Healthy Blue MO HealthNet Managed Care benefits

As a Healthy Blue member, you receive all of your MO HealthNet Managed Care benefits and services, including:

• Primary care provider (PCP) visits
• Lab tests and X-rays
• Immunizations and wellness visits
• Early Periodic Screeing, Diagnosis, and Treatment (EPSDT) services for members under 21
• Specialist visits
• Maternity care
• Family planning
• Hospital care
• Behavioral health (mental and substance use services)
• Complementary and Alternative Therapies for Chronic Pain Management
• Chiropractic care
• Home health and hospice services

• Habilitative Services.

There are no copays or fees for these benefits. You do not need a referral to see a specialist in your plan. See your member handbook for a full list of benefits.
Find a Doctor

Healthy teeth are an important part of your overall health. Dental care is provided by DentaQuest. Eligible members can receive routine oral exams, cleanings, X-rays, extractions, fillings, and medically necessary emergency procedures from an oral surgeon.

For questions about your dental benefits or to find a dentist, call DentaQuest at 888-696-9533.

Eligible members can receive an annual eye exam and glasses through MARCH® Vision Care once every two years or every year for members age 20 and younger.

For questions about your vision benefits or to find an eye doctor, call MARCH® Vision Care at 844-616-2724. You can also visit the MARCH® Vision Care website. 

Find a provider

Eligible members can get no-cost rides to medical appointments from Medical Transportation Management (MTM). You or your provider should call to schedule your ride at least three business days before your appointment. 

Other nonmedical transportation is available for eligible members including but not limited to: parents visiting hospitalized children; breastfeeding, Lamaze, or similar birthing classes; picking up prescriptions immediately following an appointment; methadone clinic or behavioral health family appointments; and Healthy-Blue-sponsored outreach events.

Call MTM at 888-597-1193 (TTY 711) or visit the MTM website to set up your ride.

• Original Request ID MTM Trip Log

Whether you are thinking about having a baby, pregnant, already a new mom, or you’re not planning to have a baby, we can help you take steps to stay healthy at every stage.

You may have special care needs. To help with these, we have care and Condition Care programs. If you need support to get and stay healthy, we can help. 

You may qualify for care management services if you have:

• Complex illnesses that require the coordination of many services.
• Children with special healthcare needs.
• Had or are going to have a transplant.
• A high-risk pregnancy.
• Multiple chronic illnesses.
• High-risk behavioral healthcare needs.
• Experienced domestic abuse.
• A responsibility for someone in foster care or adult guardianship.
• Special healthcare needs.

A care manager will work with you to help arrange your care needs. They will work with your doctors to make sure you get the right care when and where you need it.
Call Member Services at 833-388-1407 (TTY 711) Monday through Friday from 8 a.m. to 5 p.m. Central time to connect with a care manager.

Go to My Care Plan

Healthy Rewards is a no-cost, optional program for eligible members enrolled in our health plan. The program encourages you to get the care you need to create a healthy lifestyle.

You may be eligible to earn some of the Healthy Rewards* through the Benefit Reward Hub below: 

• Well-child visits in the first 30 months of life
• Well-child visits from 3 to 21 years of age
• First prenatal care visit
• Postpartum care visit 7 to 84 days after delivery
• Annual dental visit 
• Breast cancer screening 
• Cervical cancer screening 
• Diabetic retinal eye exam 
• Diabetic A1c screening
• Chlamydia testing
• 30-day follow up after behavioral health hospitalization
• Lead screening in children
• Tobacco cessation quiz
• Substance use quiz
• Asthma controller medication refill                              
• Adult well visit                                     
• Healthy weight management quiz   
• Annual flu vaccine           
• COVID vaccine
• Health risk assessment    

*To earn rewards, you must be enrolled in Healthy Rewards before or within 30 days of finishing a healthy activity. Limitations and restrictions apply. Benefits may change.

Enroll in and Redeem Healthy Rewards
Log on to the Benefit Reward Hub to view the rewards you are eligible for and redeem your Healthy Rewards for your choice of gift card. You can also call the Healthy Rewards Customer Service Line at 888-990-8681 (TTY 711) Monday through Friday from 8 a.m. to 7 p.m. Central time.

Additional Health Benefits
Healthy Blue offers value-added benefits (VABs) to our members at no additional cost.
Log on to the Benefit Reward Hub to view and redeem the extra benefits you are eligible for or call Healthy Blue Member Services at 833-388-1407 (TTY 711), Monday through Friday, 8 a.m. to 5 p.m. Central time.

Limitations and restrictions apply. Benefits and eligibility requirements are subject to change.

• Value-added benefits (VABs) - English
• Value-added benefits (VABs) - Spanish

Other resources to help you stay healthy include:

• Enrollment in our Healthy Rewards program, so you can earn reward dollars after completing checkups and health screenings
• Community Resource Link: Local community resources, such as food, and financial and home assistance

Healthy Blue members pay $0 for primary care provider (PCP) visits, specialists, behavioral healthcare, urgent care services, and labs.

Get the most from your benefits
As a new member, we know you have questions, and we want you to get the most out of your benefits. Read our tips to help you get started with your new health plan.
New member guide

Healthy Blue member handbook
Complete benefit information can be found in your member handbook

Choose Healthy Blue as your MO HealthNet Managed Care health plan

How to Enroll