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Healthy Blue benefits

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When you’re part of the Family of Blue SM, you get all your regular Medicaid benefits and services, plus lots of free extras just for being our member. We’re here to help you get and stay healthy.


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What you get with Healthy Blue

Our benefits and services are designed to make a difference in your life.

 

Doctor illustration
Doctor visits

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Vision care

Dentist illustration
Dental care

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Prescriptions

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 IngenioRx 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.

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

Learn more

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.

Schedule a ride

Healthy Blue members get these great extras, at no cost!
All members can get:

  • Free cellphone with monthly minutes, data and texts.
  • Discounts for Jenny Craig®.
  • Free GED Ready Assessment Exam for members ages 17 and up.
  • Free coupon booklet with discounts to local retailers.
  • Up to $750 per year to use for covered dental services for members age 21 and older.
  • Free Internet Essentials program in participating areas
  • Community events with food, games and prizes

Kids can get:

  • Discounts on Boys & Girls Club fees for eligible members ages 6-18 at participating clubs.
  • Free Girl Scout membership plus discounts toward program materials for eligible members grades K-8.
  • Free Youth Explorer Program through Boy Scouts of America for members grades 3-12.
  • Free sports physical for members ages 6-18.
  • Free headphones for members grades K-12.
  • Blue Book ClubSM — up to three free books at birth, 13-14 months and 25-26 months.

Pregnant members and new parents can get:

  • Free car seat for your new baby by going to prenatal visits.
  • Free circumcision for newborn boys up to 1 year old.
  • Free diaper bag kit for newborns covered by Healthy Blue.
  • 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 for breastfeeding moms.
  • Free prenatal program with pharmacy and nutritional counseling.
  • Free referrals for in-home nurse care before and after your baby is born.

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.

Learn more

Are you pregnant? Sign up for our New Baby, New Life℠ Healthy Rewards program and earn debit card dollars for completing healthy activities.

  • $25 for prenatal visit in the first trimester or within 42 days of enrollment into Healthy Blue.
  • $50 for attending postpartum visit 21 to 56 days after delivery.
  • $25 for baby’s two-week checkup.
  • $25 for attending at least six well-child checkups by 15 months of age.

Sign up for Healthy Rewards online or call 1-877-868-2004 (TTY 711).

You don’t need a referral to see a specialist in your plan. For some services, your doctor will need to get approval, or an OK, from us before you get them. Your primary care provider (PCP) will work with us to get preapproval.

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

  • Family planning
  • In-network OB/GYN services
  • Emergency care

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

Get the most from your benefits

New to Healthy Blue?

As a new member, we know you have questions, and we want you to get the most out of your benefits. Read our tips to help you get started with your new health plan.

New member guide

Healthy Blue member handbook

Complete benefit information can be found in your member handbook.