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AmeriHealth Caritas Pennsylvania

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TTY: 1-888-987-5704


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 $0.50 to $1
Rental $0

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

Outpatient hospital
Per visit $0

Generic $1
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 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.

Pregnancy Benefits

Bright Start Program: Offers moms-to-be education, services and support throughout pregnancy.

Keys to Your Care Maternity and Well Baby Program: Texting and rewards program for pregnant moms and babies up to 15 months old.

Community Baby Showers: We offer extra support and resources for our pregnant moms.

Healthy Kids Programs

Children’s Art Contest: Children get rewards and learn about better health while showing 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 Line: Nurses are available 24 hours a day/7 days a week by phone.

Urgent Care Benefits

Urgent Care Benefits: Participating urgent care centers are covered at no cost.

Healthy Living and Health Education

Member Rewards Gift Card Program: Earn rewards when you get health screenings and exams you need.

Community Health Education Workshops and Events: We offer various health education programs and classes at no cost.

Other Benefits

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

Mission GED Program: Tools, support and GED testing fees at no cost to our members.

*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.