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Putting You and Your Family First.

Are you eligible for Medicaid? Get Healthy Choice through WellCare. It is a New York state-sponsored health care program. It covers you and your family. There is no cost to join. There are no charges for many services. (Co-pays apply for pharmacy benefits.) You can choose from many of WellCare's private doctors. Healthy Choice offers many other great benefits.

Make the Right Choice.

If you do not choose a health care plan, the state of New York may automatically select one for you. Act now to make your own choice about which doctor and health plan are right for you. As a new WellCare member, you are guaranteed one year of coverage. You have 90 days from the effective date of enrollment to decide if WellCare is right for you. If you do not leave in the first 90 days, you will have to stay with WellCare for nine more months.

Call Customer Service to answer any questions you have at 1-800-288-5441 (TTY 711).

Healthy Choice Plan Documents

Your Member Handbook explains your plan coverage in detail. It includes important information about your benefits, your rights, and key contact addresses and phone numbers.

2020 Member Handbook Insert: Changes to your maximum co-payment amount

2020 Member Handbook Insert: New National Diabetes Prevention Program (NDPP) Services

2020 Member Handbook Insert: WellCare Healthy Choice now covers more Children and Family Treatment and Support Services (CFTSS)

2020 Member Handbook Insert: Changes to your maximum pharmacy co-payment amount

If you are unable to get pregnant, WellCare Healthy Choice covers services that may help.

Healthy Choice Appeals and Prior Authorization Request Documents

Fill out and submit this form to request prior authorization (PA) for your Medicaid prescriptions.

Please use this form to request coverage of a drug that we would not usually cover or would restrict in some way.

Fill out and submit this form to request an appeal for your Medicaid medications.

Helpful Healthy Choice Information

Nurse Advice Line

You can call our 24-Hour Nurse Advice Line for free. The number is 1-800-919-8807.

24-Hour Behavioral Health Crisis Line

Our 24-Hour Behavioral Health Crisis Line is 1-855-582-6265. If you or a family member is having a behavioral health crisis, call this number. A trained person will listen to your problem. He or she will help you decide the best way to handle it.

Need More Help?

Here are some additional, outside resources that may be able to assist:

Crisis Intervention

In the event of a crisis, members should contact our Behavioral Health Crisis Hotline: 1-855-582-6265.

Need Information?

Call: 1-800-288-5441

TTY (All Plans) Call: 1-877-247-6272


Need help? We're here for you.

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Last Updated On: 4/20/2021