Extra Benefits
Value-added Services — Health Programs
A variety of extra benefits and programs are available to AmeriHealth Caritas North Carolina members in addition to their regular Medicaid benefits. Certain terms and conditions may apply.
Adult Vision Program
AmeriHealth Caritas North Carolina offers adults ages 21 through 64 an additional pair of glasses and one extra eye exam every two years, in addition to the Medicaid benefit.
Asthma Navigation*
Eligible AmeriHealth Caritas North Carolina members age 18 or younger may receive in-home visit services. Asthma navigators can help work with you and your child to teach you how to help control asthma, avoid triggers and provide supplies to control allergies.
Flexible Recovery Benefit
AmeriHealth Caritas North Carolina offers a flexible benefit when you successfully complete a non-hospital substance use disorder (SUD) treatment stay. This benefit can be used for services such as transportation to and from support group meetings like Alcoholics Anonymous (AA) and Narcotics Anonymous (NA).
High Risk Pregnancy Care*
If you have a high risk pregnancy, community health workers can help provide you with support and education to help you learn about prenatal and well-child visits, choosing a primary care provider (PCP) for your child and connecting you to community resources.
Breast Pumps for New and Expectant Moms
ACNC offers electric nonmedical breast pumps for expectant or new moms who are between 28 weeks gestation and 12 months postpartum. The benefit also includes 270 milk storage bags every three months for up to one year. This benefit is limited to one pump per member per lifetime.
Living Beyond Your Pain Program*
This chronic pain management program can help you improve your pain management skills through education and collaboration with health care providers. Through this program, AmeriHealth Caritas North Carolina offers you access to pain management alternatives if you have been prescribed opioids.
Post-discharge Meals
If you have recently been discharged from the hospital, you can receive up to two meals per day, for up to seven days, once per year, at no cost if you are:
- A new mother who has been diagnosed with a substance use disorder (SUD), and is not yet engaged in a recovery program or who does not qualify for a recovery program
- Ages 21 through 64 and have been diagnosed with diabetes or heart disease
CARE Card
You can earn rewards for healthy activities, like getting health screenings and regular checkups for you and your child. Qualified members can use the AmeriHealth Caritas North Carolina CARE Card to shop at some stores. To receive a CARE Card, complete a new member Care Needs Screening or a recommended health screening or test. You cannot use your rewards to purchase alcohol, tobacco or firearms. Rewards expire 12 months after your most recent reward or upon member disenrollment. Your rewards may not be converted to cash. Rewards earned in a fiscal year (July 1 – June 30) cannot exceed $75.
Well screenings
|
Incentives |
Details |
Reward amount |
|---|---|---|
|
Infant and child well visits |
• Complete eight well visits by 30 months of age |
$20 |
|
Adult well visits |
Annual well visits |
$20 |
|
Cervical Cancer Screening |
Women (ages 21 – 65) once every three years |
$15 |
Prenatal exams
|
Incentives |
Details |
Reward amount |
|---|---|---|
|
Join the Bright Start® Maternity Management program |
Women join the program within the first 12 weeks of pregnancy |
$10 |
|
Prenatal visit |
Rewards offered for each prenatal visit (up to 7 per pregnancy) |
$10 |
Postpartum exams
|
Incentives |
Details |
Reward amount |
|---|---|---|
|
Postpartum visit |
7 – 84 days after delivery |
$15 |
Diabetic screenings
|
Incentives |
Details |
Reward amount |
|---|---|---|
|
Dilated eye exam |
Once a year for members diagnosed with diabetes |
$10 |
|
A1c blood test |
For members diagnosed with diabetes with HbA1C results of 9.0 or less |
$10 |
Other
|
Incentives |
Details |
Reward amount |
|---|---|---|
|
Care needs screening |
Complete screening within 90 days of enrolling with AmeriHealth Caritas North Carolina |
$25 |
|
Behavioral health follow up |
Follow-up visit (for qualified members) with a doctor who treats behavioral health issues within 7 calendar days after discharge from a behavioral health hospitalization |
$10 |
Once your health care provider notifies us that you have completed a healthy activity we will add rewards to your card. Members may not be eligible to earn all of the rewards listed. Eligible CARE Card program rewards are subject to change. AmeriHealth Caritas North Carolina will notify you before the change happens.
Nonemergency Transportation to Nonprovider AmeriHealth Caritas North Carolina Appointments
ACNC will provide eligible members round trips to nonprovider ACNC appointments to help members stay active in the community through accessing community resources and services.
Value-added Services — Memberships and Services
A variety of extra benefits and programs are available to AmeriHealth Caritas North Carolina members in addition to their regular Medicaid managed care benefits. Certain terms and conditions may apply.
Boys and Girls Club Membership
Any eligible members age 18 or younger may receive a membership at no cost to participating Boys and Girls Clubs throughout North Carolina.
Mission GED® Program
Mission GED is a special program that can help you reach your goal of achieving your high school equivalency (HSE) diploma. AmeriHealth Caritas North Carolina will provide qualifying members with testing vouchers so you can take practice and regular tests for an HSE diploma at no cost to you. We also can connect qualified applicants to resources that can help you get ready to take the test. Learn more about the Mission GED program.
SafeLink Wireless® Phone Program
You may qualify for a SafeLink Wireless smartphone with monthly data and minutes, plus unlimited text messages. Calls to AmeriHealth Caritas North Carolina Member Services will not count toward your monthly minutes.
WW® (formerly Weight Watchers) Membership
You may qualify for a WW membership.
The (*) indicates services that may require preauthorization. Your Care Manager can help you determine which programs can best benefit you. Call Member Services at 1-855-375-8811 (TTY 1-866-209-6421) to learn more about AmeriHealth Caritas North Carolina benefits and services.
Call Member Services at 1-855-375-8811 (TTY 1-866-209-6421) to learn more about AmeriHealth Caritas North Carolina benefits and services.
Other Programs to Help You Stay Healthy
Opioid Misuse Prevention Program
Opioids are powerful prescription medicines that can be the right choice for treating severe pain. However, opioids may also have serious side effects, such as addiction and overdose. You can receive support for safe and appropriate opioid use through our Opioid Misuse Prevention program.
Tobacco Cessation Services
AmeriHealth Caritas North Carolina can connect you to a program to help you stop smoking or using other tobacco products.
Bright Start® Program
AmeriHealth Caritas North Carolina wants to support you in having the healthiest pregnancy possible. AmeriHealth Caritas North Carolina will help you choose a provider that is right for you, help you arrange prenatal and postpartum visits, assign a maternity Care Manager to help support you throughout your pregnancy, and provide you with information and resources to help you and your baby get off to a healthy start. Read more about the Bright Start Program.
Call Member Services at 1-855-375-8811 (TTY 1-866-209-6421) to learn more about AmeriHealth Caritas North Carolina benefits and services.