Amerigroup OTC is a brand of over-the-counter health products.
We want to help you get the care and support you need to live on your own.There is a Texas Medicaid managed care program for people who have disabilities.Amerigroup is proud to offer STAR+PLUS benefits to people who live in our service area, are approved for Medicaid, and meet at least one of the following:
Acute care benefits will be provided by Medicare if you have both Medicare and Medicaid.You can find a full list of benefits in your member handbook.
Dressing yourself, preparing meals, light housekeeping, and personal care are some of the tasks you may need help with.We can help you get the long-term services and supports you need to live in your own home or community.Depending on your category of Medicaid eligibility, you can get longterm services and supports.The available benefits can be found in your member handbook.Before you can get long-term services and supports, you need to have a meeting with your service coordination.Call Member Services at 1-800-600-4341 to speak with a service coordinators.
Service coordination makes sure your care and services are working together.Service coordinators help keep everyone involved in your care informed of your needs and goals by communicating regularly with you and your providers.Your service coordination will work with you and your primary care provider to get the services you need.He or she will do the same.
If you want one, you can ask for it.After we look at your health and support needs, we may assign one.If you would like to speak with a service worker, you can call Member Services at 1-800-600-4341.
Many people use long term services and supports.Consumer directed services means that you, or someone you choose, coordinate your health-care services, not the insurance company.You can learn more about consumer directed services.
Most of your care will come from the nursing facility.Services include:
You don't pay anything except the applied income amount you pay to the nursing facility.We pay your percentage of the costs for a Medicare-covered stay for nursing facility daily care services if you have Medicare.Texas Medicaid pays your percentage of the costs for nursing facility add-on services.
Amerigroup has a partnership with Superior Vision of Texas.To find an eye doctor in Texas, you can call Superior Vision of Texas or go to the website.Contact your Medicare plan for your vision benefits if you have both Medicare and Medicaid.
You don't have to pay for rides to your health-care appointments.If you need rides to the doctor, dentist, hospital, drug store, or any other place you get Medicaid services, MTP can help.You need to schedule your ride at least 2 days in advance of your appointment.
You can call MTM Monday through Friday from 7 to 6.
The transportation benefit does not apply to nursing facility members.
We are more than just doctor visits.You will be able to get these free extra benefits from September 1st.
Specific benefit details can be found in your handbook.
You can earn rewards for completing healthy activities by signing up for the program.
Specific benefit details can be found in the member handbook.Medicare members are not eligible for rewards.
Contact your Medicare Part D plan if you have both Medicare and Medicaid.
A wide range of prescription drugs are included in your benefits.These pharmacy benefits are provided by us.You don't have copays.You can find a pharmacy near you by visiting the Pharmacy page.
Before your doctor can give you treatment, care, or services, they need our approval.Preapproval is what this is called.The doctor will work with us to get the approval.
This list is subject to change without notice and is not a complete list of covered plan benefits.You can learn more about your benefits.
Your primary care provider may not be able to give you the care or services you need.You do not need a referral from your primary care provider to get care from other doctors in our plan.Behavioral health services, OB/GYN care, and family planning are included.It is a good idea to talk to your primary care provider about other types of care.He or she can let you know about other doctors in our plan.
The Amerigroup provider website has more information about the preapprovals process.
It's easy to get care and services with the help of tools and technology.Your Service Plan is an online tool that helps you stay in touch with your case manager.It allows you.
We want to make sure you get the best possible care.There are resources to help.
Medicare, Medicaid, or a waiver program may provide your health care benefits.A quick summary of your benefits can be found in this booklet.
If you have a question, you can call Member Services.Our team is open Monday through Friday from 7 to 6.
Health issues come up when it is 3 a.m. or a Sunday afternoon.You can always call the Nurse HelpLine and speak to a nurse.You can call anytime, day or night.