This easy-to-use plan is designed for adults with certified mental health, physical, and developmental disabilities.
You have two other options:
Your personal Care Coordinator is a nurse, social worker or highly trained professional who will work one-on-one with you to find and organize resources, identify and schedule appointments, and help you maintain a healthy and independent lifestyle.
Get a ride to and from health care appointments — including medical, dental, mental health and substance use disorder visits — at no cost to you.
See better with regular vision care; one pair of new glasses when medically necessary.
Ovia Health™ apps for health, fertility, pregnancy and parenting support for women 18-46; also 1:1 coaching and guidance; home-delivered vitamins and supplements.
Talk to a registered nurse any time of day or night with NurseLine™ by HealthAdvocate™. The nurses can answer your questions and provide guidance about your care options.
Take advantage of this virtual health resource for 24/7 treatment of 50+ health concerns.
You choose your own doctor from our large network of health care providers.
You'll have access to more than 1,000 drugs covered in this plan's Medica Drug List (Formulary).
American Indians can continue or begin to use tribal and Indian Health Services (IHS) clinics. We will not require prior approval or impose any conditions for you to get services at these clinics. For elders age 65 years and older this includes Elderly Waiver (EW) services accessed through the tribe. If a doctor or other provider in a tribal or IHS clinic refers you to a provider in our network, you don't need to see your primary care provider prior to the referral.
Last Updated: August 2023
