Benefits


IMPORTANT UPDATE - TEMPORARY SUSPENSION OF MCO CHOICE

AmeriHealth Caritas Iowa, Inc. withdrew from the hawk-i program effective November 30, 2017. AmeriHealth Caritas members have been assigned to UnitedHealthcare. The department has put in place a temporary suspension of Managed Care Organization (MCO) choice.

Previously the Department notified members they would be able to choose Amerigroup Iowa. Due to concerns with capacity, Amerigroup Iowa is not currently accepting any additional members. In the future members will be able to choose from multiple MCOs. Members will be notified when that choice is available. 

AmeriHealth Caritas' members were transitioned to UnitedHealthcare effective December 1, 2017. Learn more by reading the sample member letter.

For more information, read the Press Release and the hawk-i FAQ.

Updated information will be posted as it is available. Please check back regularly.

 

If your child qualifies for hawk-i health insurance program, your child will get all the benefits of his or her health care services through one of three managed care organizations (MCOs) that you get to choose. The hawk-i program includes three health plans for members to choose from.  The three MCOs that you may choose for your child’s health plan include:

  • Amerigroup Iowa, Inc.
  • AmeriHealth Caritas Iowa, Inc.
  • UnitedHealthcare Plan of the River Valley, Inc.
Summary of Core Benefits 
  • Doctor visits 
  • Primary Care Provider (PCP)
  • Specialists 
  • Immunizations (shots)
  • Check-ups 
  • Hospital Care 
  • Surgery 
  • Emergencies 
  • Non-Emergency use of the ER
  • Out-of-network Coverage
  • Eye exams 
  • Eye glasses & contact lenses 
  • Prescriptions 
  • Mental Health Services
  • Substance Use Disorder
Some Additional Benefits
  • Healthy Families Program
  • Boys and Girls Club Membership 
  • Focus on Fitness Program 
  • TeleHealth Services and TeleMonitoring Program 
  • Health Wellness and Education Programs
  • Non Emergent Transportation

This is only a summary of the benefits covered by the managed care organizations (MCO) that participate in the hawk-i Program. Please see the MCO Summary of Benefits Information Sheet.