What states does AmeriHealth cover?

Asked by: Magdalen Pfeffer I  |  Last update: February 11, 2022
Score: 5/5 (33 votes)

Our National Footprint
  • Pennsylvania. AmeriHealth Caritas. Corporate. ...
  • Florida. AmeriHealth Caritas Florida. Medicaid Managed Care Plan. ...
  • Minnesota. PerformRx. Pharmacy Benefits Management. ...
  • New Hampshire. AmeriHealth Caritas New Hampshire. Medicaid Managed Care Plan. ...
  • North Carolina. AmeriHealth Caritas Next.

How many states is AmeriHealth Caritas in?

Operating in 12 states and the District of Columbia, AmeriHealth Caritas serves approximately 5 million Medicaid, Medicare, Children's Health Insurance Program (CHIP), and Health Insurance Marketplace® members through its integrated managed care products, pharmaceutical benefit management and specialty pharmacy ...

Is AmeriHealth in Texas?

Join AmeriHealth Caritas Texas

Contact us by phone at 1-844-399-0471 if you have any questions.

Is AmeriHealth in Florida?

AmeriHealth Caritas Florida operates as a Medicaid managed care plan through Florida's Statewide Medicaid Managed Care (SMMC) program. ... AmeriHealth Caritas Florida has earned the Commendable Health Plan Accreditation status from the National Committee for Quality Assurance (NCQA) for 2019– 2020.

Is AmeriHealth in California?

AmeriHealth Caritas California

It is our goal to qualify for the Medicaid Two-Plan model in San Joaquin, Stanislaus, Los Angeles, and Kern counties, and the Geographic Managed Care (GMC) model in Sacramento and San Diego.

What Does Amerihealth Caritas Cover?

29 related questions found

What insurance is AmeriHealth?

AmeriHealth Caritas | Medicaid, CHIP, and Medicare Plans. COVID-19: During the coronavirus outbreak, we support our members, providers, and partners in their work to stay healthy, deliver responsible care, and plan for vaccine access. Learn more about our efforts.

Is AmeriHealth the same as Medicaid?

AmeriHealth Caritas and its affiliates comprise the largest family of Medicaid managed care plans in the United States.

Is AmeriHealth in New York?

NY Allergy & Sinus Centers accepts AmeriHealth of NY. AmeriHealth offers HMO and PPO plans. Contact AmeriHealth of NY Member Services by calling the number on the back of your insurance card to verify your benefits and coverage. ...

Is AmeriHealth part of Blue Cross?

Independence Blue Cross announced a $170 million deal to buy out Mercy Health Plan's 50% stake in the AmeriHealth Mercy Family of Cos., one of the country's largest Medicaid managed-care providers. ... It counts more than 4 million members in Medicaid, Medicare and state children's insurance programs.

Does AmeriHealth cover eyeglasses?

The AmeriHealth $35 HMO/POS Vision Rider program, administered by Davis Vision, offers members corrective eyewear, including eyeglasses or contact lenses. ... Paid-in-full benefits for eyeglasses with standard lenses are possible when you choose from a select grouping known as the Davis Collection of Frames.

Is AmeriHealth a Medicare?

AmeriHealth has a Medicare Advantage Plan (Medicare Part C) branded as AmeriHealth 65 Preferred that provides medical-only coverage or a medical and prescription drug benefit.

How do I contact AmeriHealth?

Behavioral health managed care
  1. Capital area (Cumberland‑Perry, Dauphin, Lancaster, and Lebanon counties) Member Services: 1‑888‑722‑8646 (TTY/TDD: 1‑800‑654‑5984 or PA Relay 711)
  2. Consumer and Family Affairs: 1‑717‑671‑6541.
  3. Franklin‑Fulton Member Services: 1‑866‑773‑7917 (TTY/TDD: 1‑800‑654‑5984 or PA Relay 711)

How many members does AmeriHealth have?

Today, we serve approximately 5 million members in 12 states and the District of Columbia with: Quality, award-winning managed care health plans, including Medicaid, Medicare, long-term services and supports (LTSS), behavioral health, and pharmacy benefit management services.

Is AmeriHealth Caritas for profit?

Service is our passion

The Partnership is a 501(c)(3) nonprofit organization whose philanthropic mission is to promote and advance health equity nationwide.

Is AmeriHealth a PPO or HMO?

In its product portfolio, AmeriHealth offers an HMO; a Preferred Provider Organization (PPO); traditional coverage; a Medicare risk program for the senior market; AmeriHealth Mercy Health Plan for Medicaid recipients and a third party administration plan, AmeriHealth Administrators.

Is AmeriHealth part of Highmark?

AmeriHealth migrated X12 transactions from its current gateway to the gateway managed and maintained by Highmark, Inc., formerly referred to as Highmark Health Services (“Highmark Gateway”).

How can I tell what doctors are in my network?

Call your doctor's office and ask for your doctor's specific tax ID number. Call your insurance carrier at their general line and give them the specific name of your plan and your doctor's tax ID number. They'll be able to tell you whether or not your doctor is in-network.

What insurances are part of MultiPlan?

What insurances are under MultiPlan?
  • Private and Employer-Sponsored Health Plans.
  • Medicaid.
  • Medicare Advantage.
  • Workers' Compensation.
  • Auto Medical.

What is AmeriHealth local Value Network?

The AmeriHealth New Jersey Local Value Network offers individuals and employers a more affordable option. After our recent expansion, our Local Value Network has more than a 90% overlap with the broader Regional Preferred Network. The below hospitals are part of our Local Value Network.

What's the difference between Medicaid and Medicare?

Medicare is a federal program that provides health coverage if you are 65+ or under 65 and have a disability, no matter your income. Medicaid is a state and federal program that provides health coverage if you have a very low income. ... They will work together to provide you with health coverage and lower your costs.

Who is Medicare through?

The Centers for Medicare & Medicaid Services (CMS) is the federal agency that runs Medicare. The program is funded in part by Social Security and Medicare taxes you pay on your income, in part through premiums that people with Medicare pay, and in part by the federal budget.

Does AmeriHealth cover birth control?

Beginning in early 2016, AmeriHealth Caritas District of Columbia (DC) authorized participating pharmacies to dispense up to12 months of a prescription at one time for contraceptives.