[Skip to Content]

Medicaid

No-cost insurance for you and your family. Medicaid and LaCHIP benefits to help you get the physical, mental, and substance use treatment services you need to get and stay healthy.

Choose UsRenew

What you get with Medicaid

free doctor visits
free annual eye exam
low cost prescriptions $0-$3
  • Over 13,000 doctors and providers to choose from
  • Visits with a PCP you choose
  • Access to specialist providers from a wide variety of medical specialties
  • Urgent care
  • Emergency care

There are no copays for any covered medical services. For a complete list of services and benefits, see your member handbook.

Our 24/7 NurseLine

Fast, free medical advice from a registered nurse anytime, day or night, to get answers to your health questions. Our team is here to help you get the care you need. Call us at 1-866-864-2544 (TTY 711). Our team of registered nurses can help you:

  • Get answers to your medical questions
  • Find a doctor or urgent care center near you
  • Determine how soon you need to get care for an illness or injury

Free adult dental benefits through DentaQuest

  • Oral exam every six months
  • X-rays once a year
  • Teeth cleaning every six months
  • Tooth extraction and fillings (limits apply)

These services are covered when you use an approved dental care provider. To make an appointment, find a dentist near you or have a question about service limits, visit DentaQuest's website or call 1-844-234-9835 (TTY 1-800-466-7566).

Medicaid Dental Program - Members younger than 21 and adult denture program

Dental Services for Members younger than age 21 and adult members who receive dentures through Medicaid dental program. For details on how to access dental services, visit the websites or call:

DentaQuest EPSDT dental services
Ages 0 - 20
Adult denture program 21 and older
1-800-685-0143 (TTY 800-466-7566) Monday through Friday from 7 a.m. to 7 p.m.
www.DentaQuest.com

MCNA Dental
EPSDT dental services
Ages 0 - 20
Adult denture program 21 and older
1- 855-702-6262 (TTY 800-955-8771) Monday through Friday from 7 a.m. to 7 p.m.
www.mcnala.net

  • Eye exam once a year
  • Glasses (frames and lenses) once every two years
  • $40 allowance toward the cost of nonstandard glasses once a year

These services are covered when you use an approved eye care provider. To make an appointment or find an eye doctor near you, call Superior Vision at 1-800-787-3157 (TTY 1-800-735-2258).

Prescriptions, over-the-counter medicines and now even bug spray

IngenioRx provides our pharmacy benefit to full Medicaid members. When you need to fill your prescriptions, you must go to a pharmacy that works with Healthy Blue.

Members who only receive behavioral health services through Healthy Blue will get their pharmacy benefits through Louisiana Medicaid Pharmacy Fee For Service Program. Call 1-800-437-9101 for more information.

Learn more

Being healthy is about more than just your body, so our benefits help you with your emotional and mental health, too. This includes mental health and substance use treatment services.

Learn more
  • Free Weight Watchers® meetings: Qualified members age 18 and older can learn how to live healthier lives.
  • Portable crib or infant car seat for completing prenatal screenings
  • Free membership to local Boys & Girls Clubs
  • A Family Planning Kit, including a digital pregnancy test, condoms and important pregnancy-related information
  • And more!

Please note: Members who only get behavioral health services through Healthy Blue are not eligible for all extra services. Learn more about mental health and substance use services.

Limitations and restrictions apply. Benefits may change.

You can redeem some benefits online through your secure account. View the extra benefits you’re eligible for on the Benefit Reward Hub or call Member Services at 1-844-521-6941 (TTY 711).

Log in to get started today!

Log in

We put tools and technologies in your hands to make it easier to access care and services. Your Care Plan is a tool for Healthy Blue members getting case management services. It helps you:

  • Stay connected with your case manager
  • Get your care coordinator’s phone number and email address
  • Send secure messages about diagnoses, goals, medicines, services and more
  • View your goals and objectives
  • Check due dates and status for goals and objectives
Learn more

Is Medicaid right for you?

Medicaid

In Louisiana, you are eligible for Medicaid if you:

  • Receive Supplemental Security Income (SSI).
  • Receive financial help from the office of family support (OFS) through the family independence temporary assistance program (FITAP).

You may also be eligible for Medicaid if you:

  • Are disabled according to the Social Security Administration’s definition.
  • Have corrected vision no better than 20/200.
  • Are a low-income parent of children under age 19.
  • Are a child under age 19.
  • Are pregnant.
  • Have no insurance and need treatment for breast or cervical cancer.
  • Receive Medicare coverage and are low-income.

Children’s Medicaid option

Children younger than 19 who may not be eligible for Medicaid may qualify for the children’s Medicaid option if they meet these eligibility requirements:

  • Have a disability (severe physical or mental limitations which lasts at least one year, or results in end of life)
  • Meet the level of care given at a nursing home, a hospital, or an intermediate care facility for people with intellectual disabilities
  • Can be cared for safely at home
  • Can be cared for at home for less cost than in an institution
  • Review all eligibility options

    Medicaid Expansion

    You may be eligible if you:

    • Are between 19 and 64 years old
    • Meet citizenship requirements
    • Don’t already qualify for Medicaid or Medicare
    • Make less than 138% of the federal poverty level
    Learn more about Medicaid expansion

    Get the most out of your health care

    mom with newborn

    New to Healthy Blue?

    As a new member, we know you have questions. We also know you’re short on time! Learn the basics about your health plan in these videos.

    View videos

    Key member resources

    Earn money by taking care of yourself

    Healthy Blue covers extra benefits eligible members cannot get from fee-for-service Medicaid. These extra benefits are called value-added services. We offer the following:

    • Free adult dental care for members over age 21
      • Dental exams and cleanings (twice a year)
      • X-rays once a year
      • Tooth extraction and fillings

        To make an appointment or find a dentist near you, call DentaQuest at 844-234- 9835 (TTY 800-466-7566) or MCNA Dental at 855-702-6262.

    • Free adult vision care
      • Eye exam once a year
      • Glasses (frames and lenses) once every two years

        To make an appointment or find an eye doctor near you, call Superior Vision at 800-787-3157 (TTY 800-735-2258).

    Healthy Rewards — dollars put onto a gift card when you go to doctor visits and screenings:

    • $20 incentive for well-child visits from birth through age 15 months up to $120 for six visits
    • $25 incentive for well-child visits for ages 16 months to 30 months up to $50 for two visits
    • $25 incentive for yearly well-child visits for ages 30 months to 9 years
    • $25 incentive for yearly adolescent well visits for ages 10-20 years
    • $15 for yearly adult-wellness visits
    • $25 for diabetic HgA1c screening
    • $25 for diabetic nephropathy screening
    • $25 for diabetic eye exam
    • $10 for quarterly high blood pressure medication pharmacy fills (up to $40 per year)
    • $25 for provider follow-up after behavioral health hospitalization (up to $75 per year)
    • $10 for sexually transmitted infection screening
    • $25 for getting a flu shot
    • $25 for 17P therapy for pregnant members at risk for pre-term birth based on OBGYN’S recommendations

    Sign up today. Call 888-990-8681 (TTY 711) or visit the Benefit Reward Hub at myhealthybluela.com to enroll.

    Programs and incentives for pregnant women and new moms:

    • $25 for pregnant members and new moms with our New Baby, New LifeSM program who go to a prenatal visit in their first trimester or within the first 42 days of enrollment
    • $50 for new moms for going to their postpartum visit 7-84 days after delivery
    • Free portable crib or infant car seat for going to seven or more prenatal doctor visits
    • My Advocate® — a program for eligible pregnant members to get tips on how to have a healthy pregnancy. Eligible new moms will also get tips on caring for her new baby.
    • In-home postpartum visits for new moms unable to get to the doctor’s office
    • Family planning kit to help you have a healthy pregnancy when you’re ready. Kit includes condoms, pregnancy test, and more.
    • Circumcisions for boys
    • Breastfeeding support kit
    • Booster seat for completing all well visits from birth to 6 years

    Healthy lifestyle and weight management programs:

    • Booster seat after completing required well-child visits
    • Free Boys & Girls Club membership for eligible members ages 6-18
    • Free WW®* (formerly known as Weight Watchers®*) meetings for eligible members age 18 and older
    • Healthy Families — a program to help families get fit and stay healthy

    Community outreach and support — helping you access care and services beyond what is traditionally covered by the plan.

    • Outreach events in the community at set times
      • Free community back-to-school drives
      • Free community baby showers
      • Community health educators
      • Community diaper drives
    • A free cellphone with free monthly minutes, data and text messages
    • Low copays for over-the-counter medicine with a prescription from a doctor
    • 24/7 NurseLine to answer your health questions day or night
    • Up to eight hours of respite services each month for caregivers

    Online resources:

    • Community Resource Link: Need help finding housing, rides, work, or more?
      Community Resource Link is a site where you can search for free or low-cost local services. This easy to use search tool can help you find services and resources in your area. You just have to enter your ZIP code and select the type of service you’re looking for. It’s that easy! To learn more, visit myhealthybluela.com and select Community Resources or call 844-521-6941 (TTY 711).

    We give you these benefits to help keep you healthy.

    * Weight Watchers is the registered trademark of Weight Watchers International, Inc.

    Get rides to your appointments!

    You can get rides to your doctor’s office, pharmacy and other providers of covered services.

    Learn more about getting a ride

    When you need a referral or preapproval

    For some services, you’ll need a referral from your primary care provider (PCP) before getting care. Other services and benefits require preapproval. This means that your provider and/or you must ask Healthy Blue to approve those services or benefits before you get them.

    Learn more about referrals and preapprovals