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Member

School Immunizations, School Physicals and Sports Physicals Are
Due Soon!

Your child’s physicals and immunizations should be completed 3 to 4 months before the start of the school year or sports year.
 

 

Beginning April 1, 2013, we will offer the following extra benefits:
 

  • Harmony +15 – FREE over-the-counter (OTC) supplies. You can get $15 for OTC items each month. That’s $180 a year!
  • No co-pays for doctor visits, hospital visits or generic drugs.
  • Healthy Kids Club – The age range is expanding to include kids ages 4-11.
  • FREE oral exams and cleanings every six months for members age 21 and older with no co-pay.
  • FREE annual bitewing X-ray for members age 21 and older with no co-pay.
  • FREE cavity fillings annually, maximum 2 fillings.*
  • $40 toward eyeglasses for members age 21 and older. You can choose eyeglasses not covered by Medicaid.
  • Hypoallergenic bedding – Qualified members can get hypoallergenic bedding to avoid asthma triggers.
  • FREE choice of baby stroller, portable play yard or diapers when you go to all your prenatal doctor visits.

*Harmony will no longer offer root canal and scaling service.

 

Medical Services
Here is a list of some of the medical services and benefits that are covered by Harmony Health Plan.  You can also look in your Certificate of Coverage for a complete list.

 

Covered

  • Hospital inpatient services.
  • Home health care services.
  • Physical therapy.
  • Speech and language therapy.
  • Laboratory and X-ray services.
  • Transportation.
  • Emergency services.
  • Transplant services (non-experimental).
  • Family planning services (also at non-affiliated providers covered by the Illinois Medical Assistance program).
  • Contraceptive devices.
  • Durable and non-durable medical equipment and supplies.
  • Whole blood and blood products.
  • Physician services.
  • Hospital outpatient services.
  • Mental health and substance abuse services.
  • Preventive services.
  • Alcohol and substance abuse treatment services.
  • Early periodic screenings and diagnostic testing services.
  • Maternity care services.
  • Well-child care services.
  • Health education.
  • Skilled nursing care (first 90 days).
  • Immunizations.
  • Hospice.
  • Chiropractic services.
  • Podiatric services.
  • Orthotic/prosthetic devices, including prosthetic devices or reconstructive surgery incident to mastectomy.
  • Nurse midwife services.
  • Medical procedures performed by a dentist.
  • Ophthalmologist (eye specialist).
  • Pharmacy

 

Not Covered

  • Elective cosmetic surgery.
  • Custodial care services.
  • Elective abortions.

 

Covered by HFS Medical Card

  • Optical / Vision.
  • Dental services.

 

Harmony Additional Benefits

  • No co-pays for doctor visits.
  • Dental care for adults (21 years and older).*
  • Two Periodic Oral evaluation every 12 months.
  • Two Adult Prophylaxis (cleaning) every 12 months.
  • Harmony Hugs—Harmony Hugs is our special program for pregnant women. You’ll work with a case manager who will make sure you stay healthy and get all your needed exams. These exams are important for you and your baby.
  • Harmony Healthy Kids Club.
  • Harmony +15 Personal Care items can be ordered online.
  • Additional transportation to WIC offices, pharmacies, unlimited DME visits, including siblings, and visits to hospitalized family members.
  • NurseLink toll-free 24-hour access for routine medical advice at 1-800-608-8158.

*At participating providers.

 

Service, service, service! You can call Member Services any time you have a question. Just call 1-800-608-8158 (TTY 1-877-650-0952).


When to Call Harmony Health Plan Member Services

  • If you can't contact your Primary Care Physician.
  • If you change your address or phone number.
  • If you lost your ID card and need a replacement.
  • If you want to change your primary care physician.
  • If you have a question about how Harmony Health Plan works.
  • If you have questions about harmony health benefits.
  • Anytime you have a question.
     

Member Services
(800) 608-8158
TTY: 1-877-650-0952

Transportation
(888) 684-2026
Call time: 24 Hours; Schedule your ride 48 hours in advance

Mental Health & Substance Abuse
(888) 684-2026
Call time: 24 Hours


Last modified: 03/27/2014