Basic health benefits

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All health plans offer these benefits and services:

  • Addiction and Recovery Treatment Services (ARTS) program
  • Behavioral health services
  • Care coordination and care management services
  • Cancer screenings (colorectal cancer screening, mammograms, pap smears, prostate specific antigen and digital rectal exams)
  • Dental care 
  • Diagnostic services including x-ray, lab and imaging
  • Durable medical equipment (DME) and supplies
  • Early Intervention (EI) services
  • Emergency and urgent care
  • Family planning services
  • Hearing (audiology) services
  • HIV testing and treatment counseling
  • Hospital and home health services
  • Interpreter and translation services
  • Long Term Services and Supports (LTSS) (to see the list of covered services, go to Long Term Services and Supports and other services
  • Mental health services, including inpatient, outpatient, community-based, and 24 / 7  crisis line
  • Organ transplants
  • Physical, occupational and speech therapies
  • Prescription drugs and some over-the-counter medications (when prescribed by doctors)
  • Preventive and regular medical care
  • Quit tobacco programs
  • Reconstructive breast surgery
  • Transportation to Medicaid-covered services
  • Telemedicine services
  • 24 /7 nurse advice line
  • Visits to the doctor when you are sick
  • Well visits, including routine checkups and annual exams
  • Women’s health services

Health care for moms and children

All health plans provide:

  • Early and Periodic Screening Diagnostic and Treatment (EPSDT) including private duty nursing for children under 21
  • Health care for children, including checkups, immunizations (shots) and screenings
  • Maternity and high-risk pregnancy care
  • Nurse midwife services through a certified Nurse Midwife provider
  • Orthodontic services, including braces for children under 21
  • Post-partum services
  • Routine eye exams and glasses for children

See your member handbook for a full list of services.

If you have other insurance in addition to Medicaid, such as Medicare, your other insurance must pay first. Your health plan will work with you and your other insurance company to coordinate your services.

Added benefits

Health plans also offer added benefits such as routine eye exams, phone services and wellness programs. To compare the added benefits of each plan, go to Compare plans.