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About Your Blue Cross Community Health Plans℠ (BCCHP) Plan
BCCHP wants to make sure you get the health care you need. That’s why we offer benefits and programs to help keep you and your family healthy. Your plan covers doctor visits, lab tests, mental health care treatment, prescription drugs and much more. BCCHP pays for all Medicaid covered services. From routine care to urgent care, family planning to home health, BCCHP is there for you. You get full benefits, without copays.
Medical Benefits
What Is Covered?
The table below contains just some of the health care that is covered by your BCCHP plan. Some types of care may need approval from your health plan. Learn more about prior authorization.
TYPE OF CARE |
COPAY |
BENEFIT LIMIT/EXCLUSIONS |
REQUIRES PRIOR AUTHORIZATION?1 |
|---|---|---|---|
Annual Adult Well Exams |
$0 |
Well exam must be done by your Primary Care Provider (PCP) or Women’s Health Care Provider (WHCP) |
No |
Behavioral Health Services |
$0 |
Some services include:
|
Yes, under certain circumstances. |
Chiropractic Services |
$0 |
Limited to spinal manipulation for subluxation of the spine. |
No |
Dental Care2 |
$0 |
Services include:
|
Yes, under certain circumstances, a Prior Authorization is required for non-covered benefits. |
Emergency and Urgent Care Services |
$0 |
Call your PCP for follow-up care within two days of your emergency, or as soon as you can. You are also required to call Member Services to let BCCHP know you received care. |
No |
Family Planning Services and Supplies |
$0 |
Services include:
Services that are not included:
|
No |
Home Health Care Services |
$0 |
Services include:
|
Yes |
Hospital Emergency Room Visits |
$0 |
Go to the nearest hospital in an emergency. |
No |
Hospital Inpatient Services and Ambulatory Services |
$0 |
|
Yes |
Laboratory and X-ray Services |
$0 |
Services include:
|
Yes, these services must be ordered by your PCP. |
Non-emergency Transportation Services |
$0 |
Transportation is covered to:
|
You do not need prior authorization for standard non-emergency transportation services. |
Vision Care |
$0 |
Services include:
|
Yes, under certain circumstances |
1 Services must be medically necessary. Some services need approval from your health plan before you get treated. This approval is called "prior authorization." Your doctor should know which services need approval and can help with the details.
2 Some limits apply to general dentistry.
What Is Not Covered?
Health care that is not covered includes:
- Cosmetic surgery or treatment that are not medically necessary
- Procedures that are still being tested or experimental
- Care from a non-licensed provider
- Drugs and supplies without a prescription
- Getting care in an emergency room for health issues that are not emergencies
MEMBER RESOURCES
Helpful Tools and Resources
Find a Doctor or Hospital
Our Provider Finder® makes it easy to search for providers in your area.
Find a Provider
Transportation Services
Learn how you can get a no-cost ride to your medical appointments.
Schedule a Ride
Forms and Documents
For details about your plan, check your Member Handbook.
Go to Forms and Documents