritas Louisiana

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TTY: 1-866-428-7588
Available 24 hours a day, 7 days a week.

Our name, AmeriHealth Caritas, stands for care. As a mission-based organization, we put care at the heart of our work.

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, cleanings, fillings, extractions and x-rays with in-network providers, up to $500 per year.*

Adult vision (21+)

Eye exam (No co-pay)
$100 toward glasses or contacts (once a year)

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

$20 for 6 well visits from birth to 15 months
$15 for yearly well visits for ages 2-20

Adult well visit (21+)

$20 in rewards for a primary care provider visit within 90 days of enrollment, and yearly after the first year for ages 21 and up

Wellness screenings

$10 in rewards for colorectal cancer screening for members ages 50 - 75
$10 for cervical cancer screening for women ages 21 - 64

Diabetic screening

$10 in rewards for completing all 3: dilated eye exam, kidney screening, and A1C (blood sugar) test for members diagnosed with diabetes

Other rewards

$10 for completed health assessment
$10 for follow-up assessment after behavioral health hospitalization, limit 3 per year*
$5 for a flu shot

Adult pain management

Eligible members can work with a case manager in our Living Beyond Pain program to access covered pain management services.*

Pregnancy reward program

Bright Start® 

Prenatal exams

$25 in rewards for a prenatal visit in first 12 weeks of pregnancy

Postpartum exam

$20 in rewards for a postpartum visit within 7-84 days of giving birth

Other pregnancy rewards

$25 for completing a Notice of Pregnancy form in your first trimester

Extra pregnancy benefits

No extra services.

Community programs

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

Gym memberships and community support group meetings at community wellness centers for qualified 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

Select products available with a prescription and co-pay

Adult weight management

Make Every Calorie Count: Program members receive two visits with a registered dietitian each year, and either a gym membership or at-home fitness kit.*

Pediatric weight management program

Make Every Calorie Count: Program members receive two visits with a registered dietitian each year, and either a gym membership or at-home fitness kit.*

Asthma benefits

Home assessment for eligible members

Other benefits

Mission GED: Two programs to aid your educational goals. Reading/learning assistance service and a voucher to pay for the cost of taking the GED exam.*
Care Meals: Home delivered meals post discharge for eligible members.*
Pathways to Work life skills program*

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