Our population health management programs can help with things like:
- Managing a health condition
- Pregnancy care
- When to use urgent care
- What to do after a hospital stay
- Staying healthy and preventing health problems
You deserve to be as healthy as you can be. That’s why we offer the support and tools you need to be your healthiest, bringing together what matters most to your health. It’s care you can trust. And experience you can count on — with extra benefits that go beyond your standard health coverage.
Your child should have everything they need to help them feel their best. That’s why we’re working with CVS Health® to give you $15 of OTC health supplies and products. And we'll send it to you every month at no extra cost.
We can help you get your GED. This is equal to a high school diploma. We’ll help you study for your GED test with online classes. And when you’re ready to take the test, you’ll get a GED test voucher.
You can also get online training for a job. We'll help you show off your skills to employers.
You can learn more about the extra benefits you can get as a member.
Learn about all your plan benefits, from vision and dental care to telehealth, pregnancy care and help stopping nicotine use. You can learn more about all these topics in your member handbook.
We take care of the whole you. That means you’re covered if you need to see a specialist, have an emergency or plan to start a family. You can also get a wide range of preventive care and vaccines. Start by finding a provider today.
We make it easy to get the medicines you need to feel better. A list of medicines we cover can be found on our statewide preferred drug list (PDL) or the supplemental formulary. These are lists of medicines we cover. Don’t see yours on the lists? Ask your provider to find a similar medicine. And you can fill your prescription at any pharmacy in our network.
You deserve to be healthy in body and mind. Your plan covers health for you as a whole person. That includes a variety of mental and behavioral health services, like:
You or your child can go to any behavioral health provider in our network.
No matter what time of day, you’re not alone. We have resources in place to help you in a crisis or mental health emergency. This includes thoughts of harming yourself or others. Here are some options for help:
Routine eye exams are an easy way to keep your eyes healthy. You don’t need a referral to see a provider in the network. Just be sure to show your member ID card at every visit.
A healthy smile goes a long way. Dental care is part of your overall health. That’s why you should see your dentist every six months.
We cover adults and children (under age 21) for dental care. Your child must get a dental exam before they start kindergarten. Your dental care is covered by Avesis providers in our network.
Need to learn more? Check your member ID card from your dental plan. Then, call your plan for answers to questions about care and coverage.
We’ll help you get birth control counseling and supplies. You can see any in-network or out-of-network provider. Any family planning care that you get is private. You can call us at 1-855-300-5528 (TTY: 711) to choose a family planning provider.
Get a phone plan with a variety of services at no cost to you. This allows you to stay in touch with your health care team with health tips and reminders by text.
Do you need help getting care? Our care management team is here for you. Care managers are nurses and social workers who understand your health conditions and help connect you to the right care. A care manager can help you learn more about your health, find a ride to your health care visits and more.
Some health issues need more care. Our care managers can help you manage chronic conditions like asthma, diabetes, chronic obstructive pulmonary disease (COPD) and more.
We can help you and your baby be as healthy as possible. When you take part in our program, here are some benefits you’ll enjoy:
Stopping nicotine use is hard, whether you smoke, chew, vape or use another method. Most people need help to quit, and we’re here for you. You can get help quitting through services and supplies, like:
Ready to start? You can call:
We contract with eviCore for nonemergency tests, including:
Magnetic resonance imaging (MRI) scans
Positron emission tomography (PET) scans
Computed tomography (CT) scans
Coronary computed tomography angiography (CCTA) scans
Stress echocardiography
Nuclear cardiology
Multiple-gated acquisition (MUGA) scans
Our population health management programs can help with things like:
We're proud to serve all children in Kentucky’s out-of-home care system. This includes children who are or have been in foster care. And children in the juvenile justice system. Those who qualify can learn more about how to get these extra benefits.
Need language help? Just call us at 1-855-300-5528 (TTY: 711). We’re here for you Monday through Friday, 7 AM to 7 PM. You can get:
Interpreter services at no cost during any service or complaint process, including American Sign Language and real-time oral interpretation
Interpreter services for your health care visit (be sure to call 48 hours before your visit)
Info in another format, like audio, large print and braille
Materials in other languages if your primary language isn’t English
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*All members ages 0-18 statewide are eligible for the $15 monthly stipend.