The Benefits

All Healthy Kids Programs encourage the use of preventive care services and offer a broad range of benefits based on medical need. A summary of benefits follows. This is not a complete list of every service covered. If you are not enrolled and would like more information about covered benefits, please call us toll-free at 1-877-464-2447.

Summary of Health Benefits

• Physician Services
• Office visits & specialist visits
• Well child checkups & physical exams
• Immunizations
• Prescription Drugs
• Emergency Room
• Inpatient Hospital Services
• Outpatient Services
• Lab, X-Ray and other services
• Home Health Services
• Physical, Speech and Occupational Therapy
• Outpatient and Inpatient Mental Health Care
• Eyeglasses (Limited Selection of Frames)
• Hearing Aids
• Early Intervention Services

Summary of Dental Benefits

• Regular Dental Check-ups
• Cleaning and Fluoride Treatments
• X-Rays
• Sealants
• Fillings
• Simple Extractions
• Extensive services such as oral surgery, crowns and braces are covered by Healthy Kids Gold only, with prior approval.

Questions about covered benefits?

For families enrolled in Healthy Kids Gold, call 1-800-852-3345, press 1 and extension 4344.

For families enrolled in Healthy Kids Silver or the Buy-In program, click here for ways to obtain more information about benefits.

All services are based on medical necessity.  Limits on the number of visits or coverage may apply.