Doctor visits after delivery of your baby. Outpatient visits with a dietician for members. Meals delivered to your home after a hospitalization. Ambetter from Sunshine Health is our Health Insurance Marketplace product. Mental health therapy in a group setting. A carousel is a rotating set of images, rotation stops on keyboard focus on carousel tab controls or hovering the mouse pointer over images. Need health insurance? (cont.) Up to a total of nine hours per month. Medicare People age 65 and older, under 65 with certain disabilities, and any age with End-State Renal Disease – ESRD (permanent kidney failure requiring dialysis or a kidney transplant) may be eligible for coverage through Sunshine Health Advantage. Learn More. You can also view more information about Sunshine Health in our Member Handbook. Up to 365/366 days for members ages 0-20. NOTE: Services marked with an asterisk (*) are behavioral health in lieu of services. Short term residential treatment program for pregnant women with substance use disorder. Services for women who are pregnant or want to become pregnant. We are waiving all members’ costs for coronavirus testing and screening. Telehealth . 20 percent discount on certain over-the-counter items. Services that treat the heart and circulatory (blood vessels) system. Update for Sunshine Health members with Medicaid coverage. We cover the following inpatient hospital services based on age and situation: Services to diagnose or treat skin conditions, illnesses or diseases. Other medically necessary pharmacy services are covered as well. However, Sunshine Health is responsible for anyone who is a Sunshine Health member at the time of … Ages 0-20 as medically needed. These services must be given by your Primary Care Provider or by another provider that your Primary Care Provider refers you to. 60 additional units for a total of 216 units per calendar year (one unit = 1 minute). Download the free version of Adobe Reader. Speak to your caseworker and explain why you will need a temporary Medicaid card. Standard assessment of mental health needs and progress. Support services are also available for family members or caregivers. Premiums and Benefits Sunshine Health Medicare Advantage (HMO SNP) What you should know Vision Services . level of Medicaid eligibility. Services provided to children (ages 0 - 3) to help them get health care and other services. How to Create Positive New Habits in our New World, Medicaid Supplemental Preferred Drug List, ROPA Provider Enrollment Application Now Available, Services must be medically necessary (PDF). Transfers between hospitals or facilities. All services limited to one every two calendar years, except for hearing aid monaural in ear, which is one per calendar year. Covered as medically necessary for children ages 0-20. Structured mental health treatment services provided in a hospital four-six hours each day for five days per week. Treatments that help you do things in your daily life, like writing, feeding yourself and using items around the house. Call Teladoc directly to schedule your appointment at 1-800-835-2362. Schedule yours today! Two additional assessments per calendar year for a total of three. You do not need prior approval for these services. Florida Medicaid Preferred Drug List (PDL) The Florida Medicaid Preferred Drug List is subject to revision following consideration and recommendations by the Pharmaceutical and Therapeutics (P&T) Committee and the Agency for Health Care Administration. This means they are optional services you can choose over more traditional services based on your individual needs. Medical care, treatment and emotional support services for people with terminal illnesses or who are at the end of their lives to help keep them comfortable and pain free. Services to diagnose or treat conditions, illnesses or diseases of the brain, spinal cord or nervous system. Services to help get medical and behavioral health care for people with mental illnesses. Specialized Therapeutic Foster Care Services. Get complete healthcare coverage in Florida with Ambetter from Sunshine Health. Search Query Show Search. Region Counties Envolve Dental Plan Effective Dates New Dental Plan Effective Date; 1: Escambia, Okalossa, Santa Rosa, and Walton Counties: January 1, 2014 to January 30, 2019 Educational services for family members of children with severe emotional problems focused on child development and other family support. Benefits you need to take good care of yourself. One initial wheelchair evaluation per five years. Medical care, tests and other treatments for the kidneys. There are no minimum requirements for adult dental coverage. Additional minutes for Safelink phone or Connections Plus plan. They also help make sure your baby is growing and developing properly. Up to 60 days per calendar year. Ambetter from Sunshine Health offers quality coverage for any budget. Ambulance services are for when you need emergency care while being transported to the hospital or special support when being transported between facilities. Medical care or skilled nursing care that you get while you are in a nursing facility. We cover for children ages 0-20 and for adults: Medical care and other treatments for the feet. $200 per day up to $1,000 per calendar year for trips over 100 miles. Learn more and enroll today! One adult health screening (check-up) per calendar year. Services to assist people re-enter everyday life. Medicaid provides health coverage to millions of Americans, including eligible low-income adults, children, pregnant women, elderly adults and people with disabilities. For purposes of Medicaid, telemedicine seeks to improve a patient's health by permitting two-way, real time interactive communication between the patient, and the physician or practitioner at the distant site. Call us at 1-877-687-1169 (Relay Florida 1-800-955-8770). All ages.
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