Getting Started With Commonwealth Coordinated Care Plus
Getting startedwith CommonwealthCoordinated Care Pluswww.anthem.com/vamedicaid1-855-323-4687 (TTY 711)AVA-MEM-1863-20
Welcome to yourAnthem HealthKeepers PlusCommonwealth Coordinated CarePlus (Anthem CCC Plus) plan.We’re glad you’re our member. This interactive booklet will helpyou learn how to use your health plan for your CommonwealthCoordinated Care Plus (CCC Plus) benefits and services. Use thetable of contents below and underlined links to take you whereyou need to go. Be sure to look for any buttons which may offerextra information to help you get started. For more details, checkyour member handbook.CCC Plus is a Medicaid-only plan and is a Commonwealth ofVirginia health program. If you have Medicare, your Medicareplan will not be impacted or changed.For Medicare questions, call 1-855-548-2647.ContentsGetting started . 2Going to the doctor. 2Your care coordinator . 4Your medicines . 5Getting care. 6Programs and benefits . 7Medicare and Medicaid. 9Get a ride with us. .12Reporting your changes.13Renewing your benefits.13Your resources .15Important phone numbers.17
}}}Look for your Anthem CCC Plus member ID card in themail. You’ll use it to go to the doctor, get prescriptionsand in case of an emergency.Go to www.anthem.com/vamedicaid to register for yoursecure online account, find doctors in our plan and readyour member handbook. We can send you a copy of yourmember handbook by mail free of charge.Complete your health screener. It’s a short questionnairethat helps us determine how we can best get you the careyou need.Carry all of your ID cards with youIf you have Medicare, be sure to carry your Medicare ID card,too. That’s the card you’ll use for doctor and hospital visits.Your CCC Plus ID card will be used for the benefits yourMedicare plan doesn’t cover.Getting started Going to the doctorGetting startedGoing to the doctorYour primary care provider (PCP) is listed on your ID card.This is your main doctor who will help you get regularmedical care. Remember to set up a visit soon after signingup with us. To find, choose or change your PCP:} Go online to www.anthem.com/vamedicaid and use ourFind a Doctor tool or provider directory to find doctorsand specialists near you.}Call us at 1-855-323-4687 (TTY 711).If you have Medicare, you’ll choose your PCP from yourMedicare plan. Your PCP will appear on your Medicare IDcard. Be sure to let us know who you choose so we cancoordinate with your Medicare doctors.Home 2
Tell us about your healthAs a new member, your care coordinator will help youfill out a health assessment. It’s a questionnaire thatwill help us connect you to care and doctors that fityour needs.3 Home
As a new member, you’ll be assigned a care coordinator towork with you to help you get care and services you need.Your care coordinator will:Offer support and resources to help you get thecare you need.Your care coordinatorYour care coordinatorHelp you get prescriptions filled and orderover-the-counter drugs.Schedule doctor visits and help youget a ride there.Design a care plan just for you and update itif your needs or preferences change.Have questions?We’re a call away.Can’t get in touch with your care coordinator or havequestions after hours? Just call us at 1-855-323-4687(TTY 711), and select option 4 to connect to the24/7 Care Coordination Line.Care coordinator name:Care coordinator phone number:Home 4
Your medicinesYou get covered over-the-counter and prescription drugs atno cost. You’ll just need to use pharmacies in our plan. ThePreferred Drug List (PDL) is a list of drugs doctors use toprescribe your medicines. If you need a drug that is not onour PDL, it may be on our formulary — the list of all the drugswe will pay for. You may need to get prior approval from us forsome drugs.To find out if a drug is on our PDL or formulary:Visit mss.anthem.com/va/benefits/pharmacy-benefits.Call Pharmacy Member Services at1-833-235-2027 (TTY 711).To find drug stores in our plan, use our Find a Doctor tool. Formore information, be sure to read your member handbook.5 Home
Your medicines Getting careGetting careKnow where to go: emergency room versus urgent careUrgent careEmergency roomUsed to treat situations thataren’t life-threateningUsed for truemedical emergenciesDoctors and nurses usuallyhave access to X-rays andlabs onsiteHandle trauma,X-rays, surgicalprocedures and otherlife-threatening situationsMost are open late at night,on weekends, holidays — andwithout the long wait of the EROpen 24/7, but often withlong waits depending onmedical priorityVisit an urgent care for:} Throwing up, diarrheaand stomach pain} Minor burns and cuts} Flu and cold} Coughs and sore throatCall 911 or go tothe nearest hospitalemergency room (ER) for:} Chest pain} Trouble breathing} Severe bleeding} Bad burns} Loss of consciousnessTalk to a nurse 24 hours a day,seven days a week, even on holidays.If you’re not sure if you’re having anemergency, call the 24/7 NurseLine at1-855-323-4687 (TTY 711). The nurse will help answer yourquestions and get you the care you need.Go online to www.anthem.com/vamedicaid and useour Find a Doctor tool to find urgent care centers wework with. Knowing where to go is important.Home 6
Programs and benefitsWith us, you get all your regular benefits, plus some extras. For afull list of your benefits, be sure to check your member handbookor go online to www.anthem.com/vamedicaid.Regular benefits:Many doctors, hospitals and specialiststo choose from near youPrescription and over-the-counter medicinesHome health or nursing facility servicesRides to appointments and drugstores24/7 NurseLine to talk with registered nursesVision care and dental services formembers under 217 Home
}}}}}}}}}}Adult hearing — one exam, 1,000 for hearing aids and60 batteries per yearPreventive dental care for members over 21*Annual eye exam and 100 for glasses (lenses andframes) every year for members over 21Meals delivered to your home after a hospital ornursing facility stay — one meal each day for seven days 50 worth of assistive devices or walker/wheelchairaccessories mailed right to your door — call MemberServices to orderHealthy Rewards gift card, with up to 50 forcompleting each activitySmartphone with monthly data, minutes and textsCoupon book with over 1,000 in savings tolocal storesAir purifier (prior approval required)Online tools like Anthem Community Resource Link,online peer support and our Anthem Medicaidmobile app to make keeping track of your benefits thatmuch easierFind out more at mss.anthem.com/va/benefits/ccc-plus-medicaid.html, under Extra benefits you canreally use.If you’re under 21, you get dental,vision and hearing services as part ofyour regular benefits. To learn moreabout dental services for children, callSmiles For Children at 1-888-912-3456.Home 8Programs and benefitsExtra benefits, just for you:} Rides to health and wellness activities near you.Please refer to page 6 for more inf
Commonwealth Coordinated Care Plus (Anthem CCC Plus) plan. We’re glad you’re our member. This interactive booklet will help you learn how to use your health plan for your Commonwealth Coordinated Care Plus (CCC Plus) benefits and services. Use the table of contents bel
Commonwealth Coordinated Care Plus (CCC Plus) Welcome to UnitedHealthcare Community Plan Thank you for being a Member of UnitedHealthcare Community Plan, a Commonwealth Coordinated Care Plus (CCC Plus)
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Commonwealth Coordinated Care Plus (CCC Plus) is Virginia’s mandatory Medicaid MLTSS program that was implemented in August 2017. CCC Plus is the successor to the Commonwealth Coordinated Care (CCC) program, Virginia’s voluntary program launched in 2014. Me
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