Benefits



IMPORTANT UPDATE--TEMPORARY SUSPENSION OF MCO CHOICE

AmeriHealth Caritas Iowa, Inc. is withdrawing from the IA Health Link managed care 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 accepting any additional members at this time. This also includes all new IA Health Link 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 will transition to UnitedHealthcare effective December 1, 2017. Learn more by reading the sample member letter, the Press Release and the FAQs below.   
 

FAQ for Members

FAQ for Providers

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

Membership in the Iowa Health and Wellness Plan include many benefits such as the ones outlined below:

Benefits:

  • Doctor visits
  • Women's health
  • Prescription drugs
  • Dental care
  • Preventive health services (vaccinations, blood pressure, and cancer screenings)
  • Hospitalizations
  • Emergency services
  • Mental health and substance use services

There are no costs for health services during the first year and limited costs after that based on completion of Healthy Behaviors. Read more about Healthy Behaviors.

Costs:

  • No charges for office visits, prescription drugs, preventive services, mental health services, or hospitalization.
  • Members could be required to pay $8 for using the emergency room when it is not an emergency.
  • Some members in their second year of Iowa Health and Wellness Plan eligibility may be required to pay a small monthly contribution, or premium. The payment amount will be based on member income. Members can complete Healthy Behaviors and have the contributions waived for the next eligibility year.
  • How to Read Your Iowa Health and Wellness Plan Statement  

The Iowa Health and Wellness Plan is administered by Iowa Medicaid and all members within this plan will receive their medical care through a Managed Care Organization (MCO). The IA Health Link Managed Care Handbook provides more detailed information about plan benefits and how to access services.