HealthChoice benefits

 

 

 

 

 

As a Wellpoint member, you get the following benefits—with no costs or copays, except for some prescription and over-the-counter (OTC) drugs.

Medical care

  • Visits with a primary care provider (PCP) you choose
  • Visits to specialist providers (with a referral from your PCP)
  • Hospital care
  • Lab and X-ray services
  • Urgent care
  • Emergency care
  • Preventive care
  • Pregnancy services
  • Family planning
  • Medical supplies
  • Home health services

 

Find care 

Vision care

Members under age 21

  • Annual eye exam
  • Glasses — every year or
  • Contact lens allowance — every year

 

Adults age 21 and older

  • Annual eye exam
  • Glasses — every two years or
  • Contact lens allowance — every two years

 

Find an eye doctor 

Prescription medicine

Your benefits include a wide range of prescription and over-the-counter drugs. We work with CarelonRx to provide these benefits. Your copay for prescriptions is $3 for brand-name drugs. There’s no copay for generic drugs. Members under age 21 and those who are pregnant do not have a copay.

 

Learn about pharmacy benefits 

Find dental care

Members under age 21 and those who are pregnant

  • Dental care through the Maryland Healthy Smiles program

 

Adults age 21 and older

  • Oral exams and cleanings — twice a year
  • Dental X-rays, extractions and fillings
  • 20-percent discount on all other dental services (up to $750/year)

 

Find a dentist 

Healthy kids services for children

Checkups and health services for members under age 21 including:

  • Well-child checkups
  • Immunizations (shots)
  • Developmental screenings

 

Find care 

Cellphone with texts, data, and calls

We work with SafeLink Wireless® to offer Wellpoint members this special federal Lifeline program. If you qualify, you can get a free smartphone with unlimited texts and monthly data and minutes.

 

Visit SafeLink to apply 

Rides to appointments

No-cost rides to your healthcare visits if you don’t have a way to get there

 

Request a ride 

Behavioral healthcare

Behavioral health and substance use disorder services

 

Find a provider 

24-hour Nurse HelpLine

24-hour phone advice from a registered nurse

 

Call 833-707-0867 (TTY 711)

Case management

 

Wellpoint has case managers who support coordinating healthcare services for people with certain health conditions or special needs. If you need case management services, we will refer you to a case manager. Your case manager will work with you and your primary care provider (PCP) to set up a plan of care for your condition. You will also learn steps you can take to care for yourself. Case management services are for:

 

  • Children with special healthcare needs
  • People who are pregnant and for postpartum care
  • People with HIV/AIDS
  • Those who are homeless
  • People with physical or developmental disabilities
  • Children in state-supervised care

 

To learn more about case management, call Member Services at 833-707-0867 (TTY 711).

 

Contact Member Services 

Home health with Alegis Care


Some health issues can make it hard to go to the doctor’s office. Certain Wellpoint members can get Alegis Care services from the comfort of their home, such as:

  • Yearly health exams
  • Diabetes screenings
  • Child lead screenings
  • Postpartum care follow-up

You may have gotten a letter in the mail or received a call or text telling you about home health visits with Alegis Care. 

 

Call Wellpoint at 410-981-4000, ext. 106-125-2140, to learn more about home health care.

Member handbook

 

Your member handbook is your go-to-guide for health services. Read it to find out about:

  • How to use your benefits
  • How to choose a primary care provider
  • How to get help if your doctor’s office is closed
  • How to reach Member Services if you have questions
  • Your rights and responsibilities as a Wellpoint member

Need a member handbook mailed to you?

  • Let a Member Services representative know via Live Chat 
  • Ready to enroll? Need to renew?

 

Enroll 

Renew 

Download our Sydney Health app

Let's make healthy happen. Available for iOS and Android devices.