No extra services.
Per trip $0
Dental care $0
Per day $3
Maximum with limits $21
Ambulatory surgical center $3
Federal Qualified Health Center / Regional Health Center $0
Independent medical / surgical center $2
Short procedure unit $2
Certified nurse practitioner $0
Per visit $2
Brand name $3
Per service $1
Wellness Coaching: Want help meeting your health care goals? We offer wellness coaching over the phone. Our Wellness Coaches can help you make lifestyle changes to improve your health and well-being.
Transition Management: Going to the hospital is hard enough. It can be even harder to understand when to see your doctor or how to take your medications once
you return home. Our Transition Managers are here to answer your questions and guide you in the right direction.
Gateway to Lifestyle Management℠: Our dedicated Care Management team can help you understand your medications, know when to see your doctor, and help you find community services. Receive educational materials in the mail, get health tips by phone, or talk with one of our Care Managers.
Member Portal: Our online Member Portal is your go-to center for health management. You can view claims, complete a wellness profile, find a doctor or pharmacy, and more.
MOM Matters®: Our maternity program provides education and support throughout your pregnancy. Earn rewards when you attend maternity and well-baby visits.
No extra services.
No Cost, 24-Hour Nurse Line: Have health questions and need answers now? You can talk with a registered nurse 7 days a week, 365 days a year.
If you need medical attention when your PCP’s office is closed, you can go to a participating urgent care center.
Goodness Rewards℠ Gift Card Program: Earn a gift card for completing certain health activities. The card is easy to use and works just like money.
Safelink Cell Phone: No cost smartphones with minutes, data, and unlimited texts every month.
GED Exam: Many jobs require a high school diploma or GED. Gateway Health offers members a chance to take the GED test at no cost.
*Co-pays do not apply to the following: members who are pregnant, members under age 18, members age 18 through 20 who are in foster care, emergency services, or certain drugs for specific diseases. The information about the benefits from each plan was current at the time of printing. Please call the plan directly for the most up-to-date information.