All with no copays or deductibles. Behavioral health services are available for both children and adult members. More than 4,500 primary care providers (PCPs), 20,000 specialists, 100 urgent care locations and 70 hospitals proudly accept CountyCare members. FInd a provider Keeping Your Coverage is Key How it works: Great news! CountyCare Health Plan Mammogram Screening Locations. The dashboard of your app will give . We offer behavioral health services to treat mental health and substance use disorders. $10 if it is more than 7 days but within 30 days after an emergency room visit for behavioral health. CountyCare will never send you a bill. EARNED BY THE TOP REWARDS. A specialist is a doctor who cares for certain health conditions. The Customer (you) will then pay the remainder amount due out of pocket. Log in or create your account, and the OTC Network app will connect to your specific plan.*. Don't have a Provider Account? A Decrease font size. After six months the reward will expire. Member Services is available Monday through Friday, 8:00 a.m. to 6:00 p.m. CountyCare will give each member ages 45 to 75 a $50 credit on his/her rewards card once a year for completing a colorectal cancer screening from a network provider. Member Portal. Members who are pregnant can earn a $50 reward when they complete the Notification of Pregnancy form at countycare.com under Member Resources. A Decrease font size. It is important that you see your womens health provider for an annual Well Woman checkup. Click here to read our Frequently Asked Questions about LASIK eye surgery. Telehealth lets you talk to a therapist from your own home using video chat or phone call. For more detailed information on claims submission and adjudication, please click here to view the Provider Manual. Once approved, MedImpact notifies the prescriber by fax and the member by letter. You or your billing agent will need to utilize a third-party claims clearinghouse vendor to submit electronic claims. Pregnant members should see their doctor regularly, including after you have your baby. All new mothers should attend at least one postpartum visitbetween 7 and 84 daysafter giving birth. Over-the-counter and prescription emergency contraception. The Cashier will scan the items and ring up the order. Members - CountyCare Health Plan If that provider believes LASIK may be appropriate, an eye care specialist with LASIK training will examine your eyes and decide if you are a candidate for LASIK surgery. Call CountyCare Member Services at 312-864-8200 for details or if you have questions. Is there a limit to how many points I can earn? Sat: 9:00AM 1:00PM CT. 2021 Cook County Health. Prenatal diagnostic procedures, including genetic testing, are covered if you have a high-risk pregnancy. Member Portal. The report outlines project description, impacted providers, expected resolution, current status, and expected completion date, when known. Your provider will submit any needed prior authorizations. Behavioral health services are available for both children and adult members. You will need to see an eye doctor to confirm if you are a candidate for LASIK surgery. A Increase font size. You may click on the following links to view the entire details. You can call if you or your child is a risk to themselves or others, having a mental health crisis or if you would like a referral to services. Cook Countys largest, no-cost Medicaid health plan. Check Prior Authorization Requirements by CPT Code, CountyCare Billing Guidelines FQHC-RHC-ERC Providers, CountyCare Billing Guidelines for DASA Providers, CountyCare Billing Guidelines for Community Mental Health Providers, Managed Long Term Supports and Services (MLTSS) Provider Billing Guidelines, CountyCare Transportation Billing Guidelines, CountyCare Corrected or Voided Claims Resubmission Guidance, HFS Medicaid Reimbursement (all schedules), IAMHP (IL Association of Medicaid Health Plans) Info For Providers (Resources and Key Contacts). Foodsmarts digital app helps members with meal planning, shopping on a budget, and food delivery. Anytime you see your doctor for an eligible service, CountyCare will credit your existing card with the eligible amount. Find a Provider. With a robust network, Cook County residents always have access to providers nearby. CountyCare will be enhancing its Rewards Program on January 1, 2023. You are eligible for new glasses every two years. Provider Billing Resources - CountyCare Health Plan Vendor Web You should see your assigned PCP for all routine care and screenings. Permanent contraceptive methods, including vasectomies and tubal ligations. CountyCare provides no-cost telehealth counseling services to help you cope during the pandemic. A Reset font size. Im healthy now but have been recently sick. We offer behavioral health services to treat mental health and substance use disorders. Make sure to discuss the risks and benefits with your eye doctor or your primary care provider (PCP). The name and contact information for your PCP is printed on your member ID card. Children receive the same vision benefits as adults. Women ages 45 to 74 can earn a $50 reward each year when they get their mammogram. $10 if it is more than 7 days but within 30 days after an inpatient behavioral health stay. CountyCare Health Plan Administrative Offices 1950 West Polk Street Chicago, IL 60612. Prenatal care is the health care you get while you are pregnant. Make sure you have your CountyCare member ID card to show at the pharmacy. Cost-free Cell Phone. A Increase font size. If you are unsure of how to reach your PCP, CountyCare members have access to registered nurses through a 24/7 nurse advice line. During this visit, your provider may perform a PAP smear, a breast exam, STI testing, and can provide family planning services. Member Enchiridion. Verify exactly which items are eligible by scanning the bar code when using the mobile app. For urgent or routine care away from home, you must get approval for CountyCare to go to an out of state or out-of-network provider. Keep your card! All rights reserved. Register here. If you see a Cook County Health provider, you may also use the Cook County Health pharmacies. You can take your prescription to one of our in-network pharmacies, including national retail chains such as CVS, Kmart, Kroger, Walgreens, Target, Osco and Walmart. First, you need to schedule an appointment with any eye doctor in the CountyCare network for a general eye exam. Detect a Provider. Mon-Fri: 8:00AM 6:00PM CT Access over 200,000 items available to purchase using the OTC Supplemental Benefit Card. CountyCare Health Plan PDF Welcome! [countycare.com] You have the choice between glasses or contact lenses. The Customer (you) will swipe your OTC Network card in the Point of Sale payment terminal. Provider Portals If you have questions about vision benefits, please call 312-864-8200 / 855-444-1661 (toll-free) / 711 (TDD/TTY). CountyCare is here to help you navigate this important step. A Increase font size. You will go through an eye exam and a refractive exam to determine if you are a candidate. If you are new to CountyCare, you can continue any medication you currently use for your first 90 days with us, even if it is not part of the CountyCare Preferred Drug List. Login to your account and the points balance will be displayed there. Mon-Fri: 8:00AM 6:00PM CT Finds a Provider. If you have questions about dental benefits, please call 312-864-8200 / 855-444-1661 (toll-free) / 711 (TDD/TTY). Care coordinators connect you with services to keep you healthy. . Members ages 6 months and older can earn a $50 reward for getting the first COVID-19 vaccine, $10 for getting the second vaccine, and $10 for each booster. CountyCare is the first and only Medicaid plan in Illinois to cover LASIK surgery. Use your card number or barcode to redeem benefits. Members ages 6 months and older who get their flu shot from their primary care provider, pediatrician or in-network pharmacy will receive a $10 rewards on their card. Essentially, 100 points is worth $5! If the purchase amount is more than the available balance on the card, you will need to pay for them amount left over separately. With CountyCare, personalized care is always around the corner. If you are having issues scheduling, you can contact Transdev again or your care coordinator. Find participating retailers. MEMBER. If you are living in a long-term care facility, CountyCare has supports in place to ensure you are getting the care you need. We connect individuals with insurance providers and other affiliates (collectively, partners) to give you, the consumer, an opportunity to get information about insurance and connect with licensed insurance agents. We are not affiliated with or endorsed by any government entity or agency. Their headquarters are in Atlanta, Georgia. CountyCare has a robust network of vision providers. Cook Countys largest, no-cost Medicaid health plan. Descriptions are for informational purposes only and subject to change. You can get free counseling services through CountyCares partnership with Aunt Marthas Health & Wellness. Provider Portal For urgent or after-hours requests, a pharmacy can provide up to a 72-hour supply of most medications by calling the MedImpact Pharmacy Help Desk at 1-888-402-1982. Network providers are encouraged to participate in CountyCares electronic claims/encounter filing program. These HCBS or LTSS waiver services are available in addition to medical and behavioral health benefits. Administrative Offices You can also get prescriptions mailed to your home. Vision care and free LASIK eye surgery (if eligible), Behavioral health and substance use services, Pharmacy services, including prescriptions, Children and family health services, including vaccinations and routine doctor visits. You can get services from any qualified family planning provider, and they do not have to be a network provider. Behavioral Health Locations. Are there any risks? You must go to an in-network provider to receive behavioral health services. For in-network providers, access CountyCares Provider Portal and Provider Portal User Guide in order to: HFS and related agencies frequently update guidelines, fee schedules, reimbursement guidelines, etc. Member Rights & Responsibilities. More than 4,500 primary care providers (PCPs), 20,000 specialists and 70 hospitals proudly accept CountyCare members. Business now. Extra Benefits & Rewards. With access to a wide range of health services and expert care at no cost to you choosing CountyCare is choosing the plan that understands your health needs. We are committed to helping you and your family get the health care you need, when you need it. Benefits & Rewards - CountyCare Health Plan | Your Over-the-Counter Approved items include fruits & vegetables, meats, dairy & more. CountyCare covers x-rays, sealants, fillings, oral surgery, crowns (caps), root canals, dentures and extractions (pulling teeth). Administrative Offices Cook Countys largest, no-cost Medicaid health plan. The old OTC Rewards Card, shown here, will no longer work after Dec. 31, 2022. The member will also receive a letter regarding the decision. Suppliers Billing Resources. Some prescription drugs require a prior authorization. OTC Network - Apps on Google Play If you are eligible, your LASIK surgery will be scheduled within 30 days of your exam. 1950 West Polk Street Save money by using the allowance provided on the card. MyOTCCard | OTC Network | Card Activation, By submitting this form, you are consenting to receive marketing emails from: HealthManagementCorp (HMC). After surgery, you may no longer need contacts or glasses. CountyCare can receive ANSI X12N 837, or most current version, professional, institution or encounter transactions. Cook Countys largest, no-cost Medicaid health plan. You can choose contact lenses instead of eyeglasses, the fitting fee is fully covered, and you get a $100 allowance toward the cost of your contact lenses. Benefits & Rewards - CountyCare Health Plan - My pharmacy told me th at Benefits & Rewards - CountyCare Health Plan | MyCookCountyHealth - Cook The CountyCare Rewards Card Program lets you earn rewards to spend almost anywhere Visa cards are accepted. Type in your 16 or 19 digit card number into the field provided. Pleaseclick hereto find a full list of providers. 1950 West Polk Street A Reset font size. You can get rewards on your childs card for taking your baby to the doctor. Register here. Schedule a ride through Transdev at least 72 hours (3 days) before your appointment by calling 630-403-3210. A Decrease font size. If certain prescription requirements are met, single vision and bifocal lenses for your glasses are fully covered. Retail now. CountyCare is the first and only Medicaid plan in Illinois that covers LASIK surgery. Welcome - CountyCare Health Plan Your choice from our standard selection of frames or you can choose a $100 allowance toward the retail value of frames. You may also complete the form by texting SURVEY to 47181 or by contacting Member Services at 312-864-8200, toll-free at 855-444-1661, or 711 (TTY). CountyCare Rewards! Benefits & Rewards - CountyCare Health Plan | Where can I buy or reload You do not need a referral from a PCP but your eye doctor will need to do an exam and complete the LASIK Evaluation Form. With CountyCare, personalized care is always around the corner. CountyCare Health Plan CountyCare covers your doctor and hospital visits, dental and vision care, prescriptions, transportation to and from doctors appointments and much more. The OTC Network app helps you track, manage, and maximize your health plan benefits. A Increase font size. The five (5) HCBS Waiver Programs currently operated by CountyCare include: The State of Illinois determines who can receive waiver services. To learn more about behavioral health and substance use services, please call 312-864-8200 / 855-444-1661 (toll-free) / 711 (TDD/TTY). CountyCare members 13 and older get free vouchers to attend Weight Watchers meetings. Have no active eye conditions that may affect healing, Have a stable vision prescription for at least one year, Do not have severe dry eye or advanced glaucoma, Have no active eye conditions which may affect healing, Make an appointment for a general eye exam with an eye doctor who is in the CountyCare network. To learn more about behavioral health and substance use services, please call 312-864-8200 / 855-444-1661 (toll-free) / 711 (TDD/TTY). The member can reach out to their care coordinator if additional assistance is needed. We can help you apply. Urgent Care Locations. We offer members a simple solution to managing their health and reaching their nutrition goals. Many of our providers are seeing patients through telephone or video calls. By submitting this form, you are consenting to receive marketing emails from: HealthManagementCorp (HMC). Log in to the MedImpact portal to check the status of your prior authorizations, get information on the medications you are taking or to print out a list of your medications. Cook Countys largest, no-cost Medicaid health plan. For example, a cardiologist is a doctor who specializes in heart health. $10 reward per prenatal visit, up to 14 visits, $25 reward for a visit to your doctor 1-12 weeks after you have your baby, $50 for the first visit in the first month, $20 for seeing your doctor within 7 days after an emergency room visit for behavioral health; or. To Learn more about Foodsmart, and how to join for free click here. CountyCare is open to all Cook County residents enrolled through HealthChoice Illinois, the statewide Medicaid managed care program. Forgot? Continue to move forward and provide all the required information to complete the card activation. OTC Network was launched in 2010 by InComm, a leading payments technology company. Chicago, IL 60612, 312-864-8200, 711 (TTY/TDD) You will need a prescription from your provider to have the over-the-counter drug covered. The CountyCare OTC Rewards Card Program lets you earn rewards to spend on health and household items at participating. Privacy Policy The weeks following birth are a critical period for babies and families setting the stage for long-term well-being. COVID-19 Vaccine Information Learn Find. Gift now. $20 for seeing your doctor within 7 days after an inpatient behavioral health stay; or. Password. Urgent Taking Locations. Mon-Fri: 8:00AM 6:00PM CT Urgent Care Locations. The card will have a cash credit on it based on the services you or your children received. If the frames cost more than $100, you are responsible to pay for the difference in price. The nurse advice line can help you with: You can also call our nurse advice line 24 hours a day, every day of the year, with any questions you may have about your health at, CountyCare Health Plan Use the card to pay for items or services in the following merchant categories: Utilities electric, gas, water, phone bills, and more! Please review the list of medications that are covered under the State of Illinois Preferred Drug List (PDL). A Increase font size. A Reset font size. To enroll in mail order please use the form here. Please refer to CountyCares dental benefits here. If the clinical information provided does not support the reason for the requested medication, MedImpact will notify the prescriber by fax, offering PDL alternatives. Below is a list of OTC medications covered by CountyCare in 2022: www.countycare.com COUNTYCARE CONNECTION Winter 2022 SYMPTOM MEDICATION GENERIC NAME Pain Relief CHILDREN'S IBUPROFEN (liquid) Ibuprofen (same as Motrin) OTC Network cards are offered through more than 270 health plans and are accepted at national retailers and independent pharmacies across the U.S. Their Supplemental Benefit card allows Medicare advantage members with OTC benefits to arrange for home delivery and spending on products including vitamins, diabetes care and medication. Every CountyCare member has an assigned primary care provider (PCP). COVID-19 Vaccine Information Learn More. Copyright 2012 - 2021 Medicare LLC | All Rights Reserved Sat: 9:00AM 1:00PM CT. 2021 Cook County Health. If you or your childs doctor have any concerns about your childs vision you can take them to an eye doctor. There are no copays or deductibles, even for visits to your doctor or prescriptions. Call 312-864-8200 / 855-444-1661 (toll-free) / 711 (TDD/TTY). Health, Safety, Welfare, Reporting and Follow-up of Incidents. Retail Locations. 2021 Cook County Health. You have six months from the date the reward is added to your CountyCare Visa Rewards Card to use the credit. CountyCare covers doctor and hospital visits, dental and vision care, prescriptions, transportation to and from doctors appointments and much more at no cost to you. Click. Now accepting the OTC Network card. CountyCare provides free dental coverage for members, including free exams and cleanings every six months. CountyCare has other in-network providers that provide telehealth counseling and psychiatry services. Search Administrative Offices Weight Watchers Voucher. The program provides free minutes for calls to CountyCare Member Services. A Reset font size. You will receive a Rewards Card in the mail and $10 will be automatically added to the card after each prenatal visit (up to 14 visits). It is shared only when needed to help plan your personalized care. Unused balances will automatically expire at the end of each benefit period or upon disenrollment from the plan so be sure to use the full amount before then. Find a Retailer. Member Entry. If you need behavioral health services, you do not need a referral when seeing a CountyCare provider. REWARD:$25 reward will be added to your card once per year . It will no longer work after January 1, 2023. Find one Provider. If a member would like to request a specialist as their PCP, they should request that the specialist complete, sign, and submit this form to CountyCare. If you dont receive your Welcome Packet, please call Member Services at 312-864-8200, 711 (TYY/TDD) or login to our Member Portal to confirm we have your correct address. Mammogram Screening Locations. Member Portal. CountyCare also covers mental health services for mothers experiencing postpartum depression. $550,000+. Hurried Care Localities. Products and services are provided exclusively by our partners, but not all offer the same plans or options. CountyCare members get no-cost access to a personalized nutrition and food program provided by Foodsmart. Your health care team includes your primary care provider (PCP), specialty providers, care coordinators, pharmacists, and most importantly, you. No. Need care away from home? COVID-19 Vaccine Information Learn See. Member Newsletters & Notices. Mon-Fri: 8:00AM 6:00PM CT . For Providers. CountyCares Clearinghouse vendor is Availity. IAMHP (IL Association of Medicaid Health Plans) - Info For Providers (Resources and Key Contacts) HFS Notices and Bulletins provide pertinent information for participating providers for medical services provided or for claims submitted for reimbursement. Locate adenine Provider. Benefits & Rewards - CountyCare Health Plan | Over-The-Counter (OTC Save money by using the allowance provided on the card. Find a Provider. They will then provide a list of transportation providers for you to call and schedule your trip. It may not be as effective for correcting your vision seeing things near or close up. A Reset font size. COVID-19 Vaccine Information Discover More. Why CountyCare - CountyCare Health Plan You will get a CountyCare Visa Rewards Card in the mail when you or your children, who are members of CountyCare, go to the doctor for certain services. Search CountyCare members who would like to use MedImpacts mail order pharmacy should follow the steps outlined here. Cook County Healthcare and Hospitals Systems Prior Authorization Guidelines, Managed Medicaid Prior Authorization Guidelines, Standard Non-Self-Administered (NSA) Prior Authorization Guidelines, Standard Commercial Prior Authorization Guidelines, Abortion services are covered by Medicaid (not CountyCare) by using your HFS Medical Card, Maternity care before, during and after childbirth, including free-standing birth center services. Urgent Care Business. Representatives are available from 7:00 a.m.-7:00 p.m. Monday-Friday, and Saturday from 8:00 a.m.-4:00 p.m. CountyCare provides pharmacy coverage for members through our vendor, MedImpact. CountyCare Members can: To learn more about all of the extra benefits andrewardsCountyCare provides for new and expecting families, visit ourBrighter Beginningspage. Health, Safety, Welfare, Reporting and Follow-up of Incidents. CountyCare will give female members ages 21 to 64 a $50 credit on her rewards card once a year for completing a cervical cancer screening from a network provider. Its Incentive & Rewards card encourages Medicaid customers to make healthy choices with reward and incentive dollars for purchases on health and wellness products. All LASIK eye surgery procedures will be performed at Cook County Health. Extra Benefits & Rewards Meet Our Providers - In Person or Virtually More than 4,500 primary care providers (PCPs), 20,000 specialists and 70 hospitals proudly accept CountyCare members. CountyCare offers access to more than 4,500 primary care providers, 20,000 specialists and 70 hospitals in Cook County. CountyCare Health Plan Click here to complete the online form. Our members also have access to behavioral health services like therapy and substance-use disorder treatment. CountyCare is a managed care health plan in Illinois. If no issues come up on your first eye exam, you will be contacted to schedule a refractive eye exam. OTC. Add cards & check your balance. To submit a Preferred Drug List exception request, please complete and submit online the Medication Request Form or fax the printed Medication Request Form to MedImpact at 1-858-790-7100. You will need a series of examinations to confirm that you are a good candidate for LASIK eye surgery. Clinical Care & Company. For direct medication reimbursements requests, please use this form. Learn more about the CountyCare Visa Rewards Card: This includes a variety of extra benefits andrewardsto help support you during pregnancy and once your baby is born. Chicago, IL 60612, 312-864-8200, 711 (TTY/TDD) When you or your children go to the doctor for certain services, CountyCare will send you a CountyCare Visa Rewards Card in the mail. Earn dollar rewards and use the card to buy home and health items at participating stores. Element Portal. As soon as an OTC card is active, customers can purchase eligible items at any of the participating retailers. There is NO limit to how many points you can earn! Sometimes mothers want to leave sooner. Sat: 9:00AM 1:00PM CT. 2021 Cook County Health. Health, Safety, Welfare, Reporting and Follow-up of Incidents. We encourage you to shop around and explore all of your options. If you are approved for the eye doctor exam, the doctor will tell you about the long-term effects of the surgery. Call the CARES line at 1-800-345-9049 (TTY: 1-773-523-4504). Find an Provider. You can find out who your care coordinator is by calling Member Services at 312-864-8200 / 855-444-1661 (toll-free) / 711 (TDD/TTY). CountyCare will give women members different 21 to 64 a $50 credit on her rewards card once a year for completing a cervical cancer shows since a network vendors. We will add more rewards as you earn them. You will need a series of examinations to confirm that you are a good candidate for LASIK eye surgery. Do Not Sell My Information. You can revoke your consent to receive emails at any time by using the Unsubscribe link, found at the bottom of every email. All members are covered for emergency dental services. Visa Rewards Card; Brighter Beginnings; LASIK; Weight Watchers Vouchers; Free Cell Phone; Foodsmart; Member Resources; Mammogram Screening Locations; . Sat: 9:00AM 1:00PM CT. 2021 Cook County Health. Can I have the surgery at my local hospital? You get rewards on your childs card for taking your baby for vaccinations before they turn 2 years old. $15,000+. Benefits & Rewards - CountyCare Health Plan - BenefitWallet debit card 1950 West Polk Street Key Contacts by Topic Area l Other Resources, Key Contacts for Providers l Report Contact Change, The member is effective with CountyCare Health Plan on the date of service, The service provided is a covered benefit under the members contract on the date of service, Referral and prior authorization processes were followed, if applicable. You can leave sooner if, after talking to you, your doctor approves your discharge and makes an outpatient appointment for you and the baby within48 hours. It can be effective in fixing your vision for distance and astigmatism. You may stay at the hospital for at least48 hoursafter a normal vaginal delivery and at least96 hoursafter a cesarean section delivery. Providers that bill electronically have the same timely filing requirements as providers filing paper claims. All contraceptive methods, including birth control devices and the fitting or insertion of the device (such as IUDs or implants). Behavioral Health Locations. With CountyCare, personalized care is always around the corner. Chicago, IL 60612, 312-864-8200, 711 (TTY/TDD) CARES or Crisis and Referral Entry Services is a telephone response service that handles mental health crisis calls for children and adults in Illinois. Urgent Care Locations. To find a new PCP or change your current one, go to the Member Portal or call Member Services at 312-864-8200. REWARD:One free book will be mailed to your home every 3 months, plus a $10 Target gift card for those ages 5-16.
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countycare reward card otc network