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Learn more about your benefits
Start living your best life today. Learn more about using your benefits.
We’ll help you learn more about health screenings and wellness programs. And how they can help you get and stay healthier. We’ll also provide health info through community events in New Jersey.
Want to learn more about wellness? Just register for the MyActiveHealthSM program. You can also call Member Services at 1-855-232-3596 (TTY:711). Then, ask them to transfer you to a care manager.
Lead poisoning is a serious health problem. We cover lead testing services to help protect you and your family from lead.
To get test your child, we’ve partnered with Labcorp and Professional Technicians, Inc. (PTI). Their mobile lab helps you complete the testing at home, at no cost to you.
Ask your provider if your child needs lead testing. Or to schedule a test, just call PTI at 1-215-364-4911 (TTY: 711).
Some medicines need our prior authorization before you can get them. We always keep our formulary (drug list) up to date with medicines.
What is the Pharmacy Lock-in Program?
It’s for members who have a pattern of misusing prescription or over-the-counter (OTC) medicines. In these cases, members need to use only one in-network pharmacy to fill their prescriptions (also called a “lock-in”). Members can choose their in-network pharmacy on their own. Or we’ll choose one for them.
What happens if my chosen pharmacy doesn’t have the medicine I need?
You’ll be able to get a 72-hour supply of medicine from a different pharmacy. You can also do this in an emergency.
What if I don’t want to use only one pharmacy?
Have you or your child had a hospital stay recently? If so, you may get a call from our care management team. They’ll ask if you:
Scheduled a follow-up appointment with a PCP or specialist
Were able to get any prescribed medicine
Understood the discharge instructions
Have any other needs, so they can refer you to one of our care managers