Amerigroup apple health medicaid

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Apple Health covers dental care for both children and adults! DentistLink can help anyone in Washington state get connected to dentists who accept Apple Health at no cost to you. Call or text our DentistLink referral specialist team at People of all ages may be eligible for coverage under Apple Health, including yourself, your parents, and your children.

Apple Health premiums are either free or low-cost depending on income level. Even if you are working, you and your family might still be eligible for Apple Health. If you do not qualify for Apple Health, the Washington Healthplan Finder has many other insurance options for you to choose from.

About days after applying for Apple Health coverage, a ProviderOne services card will be mailed to you. This is a plastic ID card that looks like other health insurance ID cards. Take this card with you to your doctor and dentist appointments. Providers use this card to make sure your service is covered. Apple Health pays for covered dental services for eligible children, age 20 and younger. The Academy of Pediatric Dentistry recommends all children see a dentist by 12 months of age.

Apple Health Medicaid pays for covered dental services for adults 21 years and older. DentistLink has an up-to-date Apple Health dental provider list. Your plan will be with you every step of the way from assessing your needs to case management post-hospital stay. Medicaid covers most prescription drugs but requires prior approval for some.

It is up to your doctor to prescribe generic drugs whenever possible and to use the Washington Medicaid preferred drug list. If your doctor wants to prescribe you a non-generic or non-preferred drug, he or she will have to seek approval from the Medicaid program first. Washington Medicaid pays for dental services for eligible members, but children and adults get different coverage. Kids can get:. Adults can get coverage for all of those services plus front teeth root canals, dentures, oral surgery, gum disease treatment, and nitrous oxide laughing gas.

Adults do not have coverage for crowns, implants, bridges, or orthodontics. Managed care means that you have a set doctor network to choose from, which means that your doctors and specialists are more likely to have a line of communication with each other and you are more likely to get the best care possible. The plans are not all available in every area. Use this map to find out which of the five are available in your area. There are two Coordinated Care of Washington plans.

The adult plan includes a cell phone program with unlimited texting, and both plans include a comprehensive rewards program:. The Molina Healthcare of Washington plan includes a virtual urgent care clinic at no cost. UnitedHealthcare offers a few different types of WA Medicaid managed care plans. You can download the application here and either take it to your local CSO Community Services Office , fax it to , or mail it to the address on the application.

We recommend applying online to for the easiest approach and the fastest results. Unlike Medicare and private health insurance plans, there is no enrollment period for Medicaid. You can enroll in Medicaid at any time of the year. You can use your WA Health Plan Finder account to apply for coverage, renew your current coverage, report a change new household members, new baby, income change, etc.

Medicaid eligibility is mostly based on your monthly household income compared to your household size. You also must be a legal resident of Washington State and the United States to qualify. Some legal aliens who have severe medical needs may be able to qualify as well. Eligibility requirements per household are slightly different for kids, so your child may qualify for Apple Health for Kids even if your family is not eligible for full Medicaid.

The aged, blind, and disabled WA Medicaid program has slightly different income requirements than the adult Medicaid program. Your premium would not exceed 7. We have licensed Medicare agents in Washington state that can lay out all of your DSNP options and help you figure out which one makes the most sense for you.

For help, call or send us a message now. All rights reserved. Powered by Medicare Health Benefits. I also agree that the above entities may contact me utilizing automated technology, including an autodialer.

I also agree that I am not required to submit this form or agree to these terms as a condition to receive any property, goods, or services that may be offered, and that I may revoke my consent at any time using reasonable means, including by calling or emailing revokeconsent medicarehealthbenefits.

About Us Contact Us. Compare Plans in your Area We help Medicare beneficiaries maximize their benefits. Apple Health is the name for the Washington Medicaid program.

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Preferred drugs within a chosen therapeutic class are selected based on clinical evidence of safety, efficacy, and effectiveness. The drugs within a chosen therapeutic class are evaluated by the Drug Use Review Board, which makes recommendations to HCA regarding the selection of the preferred drugs. To obtain authorization for a nonpreferred drug, a client must have tried and failed, or is intolerant to, a designated number of preferred drugs within the drug class unless contraindicated or not clinically appropriate.

In addition to approval criteria for nonpreferred products, some drugs have additional criteria that must be met. Note: For continuity of care, all plans will use the same PA criteria, step therapy edits, and quantity limits developed by HCA. If you can't find the versions you're looking for, email us applehealthpharmacypolicy hca. Note: For information on billing and rates, the Apple Health PDL, and expedited authorization codes, please visit the Prescription Drug Program on our provider billing guide and rates webpage.

See what drugs are preferred and whether they need a prior authorization PA. How to use the Apple Health PDL Preferred drugs within a chosen therapeutic class are selected based on clinical evidence of safety, efficacy, and effectiveness.

Related forms and publications Emergency fill policy. The dashboard will automatically refresh with the choices you select.

Be sure to click Apply at the bottom of each dropdown to complete the selection. Managed care report cards Apple Health Plan Report Card This report card shows how Washington Apple Health managed care plans compare to each other in key performance areas. How do I get dental care? Can I get vision care? Are my dependents eligible?

Are my survivors eligible? Manage benefits What is special open enrollment? Change my coverage Change my address Cancel my coverage What happens if I stop working? Learn how to enroll How do I enroll?