Healthy Blue benefits

There are no copays for preventive and urgent care services. Your benefits include:

• Primary care provider (PCP) visits
• Immunizations and wellness visits
• EPSDT (early and periodic screening, diagnosis and treatment) services for members under 21
• Specialist visits
• Urgent and emergency care
• Hospital care
• Lab and X-ray services
• Pregnancy services 
• Family planning
• Chiropractic services
• Physical and occupational therapy
• Speech and hearing services
• Behavioral health care (mental and substance abuse services)
• Home health care services
• Disease management for asthma, diabetes and more

Some members will pay low copays for some care. See your member handbook for a full list of benefits.
Find a Doctor

Registered nurses are available anytime, day or night. They can:

• Advise you on where to go when you need care.
• Help you with any health questions you have.

Call the 24-Hour Nurseline 24 hours a day, seven days a week at 1-866-577-9710 (TTY 1-800-368-4424).

Dental benefits are provided through DentaQuest.

Members age 21 and older can get up to $750 per year to use for covered dental services like:

• Oral exams
• Cleanings
• X-rays
• Extractions
• Fillings
• Medically necessary emergency procedures from an oral surgeon

Members under 21 years can get:

• Diagnostic, preventive, restorative and surgical benefits
• Routine dental care
• Oral exams
• Cleanings
• X-rays
• Fluoride treatments

There are no copays for emergency services. There’s a $3.40 copay for other dental services.

For questions about your dental benefits or to find a dentist, call DentaQuest at 1-888-307-6552. You can also visit the DentaQuest website.

DentaQuest is an independent company providing dental benefit services on behalf of BlueChoice HealthPlan.
These links lead to third party sites. These companies are solely responsible for the contents and privacy policies on their sites.

Find a Dentist

Vision benefits are provided by Vision Service Plan (VSP). Vision services include:
Members under 21 years of age

• Preventive screenings
• Eye exam once a year
• Glasses (frames and lenses) once a year

Members 21 years of age and older

• Eye exam once a year
• Glasses (frames and lenses) once every two years

There’s no copay for routine vision services. There’s a $3.30 copay for members 19 years of age and older who see an eye doctor for medical reasons.

For questions about your vision benefits or to find an eye doctor, call VSP Member Services at 1-800-877-7195 (TTY 1-800-428-4833). You can also visit the VSP website.

Find a provider

VSP is an independent company providing vision benefit services on behalf of BlueChoice HealthPlan.
These links lead to third party sites. These companies are solely responsible for the contents and privacy policies on their sites.

Your benefits include a wide range of prescription and over-the-counter (OTC) medicines. We work with CarelonRx to provide these benefits. There is a $3.40 copay for members 19 years of age and older. Members under age 19 and pregnant women do not have copays. Visit the Pharmacy page to find a pharmacy near you and check if your medicine is covered.

CarelonRx is an independent company providing pharmacy benefit management services on behalf of BlueChoice HealthPlan.

You can get no-cost rides to your medical appointments. You or your provider should call to schedule your ride at least three business days before your appointment.

These links lead to third party websites. Those companies are solely responsible for the privacy policies and content on their site.

Healthy Blue members receive these great extras, at no cost!  If you're not already a Healthy Blue member, learn more here about how to enroll.

All members can receive:

• Healthy Rewards gift cards to use at your favorite retail stores for completing wellness visits and preventive screenings.
• Free cellphone with monthly minutes, data and texting.
• Discounts for Jenny Craig^®.
• Free GED Ready Assessment Exam for members ages 17 and up.
• Free coupon booklet with discounts to local retailers.
• Two months free Internet Essentials Wi-Fi program in participating areas.
• Community events with food, games and prizes.

Children can receive:

• Discounts on Boys & Girls Club fees — for eligible members ages 6–18 at participating clubs.
• A free Girl Scout membership — plus discounts toward program materials for eligible members.
• A free Youth Explorer Program through Boy Scouts of America — for members ages 8–18..
• A free sports physical — for members ages 6–18.
• A free headset learning gear — for members ages 5–18.
• Blue Book Club^SM access — members can receive a $35 Barnes & Noble gift card to purchase books for their baby aged 2 years or younger.

Pregnant members and new parents can receive a:

• Free Sam’s Club membership.
• Gift card to Barnes & Noble to grow your baby’s library.
• Free infant car seat for going to prenatal visits.
• Free circumcision for boys up to 1 year old.
• Free case of diapers for members newborn–15 months with well-child checkup.
• Healthy Rewards reloadable debit card to use at certain retail stores for going to prenatal and well-child checkups.
• Free electric breast pump.
• Free prenatal program with pharmacy and nutritional counseling.
• Free referrals for in-home nurse care before and after your baby is born.

Members in case management can receive:

• Free Uber gift card or free annual oil change.

Members with diabetes can receive:

• Two months of fresh fruits and vegetables delivered to their home.

• An Asthma Catalog worth up to $200.

Limitations and restrictions apply. Benefits may change.

You can redeem a portion of your benefits online through your secure account. View the extra benefits you are eligible for on the Benefit Reward Hub or call the Customer Care Center at 866-781-5094. (TTY 866-773-9634), Monday through Friday, 8 a.m. to 6 p.m. Eastern time.

Log in to start receiving these extra benefits today!
Log in

Whether you’re thinking about having a baby, pregnant, already a new mom, or you’re not planning to have a baby, we can help you take steps to stay healthy at every stage.

Healthy Rewards is a no-cost, optional program for Healthy Blue members. The program encourages you to receive the care you need to create a healthy lifestyle and then rewards you with gift cards to popular retailers. You may be eligible to earn the following rewards for healthy activities:

Log in

Referrals

A referral is when your primary care provider (PCP) sends you to another provider for care. This care is often from a specialist. As a Healthy Blue member, you don’t need a referral to see a specialist in your plan.

Preapprovals

You may need preapproval for certain services. Preapproval is when your doctor asks us to approve a service before you receive it. Your PCP will work with us to get the approval you need.

You do not need an approval from your PCP for these types of care:

• Primary care services
• Women’s health care services
• Family planning services
• Children’s screening services
• Services provided at local health departments
• Emergency care
• Urgent care

Preapproval is needed for:

• Audiology (hearing services)
• Behavioral health and substance use services
• Durable medical equipment (DME) and disposable supplies
• Home health care
• Hospital inpatient services
• Institutional long-term care facilities and nursing homes
• Some lab and X-ray services
• Some transportation services
• Certain prescriptions and medications
• Some therapy services such as:
  • Physical therapy
  • Occupational therapy
  • Speech therapy
• Transplant services
• Care from a provider who doesn’t work with your plan

For more information about services that need preapproval, please see your member handbook.