Medicaid : New York Family Health Plus

If you don’t have health insurance, WellCare can provide you with free or low cost healthcare through Family Health Plus, a New York State-sponsored program. WellCare’s Family Health Plus is available for adults between 19 and 64 years old who qualify. There is absolutely no cost to join.

Even if you are working, you may still be eligible for WellCare’s Family Health Plus. Check the eligibility chart to see if you qualify to receive great health benefits through this program.

Member Resources

Family Planning Benefit Program

The Family Planning Benefit Program (FPBP) is a program for New Yorkers who need family planning services, but may not be able to afford them. It is intended to increase access to family planning services and to enable individuals of childbearing age to prevent or reduce the incidence of unintentional pregnancies.Members are entitled to free Family Planning services without a referral from their PCP and even with an out of network provider (if you use your Medicaid ID Card)

Please click here for more information on the Family Planning Benefit Program (FPBP).

Pharmacy

Click here for pharmacy information

Pharmacy Forms

• Preferred Drug List
• Medicaid Cough and Cold list
• Abbott Meter Form 
• Accu-Chek Meter Form 
• Enteral Nutrition Form 
• Injectable Infusion Form 
• Drug Evaluation Form 
• Synagis Request Form 
• Appeals Form 
• DMR Form 

Mommy and Baby Booklet

Click here for information on taking care of yourself and your baby
 

Text4Baby Information

English  Español

 

Member Newsletters

• Current Downstate Provider Directory
• Current Upstate Provider Directory

 

Member Handbook

• Current Member Handbook

 

Coverage

• Coverage Determination Request
• Coverage Redetermination Request

 

Maintain good oral health

Your oral health is very important to your total well-being. In fact, oral health and overall health are more connected than you may realize. If left untreated, even minor dental problems can turn into more serious dental conditions. They can also lead to general health problems.

To keep your mouth, teeth and gums healthy, the American Dental Association (ADA) recommends these tips:

1. Brush your teeth twice a day with an ADA-accepted fluoride toothpaste.
2. Replace your toothbrush every three or four months or sooner if the bristles are frayed. A worn toothbrush won’t do a good job of cleaning your teeth.
3. Clean between teeth daily with floss or an interdental cleaner. Flossing helps remove plaque and food particles from between the teeth and under the gum line.  Decay-causing bacteria still linger between teeth where toothbrush bristles can’t reach.
4. Eat a balanced diet and limit between-meal snacks.
5. Visit your dentist regularly for cleanings and oral exams.

Take care of your mouth to be and stay healthy!

 

Click here to locate a dentist through Healthplex

Click here to access the New York State Department of Oral Health

 

Your smile says a lot about you. Need answers to a dental problem, or just want to improve your daily dental care, you'll find the information you need to keep your smile in top shape. http://www.webmd.com/oral-health/default.htm

 

Seasonal Flu

This year, members 6 months and older should get a flu shot.  This shot protects against the flu.  It can also protect you from the H1N1 virus that caused so much illness two seasons ago. One way to stay safe is to stay informed.  Visit FLU.GOV to keep up-to-date.  

 

WellCare offers flu shots to its members at no cost. You can get a flu shot at your provider’s office, a participating pharmacy or clinic.  Some participating pharmacies are:

• CVS Caremark
• Walgreens
• Rite Aid
• Kroger
• Longs Drugs
• Medicine Shoppe
• Target
 

Please call Customer Service if you need help finding a participating provider.  The number can be found on the back of your ID card.  Additional Information can be found at www.webmd.com (This is a public Internet site that has information on health care, pharmacy information, and a symptom checklist).
 

 

STD and HIV Services

The New York City Department of Health and Mental Hygiene facilities offer free and confidential STD/HIV services for non-enrolled sexual and needle-sharing partners.  Services include education, HIV testing, medical evaluation, treatment and other preventive services.

For help call the New York State HIV Counseling Hotline.  Call 1-800-872-2777 or 1-800-541-AIDS.  If you know someone who injects drugs, they can get help to quit, and take steps to reduce their risk for disease and protect others.

Help To Prevent The Spread Of Disease

Clean needles, clean works and clean skin will help lower a drug user’s chance of getting HIV, hepatitis B, hepatitis C and abscesses. These can be very serious and sometimes deadly.

1. Use new, sterile needles and syringes.
2. Never share needles, syringes, cookers, cotton, spoons, bottle caps and water. Very small amounts of blood left on works can spread HIV or hepatitis B or C. Sharing water to inject drugs has been shown to spread hepatitis C.
3. Clean skin with soapy water and alcohol swabs or rubbing alcohol before injecting.

 

Syringe exchange programs (SEP) offer new syringes for used ones:

 

AIDS Rochester Harm Reduction Program
585-442-2220
AIDS Care
607-272-4098
CitiWide Harm Reduction Program
718-292-7718
Family Services Network of New York
718-573-3358
FROST’D Syringe Exchange Program
212-924-3733
Lower East Side Harm Reduction Center
212-226-6333
New York Harm Reduction Educators, Inc.
718-842-6050 (Bronx)
212-828-8464 (Manhattan)
 

To learn more about these programs, please call 212-268-6987.  For drug stores that sell syringes without a prescription, call 1-802-541-AIDS.

 

Clinical Practice Guidelines

• Adult Preventive Health 
• Asthma 
• Cholesterol Management 
• Chronic Kidney Disease 
• Congestive Heart Failure 
• COPD 
• Diabetes in Adults 
• Hypertension 
• Lead Exposure 
• Obesity in Adults 
• Obesity in Children  
• Osteoporosis 
• Pediatric Preventive Health 
• Preconception and Perinatal Care 
 

Last modified: 01/26/2012