Plans

Ambulance
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
Rental $0

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

Outpatient hospital
Per visit $0

Prescriptions
Generic $1
Brand name $3

X-rays
Per visit $1

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

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

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.

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

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

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

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

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

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

Community Health Programs: We partner with many community organizations to bring workshops, screenings and education to where you live.

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

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

Mission GED Program and Job Readiness:  Tools and supports to further member education and employment opportunities.

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