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Plans

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Your selections:

  • Medicaid
  • Chester
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Co-Pays*

Ambulance
Per trip $0

Dental care - $0

Inpatient hospital
Per day $3
Maximum with limits $21

Medical centers
Ambulatory surgical center $3
Federal Qualified Health Center / Regional Health Center $0
Independent medical / surgical center $3
Short procedure unit $3

Medical equipment
Purchase $0
Rental $0

Medical visits
Certified nurse practitioner $0
Chiropractor $0
Doctor $0
Optometrist $0
Podiatrist $0

Outpatient hospital
$0

Prescriptions
Generic $1
Brand name $3

X-rays
$1

Coordination of Care

Help Getting Care: We work to connect you to the care you need. We can help you set up appointments, set up transportation and give you community resources.

Care Management Programs

Care Management Programs:  We provide nurses, social workers, home health navigators and care connectors to help coordinate your care.

Member digital tools

Member Portal and Member Mobile Apps: Secure website where you can find a doctor, request an ID card and more.

Telemedicine: We cover telemedicine to help you get the care you need, how and where you need it. No Cost.

Pregnancy Benefits

Keys to Your Care®: Texting and rewards program for pregnant moms and babies up to 15 months old.

Community Baby Showers and Moms to Be programs: Offers extra support for pregnant moms.

Healthy Kids Programs

4YourKidsCare: Provides families’ education and information about caring for children when they are sick.

Vision Benefits

Additional Adult Eye Care Benefit: Select diabetic members ages 21 and over can get prescription eyeglasses or contact lenses.

24 Hour Medical Help Line

24/7 Nurse Call Line: Nurses available 24 hours a day, 7 days a week by phone.

Urgent Care Benefits

Urgent Care Centers: Urgent medical care when your PCP’s office is closed and it is not an emergency.

Healthy Living and Health Education

Member Rewards: Earn rewards when you get select health screenings and exams you need.

Community Health Programs: We partner with community-based organizations bringing workshops, screenings and education for members and community.

In-home Nutritional Counseling: In-home nutritional counseling available for all members.

Gym Memberships: Gym memberships for members at several YMCA and gym locations.

Other Benefits

Mission GED Program and Job Readiness: Tools and supports to assist members with education and employment opportunities.

Smartphone: We can connect you to resources to get smart phone at no cost.

Wellness Centers:  Community hub offering exercise classes, health education and screenings.