Staywell Health Plan ( Staywell ) provides health care and long-term care services to people who qualify for Florida Medicaid. Managed Medical Assistance (MMA): Provides health care services like doctor visits and emergency care and covers prescription drugs.
Wellcare Health Plans, Inc. is the holding company for several subsidiaries, including WellCare , Meridian Health Plan, Staywell Health Plan, ‘Ohana Health Plan, Care1st Health Plan Arizona and Missouri Care, among others.
Dental Care Members get up to two routine dental exams per year. This covers cleaning and restorative care, such as fillings and dentures. Members must see a dentist that is in the plan’s network. If a specific dental service is needed that requires prior authorization, the dentist must contact Healthplex.
Free OTC (Over-The-Counter) Items Get $10 a month in free items mailed to your home. Sign in to order online or by phone at 1-877-389-9457 (TTY 711). The Over-the-Counter Catalog includes a detailed list of available items from allergy medications to sunblock to vitamins.
NCQA Health Insurance Plan Ratings 2017-2018 – Summary Report (Medicaid)
|4.0||Coventry Health Care of Florida, Inc. d/b/a Aetna Better Health of Florida||3.5|
|3.5||AMERIGROUP Florida, Inc .||3.0|
|3.5||Humana Medical Plan, Inc. (Florida)||3.0|
WellCare provides managed care services through Medicaid , Medicare Advantage and Medicare Prescription Drug plans.
If You Have a Hospital Stay Facility fee (e.g., hospital room) $0 co-pay Not Covered Prior authorization may be required. If You Need Mental Health, Behavioral Health or Substance Abuse Services Outpatient services $0 co-pay Not Covered Prior authorization may be required.
It’s easy. Just login to your account and select “ Over the Counter ( OTC ) Items.” If you don’t have an account, you can register at https://georgia. wellcare .com/registration/member. You can also order OTC by phone. Call us at 1-866-231-1821 (TTY 1-877-247-6272).
Treatment of an illness or injury by medical professionals from an Ambulance Service when you are not transported will be covered if medically necessary. If there is not a facility in the member’s local area, ambulance services are covered for transportation to the closest facility outside the member’s local area.
Dental implants will be covered by Medicaid when medically necessary. Prior approval requests for implants must have supporting documentation from the patient’s physician and dentist . A letter from the patient’s physician must explain how implants will alleviate the patient’s medical condition.
One diagnostic service is also included as well as one restorative service every two years. The dental benefits on this plan include coverage for a deep cleaning, filling, dentures or a bridge or a crown and a root canal .
The WellCare Medicare Rx Value Plus is the priciest of the plans, with a monthly premium of $74.60, but there is no deductible for drugs on any tier. If you don’t have a CVS Caremark pharmacy near you, you’ll pay a copay of $5 or more, depending on the drug’s tier.
Which OTC items are now eligible expenses ? Cold, cough, and flu medicine. Tampons, pads, and liners. Pain relievers and anti-inflammatory medications. Allergy and sinus medicine. Digestive aids and laxatives. Baby rash ointments and creams. Baby electrolytes. Sleep aids.
OTC Food Benefit Card It can be used to purchase eligible food items such as fresh fruits and vegetables, milk, bread, eggs. OTC items may only be purchased by you for your own personal use. The dollar benefit amount is automatically replenished each month.
You may purchase approved OTC nonprescription drugs and health-related items (such as aspirin, cold/flu medicine, and bandages) at any participating pharmacy. If you are a CompleteCare member, you can purchase selected grocery items in addition to the nonprescription, health-related items.