Member Services
Welcome Health Plan Members! The Health Plan wants to help you build and maintain good health for you and your family. Our website gives you a wide array of tools that allow you to view your claims, find a doctor or hospital and improve your overall health using our Health & Wellness area.Wellness Services
At The Health Plan, our benefits and programs encourage people to stay healthy by seeking preventive care and medical treatment at the onset of illness. We invite you to take advantage of the wealth of information and services offered here to enhance your well-being.Pharmacy Services
As a Health Plan member, you may obtain your prescription at any participating Health Plan network pharmacy. For the location of a participating pharmacy call Medco Health Solutions at 1.800.988.2262 or visit www.medcohealth.com.Provider Services
Welcome Health Plan Providers. Are you connected? You can check member eligibility, review claims, review referrals and precertifications using our secure Provider website. Customer Service Representatives are available for you to contact.
Need Help?
Contact our Ohio Valley/Mountaineer Region office, located in St. Clairsville, Ohio, toll-free at 1.800.624.6961 or 740.695.3585 or contact our HomeTown Region office, located in Massillon, Ohio, toll-free at 1.877.236.2289 or 330.834.2200.Mountain Health Trust/Mountain Health Choice is a fully insured managed care plan offered to Medicaid-eligible residents of West Virginia.
The plan requires a member to select a Primary Care Physician (PCP), obtain a referral for specialty physician services and to follow precertification guidelines for procedures, diagnostic testing, outpatient surgical procedures, and inpatient admissions. Members do not have out-of-network benefits unless prior authorized by the Plan.
If you need any written information provided by The Health Plan in an alternate language or format due to special needs such as vision or reading impairments or language translation difficulties please contact The Health Plan's Customer Service Department at 740.695.7904 or toll-free 1.888.613.8385, Monday through Friday, 8:30am to 5:00pm.
The following information is always availabe here on this website in WV Medicaid Resources or you may call our Customer Service Department at 740.695.7904/1.888.613.8385 to request a printed copy or ask any questions/concerns you may have of:
- Enrollee Rights & Responsibilities
- Grievance & State Fair Hearing procedures
- The Member Handbook can be provided whenever requested
- Specialty care and other benefits not provided by the PCP
- Pharmacy services, mental health, substance abuse, children's dental services, and non-emergency transportation are covered benefits available through Medicaid
- Benefits covered by The Health Plan
- How and where to access emergency care and post-stabilization services
- Provider Directory
Latest News
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ATTENTION: EDUCATORS! Do you work with children in grades K-12 at a public, private, or parochial school? Are you interested in implementing more health and wellness activities with your students? Does a lack of funding and...
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FEDERAL EMPLOYEES: Update on language FEDERAL EMPLOYEES: The Office of Personnel Management (OPM) has determined that several 2012 Federal Employee Health Benefits (FEHB) brochures contain an inaccurate statement under "Section 1. Facts...
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NEW! HP Video Clip on Community Service Check out our NEW video clip about what The Health Plan does for the community! Click on The Health Plan apple on the right hand side of the homepage.
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HealthWise Newsletter
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