We have more than 120 centers nationally, so check out the states served by Amerigroup Medicaid to find a location near you! Texas Counties Served. AmeriGroup Dental Providers by State. . Call a nurse anytime, day or night, at the press of a button to answer your health questions. We work with hundreds of doctors and facilities to make getting care easy. You can also contact Member Services to have a directory mailed to you at no cost. More than 3 million health professionals profiled. Please contact This plan is available to anyone who has both Medical Assistance from the State and Medicare. Call the 24-hour Nurse HelpLine 1-800-600-4441 (TTY 711), STAR Kids members, call 1-844-756-4600 (TTY 711). Amerigroup is now sending some bulletins, policy change notifications, prior authorization update information, educational opportunities and more to providers via email. Visit a doctor 24/7 through live video using LiveHealth Online. Its all at the tip of your fingers! Catastrophic coverage phase. Amerigroup offers Medicare Advantage or Medicare Supplement Insurance plans in Texas. $10.00 copay. Contact will be made by an insurance agent or insurance company. Generic drugs : $4.15 copay or 5% (whichever costs more) Brand-name drugs : $10.35 copay or 5% (whichever costs more) Teladoc physician consultation services are available through the 24-hour Nurse HelpLine 24/7 for our Amerigroup Amerivantage members. With access to your secure account, you can: Change your primary care provider. If youre a STAR member age 20 and younger, or a CHIP or STAR Kids member, call your dental provider below to find a dentist near you: STAR or STAR Kids members: 1-800-516-0165. At these events, you can talk with Amerigroup about your concerns or give us ideas. Medicare Coverage in Texas with Amerigroup. Medicaid dental services rules can be found under Title 25 Texas Administrative Code Part 1, Chapter 33.All dental providers must comply with the rules and regulations of the Texas State Board of Dental Examiners, including standards for documentation and record maintenance as stated in 22 TAC, Part 5, Chapter 108, Subchapter A, 108.7, Minimum Standard of Care, General, and 108.8, Records . Benefits include but are not limited to: For questions about eligibility verification or claims, please contact Liberty Dental Plan at 1-888-352-7924 or visit Chat with a live person or send us a secure message. Well also explain how to apply for Medicare, including when and how to enroll. Preferred Generic. STAR Kids members: 1-844-756-4600 (TTY 711) 9703 Bandera Rd, Ste 210, San Antonio, TX 78250. Amerigroup works with IngenioRx to provide pharmacy benefits. Contact Member Services. You can learn more about the process on the Amerigroup provider website. If you have questions, please call Member Services at the number on your member ID card. Aetna Better Health (link is external) Amerigroup (link is external) Blue Cross and Blue Shield of Texas (link is external) CHRISTUS Health Plan (link is external) Community First Health Plans (link is . Its a good idea to talk to your primary care provider first about other types of care you may need. MCNA Dental. Central, Northeast and West rural service areas: Did you know that most questions and issues can be resolved by using the Amerigroup provider self-service tools? You can also call 1-800-600-4441 (TTY 711) to request materials in another language or format including audio, braille, or large print. Job Listings; About. This includes behavioral health services, OB/GYN care, and family planning if these are benefits in your plan. Notice to Physicians and Providers. Visit our Know Your Service Area page if you dont know which service area you are in. 1-833-370-7463 (TTY 711). As of January 1st 2019 LIBERTY administers dental benefits to over 200,000 Texas members in multiple plans compromising Medicare Advantage (including DSNP), Medicare-Medicaid Plan (MMP) and Star Plus Waiver members. You dont need a referral from your primary care provider to get care from other doctors in our plan. You will need your member ID number to register . Dont wait until your next sick day. In remote areas, it can be difficult to find a . 1-800-600-4441; 1-844-756-4600 STAR Kids; TTY: 711; The nurse helpline is a 24-hour service your Amerigroup patients can call to speak with a registered nurse who can: Texas (888) 666-8135 Facebook Youtube Linkedin Twitter. Amerigroup STAR+PLUS MMP (Medicare-Medicaid Plan) 5959 Corporate Dr. Suite 1300 Houston, TX 77036 Member Services 1-855-878-1784 (TTY: 711) Monday through Friday, 8 a.m. to 8 p.m. local time. The primary care provider you choose will provide most of your or your childs care. LIBERTY Dental Plan welcomes you to our Texas site. If you have one of these formulas, follow these steps: 1. Need help with something? Search for a Medical Provider Select a State Georgia Iowa Maryland New Jersey Tennessee Texas Washington . If youd like to attend a member advisory group event, call Member Services to speak with a member advocate, or send an email to dl-txmemberadvocates@anthem.com. Stay informed activate your online account, Replace your member ID card if lost or stolen, Find out if your doctor is in our health plan. For more information about Amerigroup Medicaid dental coverage, contact one of our Kool Smile Kids Club partner dentists at 254-781-0553 . Call your Medicare plan to choose a primary care provider near you. For help finding a doctor or making an appointment, call Member Services at 1-800-600-4441 (TTY 711). Manage your IngenioRx Pharmacy prescriptions, if applicable. Liberty Dental Plan's online provider portal. Gap coverage phase 1. As a member of the American Academy of Pediatric Dentists, Dr. Khan loves to provide excellence in dentistry to children from toddlers to teens. The New Jersey Smiles Dental Program requires that children must have an established dental home by the age of 2. You can live chatwith a representative or send a secure message once you log in. This is an insurance sales presentation. all other Amerigroup members in Texas are served by Amerigroup Texas . Use our provider search tool to find doctors, pharmacies and other providers that work with our plan. Request a call back from Member Services. See what you need to do. call your dental provider below to find a dentist near you: DentaQuest. Our 24-hour Nurse HelpLine gives you fast, free medical advice, anytime day or night, in more than 170 languages. For help with your prescription drugs, call: Amerigroup members in the Medicaid Rural Service Area and the STAR Kids program are served by Amerigroup Insurance Company; all other Amerigroup members in Texas are served by Amerigroup Texas, Inc. Amerigroup STAR+PLUS MMP (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees. You can live chatwith a representative or send a secure message once you log in. Once enrolled in your Medicare Supplement insurance plan, your coverage is guaranteed with only two exceptions/restrictions: nonpayment of premiums and material misrepresentation. If you qualify, you will be able to start receiving benefits right away. Amerigroup is an American health insurance and managed health care provider. You can download a provider directory to see all providers in your service area. We offer the Texas Medicaid and CHIP programs below. Use our Report Waste, Fraud or Abuse form to tell us if you suspect waste, fraud or abuse of services we paid for. Find one who meets your needs using the search tool below. For more information about Amerigroup coverage policies and . Medicare Supplement plans, also called Medigap, help cover deductibles, coinsurance, and copayments that Original Medicare doesnt cover. He or she can be a doctor, a nurse practitioner, or a physician's assistant. Member Services. Learn more about Medicare Supplement plans. Your main doctor is called a primary care provider. We're currently processing your request and we'll be in touch soon. EarlyandPeriodicScreening,DiagnosticandTreatment(EPSDT). If youre already a member, you can make the most of your benefits by setting up your secure online account. Note: CHIP Perinate members dont have vision benefits. Language translation services are also available. Amerigroup has been helping Texas families get the health-care benefits they need since 1996. Use these websites to find the health plan's member handbook and up-to-date provider directories. You can also live chat with an Amerigroup associate from within the Availity Portal. STAR Kids members: 1-844-756-4600 (TTY 711) Our care managers are licensed nurses and social workers and are available from 8:30 a.m. to 5:30 p.m. local time, Monday to Friday. Download the mobile app and access tools to help you take charge of your plan. Electronic/Provider Portal: www.libertydentalplan.com; Third Party Clearinghouse: LDP Payor ID CX083; Paper: Standard ADA Claim Form There is a pool of pre-licensed therapists in Texas who need to complete two years of supervised work to earn their full license. We look forward to working with you to provide quality services to our members. Medicare Advantage plans include coverage for dental, vision, and hearing, and usually prescription drugs. You can call our behavioral health line 24/7 at 1-800-600-4441 (TTY 711) | STAR Kids: 1-844-756-4600 (TTY 711). Our focus is to help you get the care and services you need to make a difference in your life. If you have a Medicare Advantage plan that includes prescription drug coverage, you dont need a stand-alone Part D prescription drug plan. Use our Report Waste, Fraud or Abuse form to tell us if you suspect waste, fraud or abuse of services we paid for. Amerigroup Insurance Company. Replace your member ID card if lost or stolen, Jefferson CHIP Perinate Provider Directory, Rural Service Area Northeast STAR Provider Directory, Rural Service Area Central STAR Provider Directory, Rural Service Area West STAR Provider Directory, Rural Service Area West STAR Kids Provider Directory, Rural Service Area West STAR+PLUS Provider Directory. Sign up for a free, no-pressure Medicare event to learn how Amerigroup Medicare plans help cover costs that Original Medicare doesnt. You can search by provider name, city and state or specialty. Medicaid Adult Value-Add Programs for Amerigroup . Please use Amerigroup STAR+PLUS MMP (Medicare-Medicaid Plan): Teladoc (Amerigroup Amerivantage members), Medical Policies and Clinical UM Guidelines, Medicare Advantage medical record documentation and coding resources, Early and Periodic Screening, Diagnostic and Treatment. Learn more about Medicare Advantage PPO plans. If recalled, do NOT use it. Call us for assistance at 1-800-454-3730. Our focus is to help you get the care and services . The Amerigroup Advantage plan is called Amerivantage. Careers. Managed Care Medical and Dental Plans. Amerigroup Insurance Company (Amerigroup) and Amerigroup Texas, Inc. (Amerigroup). Amerigroup members in the Medicaid Rural Service Area and the STAR Kids program are served by Amerigroup Insurance Company; all other Amerigroup members in Texas are served by Amerigroup Texas, Inc. Dr. Visit our COVID-19 Resource Center for more information. Were offering more ways to get help. Receive the information you need to make the right choice for your healthcare needs and budget. Members can reach the 24-hour Nurse HelpLine by calling the number on their Amerigroup ID card. If you have both Medicare and Medicaid, contact your Medicare plan for your vision benefits. Availity, LLC is an independent company providing administrative support services on behalf of Amerigroup Community Care. A licensed agent can help you compare plan provider networks and help you find the plan that fits your needs. Already a member? STAR Kids members, call 1-844-756-4600 (TTY 711). Dr. Vuong is currently a member of the Texas Academy of General Dentistry and the American Dental Association. Medicare Advantage plans are sold by Amerigroup Texas, Inc. Each company has sole financial responsibility for its own products. You can also report it directly to the Office of the General Inspector. Other benefits, like prescriptions, vision, and dental care, may be covered, depending on where you live and your age. We welcome the opportunity to partner with additional Texas providers. Visit a doctor 24/7 through live video using LiveHealth Online. Type at least three letters and we will start finding suggestions for you. Amerigroup members in the Medicaid Rural Service Area and the STAR Kids program are served by Amerigroup Insurance Company; all other Amerigroup members in Texas are served by Amerigroup Texas, Inc. 2. Our team is available 24 hours a day and can: Member Services: 1-800-600-4441 (TTY 711) Find Amerigroup Medicare providers near you. If your formula is not included in the recall, you can keep using it. We have helped millions of Texans get and stay healthy. . If you do not enroll in a Part D plan or a plan that includes Part D and you do not have creditable coverage for your drugs, you will incur a penalty for every month you were eligible and did not enroll. A licensed insurance agent will be present with information and applications. Amerigroup works with thousands of doctors, specialists, and hospitals throughout Texas, and we partner with many local community organizations. We will accept applications for participation in our provider network from 12/01/2022 -12/21/2022. Medicare Supplement plans are sold by Amerigroup Insurance Company. This site has been prepared to assist you and your staff. . On September 9, 2022, Amerigroup Texas was notified by the Health and Human Services Commission (HHSC) of a voluntary recall for Kate Farms pediatric and adult formula products. Available for iOS and Android devices. Well help you with your health-care needs every step of the way. . Liberty Dental Plan. Special Needs Plans are Medicare Advantage plans with extra benefits for people living with certain medical conditions, or for those with low incomes. Do you have questions for our Technical Support team? STAR. Members can get oral interpretation services and information in other formats, like Braille, audio, or large print free of charge. Log in to your account and send us a message. Log into your account and send us secure message. Amerigroup is an HMO/PPO plan with a Medicare contract and a contract with the State Medicaid Program. To find a pharmacy near you, use our pharmacy locator tool. Learn More about Amerigroup Amerivantage Classic Plus (HMO) Plan Details, including how much you can expect to pay for coinsurance, deductibles, premiums and copays for various services covered by the plan. For pregnant women, children, and anyone who gets TANF, For children age 18 and under who are not eligible for Medicaid and dont have health coverage, For unborn children of pregnant women who are not eligible for Medicaid and dont have health coverage, For children and young adults age 20 and younger who have disabilities or complex health needs, For adults who have disabilities or are age 65 or older with complex health needs, Medicare-Medicaid Plan for STAR+PLUS that combines benefits in one plan. Your primary care provider may want you to see a specialist or another provider for care or services he or she cant provide. CHIP members: 1-800-508-6775. To see our service areas, visit our Know Your Service Area page. The purpose of this communication is the solicitation of insurance. You can also send us a secure message through your online account and well do the rest. We've partnered with many providers in your area. They also include special benefits that help with everyday health and living. New Jersey Smiles PCPs provide dental risk assessments, fluoride varnish application, anticipatory guidance, and a referral to a PCD for a full exam and treatment. You can also report it directly to the Office of the General Inspector. . Cant get to your doctor? . All you need is your smartphone, tablet, or computer. Learn more about Medicare Advantage plans. Help make us better by joining a member advisory group. Medicare Supplement: Learn more about Medicare Advantage HMO plans. Your patients can get information about Disease Management/Population Health program services by visiting You can also add a prescription drug plan to your Medicare Supplement plan. 3. Not connected with or endorsed by the U.S, Government or the federal Medicare program. Type at least three letters and well start finding suggestions for you. Provide information about after-hours and weekend care when your office is closed, including the location of network urgent care centers or walk-in clinics. Provider Services All Amerigroup members are invited. These plans help cover what Original Medicare (Parts A and B) does not. Weve partnered with many providers in your area. Dont wait until your next sick day. Pharmacy Member Services STAR Kids members: History. Some options may be at an additional cost. Find out more about Amerigroup's offerings in Texas, and let us help you find a plan that meets your healthcare needs. Its an easy way to find care, check drug prices and claims, and see your plan details, whenever you need. Enrollment in Amerigroup depends on contract renewal. If your benefits were extended due to COVID-19, you may need to renew now. A Medicare Advantage PPO plan gives you the exibility to work with any doctor or specialist, in or out of network, no referrals needed. 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