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AmeriHealth Caritas Northeast


TTY: 1-855-859-4109


Per trip $0

Dental care  $0

Inpatient hospital
Per day $3
Maximum with limits $21

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

Medical equipment
Purchase Sliding scale
Rental $0

Medical visits
Certified nurse practitioner $0
Chiropractor $1
Doctor $0
Optometrist $0
Podiatrist $1 per visit

Outpatient hospital
Per visit $0

Generic $0
Brand name $3

Per visit $1

Coordination of Care

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

Special Needs Unit and Care Management: Nurses, social workers, and care connectors work together to help you with special needs.

Care Management Programs

No extra services.

Member digital tools

Member Portal and Member Mobile App: Stay connected to your health from your computer or smartphone.

Pregnancy Benefits

Bright Start® Program: Offers moms-to-be education, services and support during their pregnancy by phone, in person or through a mobile app. There is also a gift for mom and baby.

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

Healthy Kids Programs

Children's Art Contest: Children learn about better health while displaying their art skills.

Vision Benefits

Additional Adult Eye Care Benefit: Members age 21 and over can get prescription eyeglasses or contact lenses.

24 Hour Medical Help Line

24/7 Nurse Call Line: Nurses are 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 Education Workshops and Events: We offer programs and classes on various topics open to anyone and at no cost.

Other Benefits

Smartphone at No Cost: We can connect you to resources to get a Smartphone at no cost.

Language Line: We have Language Line Services to help you in any language.

*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.