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Home > Health Care Plus
 
Health Care Plus
Q: When do I receive my membership card?
A: After you enroll, we'll send you a welcome letter. Your Health Plus Membership Card should arrive within 14 days. Your card has your PCP's (primary care provider's) name and phone number. If it's wrong, call us right away. Carry your Health Plus Membership Card at all times and show it each time you go for care. If you need care before the card comes, your welcome letter is proof that you are a member.

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Q: What happens to my Medicaid card?
A: You must keep your Medicaid Card to receive services not covered under Health Plus, such as prescriptions and some outpatient substance abuse services.

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Q: How do I get started?
A: Health Plus offers monthly informational gatherings for members in Brooklyn, Bronx, Manhattan, Queens, and Staten Island. You can join us to learn more about how to get health care and services provided by Health Plus. If you are interested in joining us, call Health Plus at (800) 300-8181 for the location and time.

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Q: Whom do I call if I have a question or problem?
A: Call our Member Services Office at (800) 300-8181, Monday through Friday, from 8am to 8pm, Saturdays from 9am-5pm, and Sundays, 12noon to 4pm, if you have any problem, or questions about the plan.

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Q: What do I do in an emergency?
A: If you have an urgent medical need or questions, call our 24-hour Medical Hotline at (800) 437-7587. In case of a life-threatening emergency, call 911 or go to the nearest hospital emergency room.  If you have an urgent need for Mental Health, Alcohol or Substance Abuse Services, call our Behavioral Health Hotline at (866) 223-9500.

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Q: How do I receive urgent care?
A: Call your Primary Care Doctor for instructions how to receive urgent care. The number is listed on your Health Plus Membership Card.

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Q: How do I receive routine care?
A: Call your Primary Care Doctor for an appointment for routine medical care. For a first visit for Mental Health, Alcohol and Substance Abuse services, you can go directly to any provider in our network.  If you need help finding a Mental Health, Alcohol or Substance Abuse provider, call Member Services at (800) 300-8181.  The Behavioral Health Hotline, at (866) 223-9500, can also help you find a provider and make and appointment.

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Q: What if I need to see a specialist?
A: Your Primary Care Physician will refer you to a specialist in the Health Plus network.  If you need specialist services that are not available from a Health Plus provider, your physician will refer you to a non-participating specialist.  In this case, our Health Services Office will call you to inform you of the date, time, and location of your appointment.

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Q: How do I get prescriptions filled?
A: Health Care Plus does not cover prescriptions. However, you can use your Medicaid card to get prescription drugs, over-the-counter drugs, and medical supplies that are prescribed by a doctor and covered by Medicaid.

You must get your medicine at a Medicaid participating pharmacy.

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Q: What if I join and then decided I want to leave the plan?
A: You have 90 days to decide if your new health plan will meet your family's need. You can change health plans at any time during the 90-day trial period. After the 90 days, you must stay with your health plan for the next nine months except for good cause.

If you have any questions, please call the Health Plus Member Services Department at (800) 300-8181 and a representative will assist you.

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