Plan Details

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.

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

Two visits each year for exams, cleanings, xrays, fillings, extractions, crowns and more at Federally Qualified Health Centers.*

Certified pain management coaches help address chronic pain for members in care management.

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

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.

$30 for all well visits from 2 to 15 months*
$20 for annual well visits (ages 3 - 20)

$20 for annual well visits

$10 for Breast Cancer Screening, women 40-74
$10 for Cervical Cancer Screening, women 21-64
$15 for STI screening (chlamydia, gonorrhea and HIV test)

$50 for all: dilated eye exam, and blood tests for LDL, A1C and kidney disease for members diagnosed with diabetes*

$10 for a flu shot
$20 for ADHD new medication follow-up visit, as needed (ages 6-12)

Start Smart for Your Baby Program

$10 for each prenatal visit, up to $110 per pregnancy

$50 for a postpartum visit

$30 for completing a Notice of Pregnancy form
Breast Pump and NICU Care Kit for members in Case Management when needed

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

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

Members age 21+ receive one hearing exam and one set of hearing aids every two years.

Raising Well program guides you in helping your child be healthy by eating right and being active.

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

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.

Available with a prescription. See copays above.

Asthma inhaler
EpiPen®

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. 

Up to 1 GB of data and 350 minutes of talk time. Connections Plus may provide a phone for members not eligible for Safelink.*

Twitter: @LAHealthConnect, Text4Baby, Text4Kids, Text4Health

www.mystrength.com
Resources to improve mental health and overall well-being, including help with depression and anxiety.

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

Search for Start Smart Louisiana

• Pregnancy advice and reminders
• Symptom checker
• Track milestones
• Weekly pregnancy updates

Search for Louisiana Health Connect

• Find a facility or provider
• View your ID card

MemberConnections statewide team to help you find doctors, get community resources and understand your benefits

• Back-to-school supplies
• "Diaper Days" baby showers
• Health educators
• Health fairs

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