Medicaid Benefits

It’s time to take charge of your health. We believe in providing benefits and services that will help you take care of yourself and your family. Our team of care managers, providers and caregivers work with you to achieve better health.

We know you will have questions and we are here for you. Thank you for choosing The Health Plan.

Understanding Your Benefits

The following are some of your covered benefits:

  • Doctor visits
  • Lab and X-ray services
  • Hospital services
  • Emergency transportation
  • Rehabilitation
  • Preventive care and disease management
  • Prenatal and maternity care
  • Dental
  • Vision
  • Hearing
  • Mental health services
Provider Directory
Our online directory allows you to search your local area and print a list of doctors for you to reference. Call Member Services at 1.888.613.8385 (TTY: 711) for help or if you need a paper copy of the directory.
Search the online directories under Medicaid member to find a dental or vision provider in your area.
Prescription Drugs
If you have any questions about your prescription drug benefits, please call Gainwell help desk at 1.888.483.0797. 
Click here to access the most recent pharmacy changes. 
Behavioral Health

If you need mental health or substance use services, call a participating provider directly and make an appointment. If you need help to make an appointment or have questions about finding a provider in your area, call us at 1.888.613.8385.

Out-of-Area Emergencies
If you are out of the area and have a mental health or substance use emergency, go to the emergency room for help. Show your Medicaid and The Health Plan ID cards to the provider.
Nurse Navigators
Our nurses will help you find the services that you need and can answer your questions. We offer special programs to help you find providers, offer educational materials and give you a person to call at The Health Plan. 

Value-Added Services

In addition to your benefits, we also offer value-added services for members. We offer these services to encourage health education and to promote health. 

Click here for the list of services. 

How to Choose Your Doctor

Members of The Health Plan choose a primary care provider (PCP) from our provider directory. Member Services can help you select a PCP to best fit your needs. If you do not pick a PCP from the directory, we will choose one for you.