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Plans

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Your selections:

  • Medicaid
  • Mercer
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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 $0
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
Per visit - $0

Prescriptions
Generic $1
Brand name $3

X-rays
Per service $0

Coordination of Care

CORA: Our Healthy RV brings tips, health screenings, and fun family activities right to your town.

Care Management Programs

Care Management Programs: Nurses and Social Workers coordinate doctors’ appointments and care.  We help with transportation, food, utilities, and other barriers that keep you from staying healthy.

Member digital tools

Mobile App: Find a doctor, request an ID card, change your PCP and more.

Member Portal: Easy access to your secure healthcare information.

Healthy Text Messages: Appointment reminders and healthy tips.

Pregnancy Benefits

MOMs: Making Opportunities for Moms, families, and baby to succeed; prenatal, postpartum and healthy child development learning sessions.

Bright Expectations: Moms-to-be receive assistance to schedule doctor visits, rides, and referrals to community resources, before and after baby arrives.  Rewards Available!

Healthy Kids Programs

Healthy Kids Programs: Get tips to keep your child healthy and earn rewards for keeping appointments.

Vision Benefits

Vision Benefits: Receive eye exams, glasses or contacts at no cost.

24 Hour Medical Help Line

24-hour Medical Help Line: Call our Nurseline for advice when you’re sick or have a health issue.

Urgent Care Benefits

Urgent Care Benefits: Participating urgent care centers are covered.

Healthy Living and Health Education

Pharmacy Advisor: Your pharmacist will teach you how your medicine can keep you healthy.

Road to Recovery: Care managers provide resources to support your recovery from drug, alcohol, and tobacco use.

AirCare/Chronic Care: Get a personal plan to help your family members who have chronic conditions, like asthma, high blood pressure, diabetes and COPD stay healthy.

Other Benefits

Enhanced Dental Benefits: All members can get exams, cleanings and treatment for gum disease.

No Cost Smartphone: Help in getting a free smartphone.

Community Resource Tool: Find community and social resources near you with our tool.

Community Connections: Local Community Health Workers help you schedule appointments, share tips for wellness and health, and find the community resources you need.


*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.