Total Health Care Medicaid Vision

Date:

Find A Medicaid Doctor

Henry J. Kaiser, Sidney Garfield, MD, and Their Shared Vision for Total Health

Start your search for a doctor, dentist, specialist, hospital, clinic, or pharmacy in our Medicaid network.

A screen reader may be used to translate visual information verbally. NVDA is a free, open source, globally accessible screen reader for the blind and vision impaired. The free of charge by anyone. Get the NVDA User Guide here.

Blue Cross Complete Mobile App

Access your account anytime, anywhere. The Blue Cross Complete mobile app keeps you up-to-date on your health care information. You can update your member information. You can also find doctors and hospitals. And, you can see a list of your current medications. To download our app, click on the links below or search for BCCMI in the App Store® and Google Play.

Access your data on other mobile apps

Before agreeing to share your health data with a third party health or fitness app, youll be directed to sign in and authenticate the third party app using your Blue Cross Complete online account. If you dont already have an online account, youll be prompted to register before this process can proceed.

Once you review the Third Party Data Privacy Information , youll be directed back to the third party app approval process. There you may approve or cancel third party app selection. If, at any time, youd like to revoke consent to providing your health data to a third party app, you may do so from within your online account.

What Is Heritage Health

Heritage Health is a new healthcare delivery system that combines Nebraskas current physical health, behavioral health, and pharmacy programs into a single comprehensive and coordinated system for Nebraskas Medicaid and CHIP clients.

For Heritage Health enrollment information, please call 1-888-255-2605, or visit the Heritage Health website.

Nebraska Total Care offers the services you and your family want and need. Our services include:

  • Primary Care Visits
  • Wellness and Healthy Rewards Programs
  • Care and Disease Management Services
  • Behavioral Health and Substance Use Services and Programs
  • Hearing and Vision Services

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Arkansas Total Care Update

Arkansas Total Care is committed to upholding good multicultural practices in all of our services and programs. We want to make sure that we deliver services in a culturally competent way for all of our members. Arkansas Total Care does not discriminate against any of our members due to race, language, background, or sex.

To make sure all of our members are treated fairly, we strive to respond to all health needs. Arkansas Total Care offers non-medical community supports to each of our members.

Arkansas Total Care gathers data on our members race, ethnicity, and language needs per the standards set by the Office of Management and Budget and Section 4301 of the Affordable Care Act . We do this so that we can work to improve the services we offer to fit the needs of our members.

The Department of Health & Human Services has a set of Culturally and Linguistically Appropriate Services standards in place to create health equity. Arkansas Total Care uses CLAS standards as a key part of our program to serve our members. These standards are reviewed by our CLAS Task Force on a regular basis. We strive to meet these standards and are always seeking ways to improve.

If you would like a copy of our full Cultural Competency Plan, please email . We will be happy to assist you.

Other Languages & Format Needs

Values

Interpreter services are provided free of charge to you during any service or grievance process. This includes American Sign Language and real-time oral interpretation.

If you need something translated into a language other than English, please call Iowa Total Care at 1-833-404-1061 . We can also provide things in other formats such as Braille, CD or large print.

If you need an interpreter for your medical appointment, please contact Iowa Total Care 14 days before your scheduled appointment. Most in-person interpretation requests can be arranged 72 hours before your appointment. Members should notify Iowa Total Care at least 24 hours in advance if in-person interpretation services are no longer needed.

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A Medicaid And Healthy Michigan Planmanaged Care Health Plan

Blue Cross Complete of Michigan is a managed care health plan contracted by the state of Michigan. We help Medicaid members get the health care they need in 32 Michigan counties across the state.

We provide members with the care they need, when they need it. This includes a wide range of benefits, such as transportation services, a 24-hour nurse help line, vision, hearing and dental coverage. We also offer pharmacy, maternity care and integrated care management benefits.

The Healthy Michigan Plan is a health care program from the Michigan Department of Health and Human Services. Blue Cross Complete administers Healthy Michigan Plan benefits to eligible beneficiaries.

If You Think All Health Planslook The Same Look Again

At first glance, health care plans look a lot alike, but when you take a closer look, youll see that nobody is totally there for you like Total Health Care USA!

Were committed to you like no other health plan provider. We provide services  and amenities that set us apart from the rest like

  • Free 12-week weight management program through Weight Watchers®!
  • Free flu shots!
  • Thousands of physicians and specialists!
  • 28 in-network hospitals!
  • Access to a nurse 24 hours a day/7 days a week through our Smarter Health Nurse Advice Line!

A smarter approach to health care coverage.

Its great to know youre covered when you need health care, but its even better  to not need it in the first place.

Thats why our Smarter Health Wellness Programs focus on preventive care  to keep you ahead of the game when it comes to your health.

And our Disease and Complex Case Management Programs help our members with chronic conditions to self-manage these conditions, to minimize the impact they have on our members daily lives.

Make The Smart Choice.

Total Health Care USA goes the extra mile to be totally there for you.  Thats why were the Smart Choice for your health plan provider.

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Special Programs & Supports

Vaya wants to help you and your family get and stay healthy. If you want to quit smoking or are a new mom who wants to learn more about how to best feed your baby, we can connect you with the right program for support.

  • Tobacco cessations services to help you stop smoking or using other tobacco products
  • Women, Infants and Children special supplemental nutrition program
  • Newborn screening program

Some other great programs offered by Vaya Health are:

System of Care Grant

System of Care is a way of working with children and families based on the idea that families know their own strengths and needs best. SOC is not a service or a program it is a way of working together with children and families to achieve results that are important to them. Vaya was recently awarded a SOC Expansion and Sustainability Grant from the U.S. Substance Abuse and Mental Health Administration to expand services and access to care for children and youth with mental, behavioral, or emotional disorders and offer hands-on support to their families. This grant will allow us to help families:

  • Identify needs that are not being met
  • Connect with health care providers and community organizations
  • Understand resources available to help them reach their goals

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Dental And Vision Coverage

The Imagining Healthcare Anywhere Vision Kaiser Permanente

Our Group Health coverage can also be complimented with dental and vision care benefits.

Quality dental coverage is more than an employee benefitits an investment in total health that can boost an individuals productivity and lower overall health care costs. Research now shows that periodontal disease may be linked to chronic diseases such as diabetes and heart disease and other conditions. Routine dental care can positively affect treatment of these conditions through early identification and control of infections in the mouth, which can improve both oral health and overall health.

In addition to quality dental coverage, Insurance Services International provides vision programs that can include coverage for eye exams under our medical plans and a separate eyewear benefit for lenses, frames and contact lenses.

Some of the primary items covered include:

  • Oral exams and cleanings
  • Installation, replacement and repair of dentures and fixed bridgework
  • Inlays, gold fillings and crowns

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Behavioral Health Crisis Line

If you are experiencing a behavioral or mental health crisis, please call . Carolina Complete Health has clinicians available to speak with you 24 hours a day, seven days a week. They can connect you to the support you need to help you feel better. If you are in danger or need immediate medical attention, please call 911.

Vision Benefits Under Medicaid

Vision care starts with preventative care. Under Medicaid, well-child checkups and exams should include vision screenings. Each state will determine how often these checkups and screenings are performed, but it is generally recommended that an annual eye exam is performed to ensure optimal eye health.

Regular eye exams can help to catch any potential problems or changes in vision. They will also help to identify some health conditions like diabetes, high blood pressure, or glaucoma.

Medicaid vision care benefits can include the following for low costs or completely free of charge, depending on your eligibility:

  • Contact lenses if they are medically necessary
  • Medical and surgical procedures
  • Screenings for glaucoma

Medicaid covers standard eyeglass frames, eyeglass lenses, and contact lenses. Usually, specialty lenses or premium frames are not included.

Most states will provide coverage for one pair of eyeglasses that is considered to be “Medicaid approved” each calendar year. Additional prescription eyewear may be covered as well if it is deemed medically necessary.

You will need to see your Medicaid provider for the eye exam and lens fitting. They can often help you find approved prescription eyewear that will be covered under your Medicaid plan.

Contact lenses may or may not be approved under your Medicaid coverage. This depends on your state of residence and the specific plan and provider you have.

Recommended Reading: Minnesota Medicaid Provider Phone Number

Unitedhealthcare Senior Care Options Plan

UnitedHealthcare SCO is a Coordinated Care plan with a Medicare contract and a contract with the Commonwealth of Massachusetts Medicaid program. Enrollment in the plan depends on the plans contract renewal with Medicare. This plan is a voluntary program that is available to anyone 65 and older who qualifies for MassHealth Standard and Original Medicare. If you have MassHealth Standard, but you do not qualify for Original Medicare, you may still be eligible to enroll in our MassHealth Senior Care Option plan and receive all of your MassHealth benefits through our SCO program.

Your Local Eye Care Specialists Serving All Of Your Familys Vision Care Needs

Magellan Health

Optometrists Dr. Mitchel Strand, Dr. Regina Strand, and Dr. Romano, provide quality eye care services and vision care products in Connecticut we truly care about the health of your eyes and provide Comprehensive vision care to all family members.

We are conveniently located in Newington, Uncasville, and Mystic, Connecticut and we proudly serve the Hartford & New London communities.

We stock Designer Eye Frames & Sunglasses, Contact lenses, and we offer Eye exams, Emergency Treatment as well as the Management of Ocular Diseases.

We are the local Optometrist near you, offering you and your family top quality eye care, delivered with unsurpassed customer service.

TotalVision accepts a number of Insurance plans to help cover the cost depending on your individual needs. Visit us at one of our vision centers call us to make an appointment or online.

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Learn More About The Blue Total Health Package

Unless otherwise noted, costs shown are for services received in-network.

1. $25 allowance per quarter up to $100 annually. OTC drugs are obtained through online order or mail-in from catalog and delivered to the member’s home.

2. Commonly referred to by dentists as deep cleaning or scaling and root planing.

3. In order for your service to be in-network you must see a Davis Vision participating provider.

4. Our plans cover one routine hearing exam per year with a TruHearing provider. Please call TruHearing to verify your benefit and schedule a hearing exam. Coverage is for select models only.

5. Annual wellness visit, breast cancer screening, and colon cancer screening are covered by any doctor in our network as part of your member benefits. If other services are performed by your doctor at the same visit, you may have a higher copay.

6. One PrePaid Card per member, per service, per calendar year.

7. A $0 copay applies when using an in-network provider.

Medical Care For Everyone

The quality of your care is our highest priority, and were dedicated to giving you the best experience possible. If youre ever unhappy with our care, please let us know and we will work hard to make you happy. If you want easy access to health care and a practice who really knows you, youre going to love Total Care Primary Care. Weve created a new primary care experience that is focused on keeping patients healthy. We believe it will be different than what youve experienced before.

Use the online booking engine to secure your appointment

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What Are Essential Health Benefits

Essential health benefits are a comprehensive package of items and services that all health plans must offer, including:

  • Ambulatory patient services
  • Mental health and substance use disorder services, including behavioral health treatment
  • Prescription drugs
  • Rehabilitative and habilitative services and devices
  • Laboratory services
  • Introducing Arkansas Total Care

    Total Health Care for Your Eyes

    Arkansas Total Care is committed to providing whole health solutions for people with IDD and Behavioral Health needs. Our unique, person-centered approach ensures each individual receives comprehensive care coordination tailored specifically for them. With over 20 years of experience, the partners at Arkansas Total Care provide support services that collectively create healthier, happier individuals ultimately improving their overall quality of life.

    Do you need more information or have a question? Please reach out to our Member Support Services at 1-866-282-6280 or TTY: 711.

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    Covered Behavioral Health Services Include:

    Behavioral Health Day Programs including supervised day programs, therapeutic day programs, medical day programs Crisis Services including mobile team services, telephone crisis response, and urgent careInpatient Services including hospital, sub-acute, and residential treatment Rehabilitation Services including living skills, cognitive rehabilitation, supported employment, and education support Health Promotion â Prevention, Education and Medication Training â education and standardized training for the purpose of increasing an individualâs behavioral knowledge of a health related topic such as medication management, the nature of an illness, relapse and symptom management, stress management, parenting skills and health lifestyles Residential Behavioral Health Services include a range of up to 24hr/day services in a structured living environment for individuals needing support.Support Services including case management, personal assistance, Family & Peer Support, therapeutic foster care, respite, housing support, interpreter services, transportation, assistance accessing community resources and locating and applying for benefits, child care connections andTreatment Services – counseling, consultation, assessment and specialized testing, and substance abuse treatment.

    Information About Copayments And Other Charges For Which You Are Responsible

    The following list shows the healthcare services and benefits that members can get through INTotal Health. Your Primary Care Provider or specialist will give you the care you need or refer you to a specialist that can give you the care you need. In some cases, your PCP or specialist may need to get preauthorization from INTotal Health before you can receive these services. Your PCP can call 1.855.323.5588 to do this. No copayments are required for any Medicaid covered service. For a few special INTotal Health benefits, members have to be a certain age or have a certain kind of health problem. If you have a question or are not sure whether we cover a certain benefit, you can call Member Services for help at 1.855.323.5588. If your benefits change for any reason, we will tell you about the change before it happens. Below is a list of the services that are covered by INTotal Health.

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    Vision Care Coverage With Medicaid

    Medicaid is a free or low-cost health insurance option for eligible low-income families and individuals.

    Federal regulations require that vision care and coverage be provided for recipients of Medicaid who are age 21 or younger. Preventative care, such as eye exams for children, can help to decrease problems later in life.

    Vision screenings are to be a routine part of well-child checkups with additional screenings, and diagnostics performed if a problem is suspected. There is no charge for well-child visits under Medicaid. Coverage is provided through the Children Health Insurance Program .

    The Early, Periodic, Screening, and Diagnostic Program is the program under Medicaid that provides vision benefits, such as eye exams and eyeglass frames and lenses to adolescents and children ages 21 and younger. Each state will determine how often these exams and replacement prescription eyewear are offered.

    Some states will also offer these services to adult Medicaid beneficiaries, although there are no federal guidelines requiring this. In some states, Medicaid adult vision care coverage can include screening for glaucoma, necessary cataract surgery, surgical and medical procedures, contact lenses and eyeglasses, and potentially reduced copays.

    Contact your state Medicaid provider for information on specific coverage under your plan and policy.

    Services Obtained Outside Of Intotal Health’s System Or Service Area

    Eye Insurance

    INTotal Health has many in-network doctors who give care to our members. If you need help finding an in-network doctor or want to confirm that your doctor is in INTotal Healths network, please call Member Services at 1.855.323.5588 or visit our Find a Doctor tool at . All out-of-network providers require a pre-authorization before giving services. What is Out-of-Network Coverage? Out-of-network coverage is when you go to a doctor who is not with INTotal Health. If you go to an out-of-network doctor, they may ask you to sign a waiver document. By signing this document, you may be at risk for paying for that service, especially if pre-authorization was not given to the doctor. If a pre-authorization was not given and if you receive nonemergent services from an out-of-network doctor, you may have to pay for that service. If you have questions, please call Member Services at 1.855.323.5588.

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