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WellCare

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1-866-799-5318
TTY: 711
7 a.m. to 6 p.m., Monday through Saturday
wellcare.com/NC

Wellness

  • WW® (formerly known as Weight Watchers®) 6- months of membership and one-on-one counseling with a health coach for members ages 13 and up who qualify
  • Curves Complete program with 3 months of one-on-one counseling on diet, nutrition and weight loss with a health coach for members ages 12 and up
  • Health and wellness coaches for qualified members ages 12 and up in a care management program and/or Curves or WW®
  • Up to $75 in gift or e-gift cards for members who complete Healthy Rewards activities
  • Swipe-and-Save discount card with monthly discounts for needed items like milk, bread, detergent and over-the-counter (OTC) pharmacy items for members who complete a Healthy Reward activity
  • CVS discount card with 20% discount on CVS-pharmacy brand OTC items for members and families
  • Up to $120 worth of  over-the-counter (OTC) health care items each year, mailed to member’s home with no prescription required

Youth

  • 1 sports physical per calendar year with PCP for members ages 6-18
  • 4-H Club activities costs covered for members ages 5-18, up to $10 per member yearly
  • Yearly diabetes camp for qualified members ages 8 to 17 to get resources and learn about diabetes, early symptoms and treatments
  • Free yearly Boy Scouts membership with free yearly subscription to Boys’ Life magazine for members ages 5-18
  • Free yearly Girl Scouts membership for members ages 5-18, and a free yearly adult membership to allow a parent to be troop leader and take part in activities
  • Healthy Kids Club for members ages 4-11 and their parents, caregivers, and guardians with resources on prevention of health conditions

Education

  • Steps2Success program with:
    • Up to $300 in Reading Scholarships for members who qualify in pre‐K through 12th grade, 12 sessions per year, up to 2 hours per session for any subject, for members up to age 21
    • $120 voucher for Graduate Equivalency Degree (GED) testing for members, ages 16-21

Asthma

  • 2 carpet cleaning services per year for members diagnosed with asthma or $200 reimbursement for members living in an apartment
  • Up to $100 in hypo-allergenic bedding, including mattress cases and pillowcases, per year or as medically necessary, for members with asthma
  • Vacuum cleaner with HEPA filter for members with asthma, 1 per lifetime, for members in a home or apartment with carpet
  • Qualified members get a peak flow meter to monitor and determine asthma symptoms

Pregnancy

  • Baby supplies, including stroller, playpen, car seat or 6 packs of diapers, up to $450 value, for pregnant members ages 12 and up who go to at least 1 prenatal visit in the Healthy Rewards program
  • Local community baby showers for pregnant members and/or new mothers ages 12 and up, with gifts and tips for staying healthy
  • Cost of 1 electric breast pump ($140 value) covered for every delivery for qualified members ages 12 and older who were denied a breast pump through Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)
  • Pregnant teens program with non-medical, certified birth companion, birth coach, advocate and post‐birth supporter for pregnant teen member teen members ages 13-20 who live in a group home or a home with minimal parental support
  • Yearly exam for moms disenrolled after delivering baby, as long as child is still enrolled
  • Routine circumcision procedure for members up to 6 months old
     

Phone program

  • 1 smartphone per household with 350 minutes of talk time monthly, unlimited text messaging and 3 GB of data per month
Substance Use Disorder (SUD) recovery

No extra services.

Behavioral health

  • MyStrength Therapeutics Program with free, private, online cognitive behavioral therapy (CBT) program with behavioral health tools

Alternative healing

  • Unlimited acupuncture services as medically necessary with pre-approval for members ages 21 and up

Transportation

  •  Expanded free transportation to Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) and Healthy Children and Youth (HCY) appointments, prescription pick-up, non-medical transportation, educational and childbirth classes and other covered services. Free transportation to covered services for Health Choice members. 

Parent, peer and online support

  • Support and training for qualified parents who have children with serious emotional disturbance (SED) to develop children's physical, emotional, social and intellectual skills
  • Online virtual communities tool for members and providers to discuss local events, health topics, community resources, etc.

Chiropractic care

  • Unlimited visits for members ages 21 and up for back pain and general body wellness, with pre-approval

Home-delivered meals

  • 10 meals per year for members who qualify based on medical necessity and pre-approval
Pain management

No extra services.

Vision

No extra services.

Other

Caregiver services 

  • Yearly flu vaccine for members’ household caregivers without other coverage
  • Community “Welcome Rooms” at 6 offices for caregiver respite, plus mobile pop‐ups for caregivers ages 21 and up, with temporary rest and relief from caregiving for an active Long-Term Services and Supports (LTSS) or Aged, Blind or Disabled (ABD) member
  • Pertussis vaccine (whooping cough shot) for caregivers ages 12 and up who do not have other coverage and live in household with a pregnant member
  • Individual counseling and therapy for caregivers ages 21 and up for burnout, emotional distress and depression, with PCP or treating doctor's pre-approval

Diabetes care

  • Device for members with diabetes to measure blood glucose and send alerts to member's provider and/or caregiver

Emergency Assistance

  • Community paramedic home visits, education and services beyond traditional emergency care and transport for members who qualify

Equine therapy

  • 10 free horseback riding sessions per year for members ages 6 and up with cerebral palsy or autism, with provider referral

Hearing exam

  • 1 hearing exam every 2 years and 1 hearing aid every 2 years if needed, for members ages 21 and up

Quit tobacco

  • 12-month program, including support to quit smoking, a health coach and nicotine replacement, lozenges, patches or gum, using the state's Quit Line Program