Jeffrey Wade
Healthy Blue is a health plan or insurance company that provides Medicaid and Medicare services in states like Missouri, North Carolina, and Louisiana. Healthy Blue members can access a range of benefits, including doctor visits, medicines, therapy, and additional no-cost extras. In Louisiana, Healthy Blue offers Medicare Advantage plans, including Dual Eligible Special Needs Plans (D-SNP) for those eligible for both Medicare and Medicaid. North Carolina's Healthy Blue introduced a Healthy Blue Medicaid Managed Care plan in 2021 and Healthy Blue + Medicare in 2021, providing clarity on the differences between the two programs.
| Characteristics | Values |
|---|---|
| Healthy Blue Missouri | Medicaid and Medicare insurance programs |
| Healthy Blue Louisiana | Medicaid and Medicare health plan |
| Healthy Blue North Carolina | Medicaid health plan |
| Healthy Blue + Medicare | Medicare Advantage health plan |
| Healthy Rewards | No-cost, optional program for Healthy Blue members |
| Healthy Blue Medicaid Managed Care plan | Implemented on July 1, 2021 |
| Healthy Blue + Medicare | Implemented on January 1, 2021 |
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What You'll Learn
Healthy Blue Missouri Medicaid and Medicare insurance programs
Healthy Blue Missouri is a Medicaid product offered by Missouri Care, Inc., a MO HealthNet Managed Care health plan that contracts with the Missouri Department of Social Services. It is administered by Missouri Care, Inc. in cooperation with Blue Cross and Blue Shield of Kansas City.
Healthy Blue serves both Medicaid and Medicare members in Missouri. Medicare plans are available for adults 65 and older or those with certain conditions. Healthy Blue also offers Medicare Advantage Dual Eligible Special Needs Plans (D-SNP), which are designed for people with both Medicare and Medicaid.
Healthy Blue Missouri provides a range of benefits, including dedicated care coordinators to help manage care, arrange transportation, and answer questions about benefits. Eligible members can also access rides to non-medical appointments, a maternity program, and rewards for completing healthy activities. There is no cost for members to renew their MO HealthNet coverage, and they will never be asked for money during the renewal process.
Healthy Blue Missouri also assists members in finding free or low-cost local services, such as housing, food, education, financial assistance, and job opportunities. Members can download the Sydney Health mobile app to access their Healthy Blue account and utilize additional features.
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Healthy Blue North Carolina Medicaid
Healthy Blue North Carolina is a health plan for Medicaid members provided by Blue Cross and Blue Shield of North Carolina (Blue Cross NC). Blue Cross NC has been helping millions of North Carolinians get and stay healthy since 1933. The Healthy Blue plan works with thousands of doctors, specialists, and hospitals throughout North Carolina. It also partners with local organizations to help members get the care and services they need.
The Healthy Blue Medicaid Managed Care plan was implemented on July 1, 2021. It is important to note that Healthy Blue is different from Healthy Blue + Medicare, which was implemented on January 1, 2021. All claims for Healthy Blue Medicaid must be filed to Availity, an independent company providing administrative support services for Healthy Blue + Medicare providers on behalf of Blue Cross NC.
The Healthy Blue Training Academy offers training and tutorials to support providers in continuing their education. Presentations, videos, and other training documentation are provided. Additionally, Healthy Blue policies, manuals, and guides provide key administrative information, including the Quality Improvement program, the Utilization Management program, quality standards for participation, claims appeals, reimbursement, and administration policies.
The behavioral health provider network for Healthy Blue members includes psychiatrists, psychologists, social workers, psychiatric nurses, and other mental health and employee assistance healthcare professionals. The facility network includes hospital inpatient units, residential treatment centers, partial hospitalization programs, and intensive outpatient services and programs.
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Healthy Blue Louisiana Medicaid
Healthy Blue Louisiana is a health plan or insurance company for Medicaid members in Louisiana. The overall Medicaid program in the state is called Healthy Louisiana. Healthy Blue Louisiana helps members get the care they need, including doctor visits, medicines, therapy, and more. The program also provides access to doctors, providers, and services to support members' emotional and mental health.
Healthy Blue Louisiana members can access doctors 24/7 through live video using LiveHealth Online. This service can be accessed via smartphone, tablet, or computer. The Sydney Health mobile app is also available for download, allowing members to log in using their Healthy Blue username and password.
In terms of pharmacy benefits, Healthy Blue Louisiana members can rest assured that their benefits and co-pays are not changing. Any prescriptions or approvals already in place will remain the same. For pharmacy and prescription-related questions, members can call 800-424-1664 (TTY 711) or visit www.lamcopbmpharmacy.com.
It is important to note that Healthy Blue Louisiana is separate from Healthy Blue + Medicare, which is a different program offered by Blue Cross and Blue Shield of North Carolina. As of January 1, 2021, Healthy Blue + Medicare was implemented, providing a distinct set of benefits for its members.
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Healthy Blue + Medicare
Healthy Blue is a health plan or insurance company for Medicaid members in North Carolina. It has been helping millions of North Carolinians get and stay healthy since 1933. Healthy Blue works with thousands of doctors, specialists, and hospitals in North Carolina and partners with local organizations to help members get the care and services they need.
As a Healthy Blue member, you are entitled to a wide range of prescription and over-the-counter (OTC) medicines, which can even be delivered to your home. You can also access doctors 24/7 through live video using LiveHealth Online. If you need LTSS, you may have a care manager on your care team, who will work with you and your doctors to ensure you get the right care when and where you need it. Healthy Blue also offers a Housing Specialist who can help you find housing options if you are leaving a nursing home and are worried about your living situation.
There are also several no-cost extras available to Healthy Blue members, including help with hotel stays after hospital visits, housing insecurity, and home repairs (up to a certain value). Members can also access a cellphone with monthly data and texts if they qualify for the Federal Lifeline program, as well as an asthma and allergy relief kit for adults and children. Healthy Blue also offers a Healthy Rewards program that encourages members to complete healthy activities, such as wellness visits and preventive screenings, by rewarding them with gift cards to popular retailers.
In addition to its Medicaid offerings, Healthy Blue also offers Medicare Advantage plans in Louisiana. These plans are available to those who qualify for both Medicare and Medicaid, providing coordinated care and additional coverage not available with Original Medicare. Depending on your Medicaid eligibility, these plans may be available at little to no cost. Healthy Blue Louisiana works with the top three hospitals in the state, ranked by U.S. News and World Report, to provide quality care to its members.
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Healthy Blue Medicare Advantage plans
Healthy Blue is a health plan offered by Blue Cross and Blue Shield of North Carolina. It provides Medicaid and Medicare insurance programs in states like North Carolina, Missouri, and Kansas.
Healthy Blue Kansas, for example, offers Dual Special Needs Plans (D-SNP), a type of Medicare Advantage plan for individuals with both Medicare and Medicaid. These plans offer benefits beyond what Original Medicare provides, often at little to no additional cost. For instance, a Healthy Blue Full Dual Advantage Plan in Kansas includes a monthly allowance for assistive devices, groceries, utilities, and over-the-counter health items, in addition to dental, vision, and prescription drug coverage.
Similarly, Healthy Blue Missouri offers Medicaid and Medicare insurance programs, allowing individuals to choose Healthy Blue as their health plan provider. While specific plan details may vary by state, Healthy Blue plans generally emphasize providing access to care and services that promote and maintain health.
In North Carolina, Healthy Blue works with a vast network of doctors, specialists, and hospitals, partnering with local organizations to facilitate access to necessary care and services. The plan also offers LiveHealth Online, which allows members to consult a doctor via video chat from the convenience of their homes. This feature is particularly useful for late-night or circumstances where one cannot physically visit the doctor's office.
Healthy Blue plans are tailored to meet the specific needs of their members, as evidenced by the availability of licensed clinicians for mental and emotional health support. Overall, the goal of Healthy Blue Medicare Advantage plans is to provide comprehensive healthcare coverage, ensuring that members can access the care they need to stay healthy.
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Frequently asked questions
Healthy Blue is a health plan or insurance company for Medicaid and Medicare.
Healthy Blue Medicaid is a health plan for Medicaid members, whereas Healthy Blue Medicare is a health plan for those enrolled in Medicare.
Healthy Blue Medicaid members can access a range of benefits, including prescription and over-the-counter medicines, doctor visits, and additional no-cost extras such as housing support and asthma and allergy relief kits.
Healthy Blue Medicare Advantage plans offer coordinated care and additional coverage not available with Original Medicare. Members may also receive a prepaid card to pay for approved groceries and utilities, as well as transportation services.
