MS CHIP

Nothing is more important than the health and well-being of a mother and her baby. That's why member benefits include:

• Choice of Birth Center. Pick from our partner hospitals across Mississippi.
• Choice of Doctors. Find a doctor or OB/GYN you trust in our network.
• Healthy First Steps®. Get extra support and rewards to keep you and your baby healthy.
• Prenatal Visits. Care for mothers during pregnancy.

If you have asthma, diabetes or another long-term condition, you can depend on us. Our plan makes sure you get the care and services you need. Benefits include:

• Asthma and Allergy Support. Exams, testing and supplies are covered.
• Care Management. If you qualify, get personal help managing health conditions.
• Kidney Disease Care. Dialysis, medicine and treatments are covered.
• Diabetes Education. We'll help your child learn to manage diabetes.
• Mental Health. Counseling and other treatments are covered.
• Residential Care. Brief stay at a care facility to recover from sickness or injury.

Make sure your child's sight, teeth and hearing are at their best. Benefits include:

• Dental. We pay for cleanings, checkups and dental work.
• Hearing. Screenings and hearing aids, if needed, are provided.
• Vision. Covers eye exams and glasses.

• Home Health Care. Care to help your child safely recover at home.
• Equipment and Medical Supplies. Your child's in-home safety equipment is covered.

• Nurse Hotline℠. Speak with a registered nurse 24/7.
• Interpreters. Have an interpreter with you at your child's doctor visits.
• Language Help. Translated medical materials are available at no cost.
• Member Services. Your benefit questions are answered 24/7.
• The Farm to Fork Program. Pick up a bag of fresh produce monthly.

You have the right to file an “Advance Directive.” An Advance Directive states in advance what kind of treatment you would like to receive if you have a serious medical condition that prevents you from telling your doctor how you want to be treated.

There are two types of an Advance Directive: 1) a Living Will; and, 2) a Medical Power of Attorney (which may also be called a "durable power of attorney for health care or heath care agent"). An "agent" is the person you trust to speak for you when you are not able to do so for yourself.

You should think carefully about the person you choose to be your health care agent. You should have a long talk with your agent about your advance directive so they are able to make the decision the way you would.

Two examples of Advance Directives can be found below or at https://member.uhc.com/communityplan.

Advance Directives Example 1

Advance Directives Example 2

Does your child have trouble managing asthma or allergies symptoms? A nurse who specializes in breathing issues can really help. Your child's nurse will:

• Get to know your child.
• Learn his or her triggers and activities.
• Develop a customized treatment plan.

Whether chiropractor services are your child's primary or alternative treatment method, it's covered.

Members up to age 19 get up to $2000 in chiropractic care costs per year. And you do not need to get approval prior to scheduling a visit to your child's visits.

Where a baby is born is an important. That’s why members who are pregnant can pick from partner hospitals across Mississippi.

We also encourage women to tour the hospital's birthing center. This way she will be familiar with it. And be more relaxed when having her baby.

You can choose your child’s primary care provider (PCP). Use the Doctor Lookup tool to see if your doctor is in our network.

Your PCP is your main doctor for:

Preventive care.

• Treatment if you are sick or injured.
• Referrals to specialists for certain conditions.
• For members who don’t have a doctor or whose doctor is not in our network, we can help find a new one close by.

Your child can see a specialist without a referral.

Whether chiropractor services are your child's primary or alternative treatment method, it's covered.

Members up to age 19 get up to $2000 in chiropractic care costs per year. And you do not need to get approval prior to scheduling a visit to your child's visits.

Checkups and emergency care are covered.

Exams and cleanings every six months help your child develop strong and healthy teeth and gums. If there’s a dental problem that needs to be fixed, that's covered too.

There are no copayments for your child's dental care. But dental benefits are limited to $1500 per year. Braces are covered under this plan.

Children with diabetes have a special challenge in their health. Our plan steps up with training to help your child learn to manage diabetes. Training includes:

• How to avoid and manage a diabetic crisis.
• Food choices and exercise.
• How to take insulin.

Does your child have a serious health problem? If your child’s health needs qualify, then our case managers are in his or her corner. They will:

• Explain medical terms in plain language.
• Coordinate your child’s doctor appointments.
• Provide your care team with your child’s medical records.

Your case manager will stay with your child throughout the medical journey. He or she will:

• Think beyond your child’s medical needs.
• Make sure your child has support at home.

So you can focus on helping your child get better.

Your child's health and safety at home are important.

Our plan covers medical equipment ordered by your child's doctor or case manager. This can include supplies like:

• Hospital beds.
• Wheelchairs. 

A diet that includes fresh vegetables and fruit goes a long way to helping you stay at your best. That's why our plan includes farm-fresh produce for members.

We make getting your produce easy. You can pick up your free bag at one of the many Farm to Fork Program sites across the state.

The program runs from May through September.

Please view a complete list of distribution sites and schedule.

Our podiatry coverage includes:

• Routine foot exams.
• Tips about foot care and choosing the right shoes.
• Information about nerve damage warning signs.

Trouble hearing can affect your child's everyday life in many ways. Our plan includes services and support to help protect your child's hearing.

We cover:

• Exams, therapy and tests.
• Hearing aids every three years.

Build a healthy future for you and your baby and earn great rewards with Healthy First Steps. Our program will help you take the right steps to keep you and your baby healthy. Plus you can earn $20 just for signing up. 

We will help you:

• Choose a pregnancy provider and a pediatrician (child’s doctor).
• Schedule visits and exams and arrange rides to your visits.
• Earn rewards for going to visits throughout your pregnancy and baby’s first 15 months of life.
• Get supplies, including breast pumps for nursing moms.
• Connect with community resources such as Women, Infants and Children (WIC) services.

Sometimes continued care is needed after leaving the hospital or urgent care. For example, after a serious illness, surgery or injury. In these cases, a nurse will make home visits to:

• Provide medical care.
• Answer any questions and concerns.

Hospitalization coverage includes:

• Nursing care.
• Room and board.
• Supplies and equipment.
• Treatment and therapies.
• Diagnostic tests and exams.

And after your child leaves the hospital, we watch over his or her care. We make sure your child gets follow-up care to continue healing at home.

Your child's doctor and you need to understand each other. Not speaking English well makes this difficult. We can arrange for a medical interpreter to be at your child's appointments.

We also have people in member services who speak more than one language. Chances are, we have someone who speaks your language.

Kidney disease is a serious medical condition.

Our plan includes:

• Dialysis.
• Medications.
• Health education and support.
• Organ transplant if needed.

Knowing what's wrong and finding it early can make all the difference for your child. Our plan covers most:

• Labs and testing.
• X-rays, scans and other imaging.

We'll help you get the information needed to improve your child's health or be at his or her best.

You can get information in another language. Just ask. Then anything we write to you will only be in that language. This is provided at no cost to you.

Sometimes you might need a little help understanding your health care options. With us, you have someone you can call. Member Services can help with your questions or concerns. This includes:

• Understanding your child’s benefits.
• Help getting a replacement member ID card.
• Finding a doctor or urgent care clinic. 

Mental health is as important as physical health. That's why we have coverage for both.

Required care is 100% covered with no copay. This includes:

• Behavioral therapy.
• Substance abuse treatment.
• Medications.

Mental Health Crisis Line call 1-800-992-9940, TTY 711,  24 hours a day, 7 days a week. 

Medical questions and situations come at inconvenient times. For questions about health, call  1-877-410-0184, TTY 711 24 hours a day, 7 days a week.

Our nurses will:

• Listen to symptoms.
• Help with self-care.
• Advise you about getting care for your child at a doctor visit or an urgent care center.
• Help you know when to take your child to the emergency room.

Physical, occupational and speech therapy can help you recover from a serious injury or illness, or simply reach your full potential.

Our plan provides up to 12 visits for:

• Occupational therapy.
• Physical therapy.
• Speech therapy.

A pregnancy is a journey that's easier with the help of friends, family and a pregnancy doctor, or OB/GYN.

All recommended prenatal clinical visits and tests are covered by our plan.

At these visits, the clinic will:

• Make sure both mom and baby are healthy.
• Explain what to expect at each stage of your pregnancy.
• Answer questions.

After a serious illness, surgery or injury, your child may need ongoing nursing and therapy. If needed, our plan covers short stays in a rehabilitation center where your child can heal. Included are:

• Nursing home services.
• 24-hour nursing care.
• Help with activities of daily living.
• Physical, occupational and speech therapy.

Routine shots help keep your child healthy.

So, our plan covers:

• Recommended shots and vaccines.
• Influenza shots.

There may be times when your child’s health requires repeated doctor visits.

Our plan does not limit the number of times your child can see a primary care provider. This way your child gets care when it's needed. And your doctor can see how your child's health is progressing.

Your child may have an injury or sudden illness that is not life-threatening but needs immediate attention. So our plan covers care at:

• Urgent care centers.
• Medical aid units.
• Other walk-in clinics.

Your child will get the care, eyeglasses and treatment that let you see life more clearly.

Coverage includes:

• Prescription lenses.
• Designer-style frames.

This benefit is offered by March Vision Care..

Well visits with your doctor can help your child stay healthy. These visits can catch health problems early, so they can be treated.

Preventive services include:

• Annual checkups for children.
• Well-baby care.
• Routine shots and tests.

There are no copayments for preventive care.