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Welcome to Community Health Options

Jan 23, 2024
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You have your new Community Health Options ID cards, so now what? Your health insurance does more than cover emergencies. Learn how to use your benefits to build your health and wellbeing below.

You received your welcome letter and have your ID cards and put them in your wallet. That’s a great start—it’s important to take that card with you wherever you go, whether you have an upcoming doctor’s appointment or need them for an emergency on the road. Your Health Options card is also your key to getting the care you need to take of yourself even when you’re healthy.

So, what’s next?

First, make sure you’ve set up your Member Portal, which gives you 24/7 access to your account. You can check your claim status, download documents you need and learn about your plan’s benefits. (If you’re in an Individual or Family Plan, please note your first invoice will come by mail, and we’ll send you invoices electronically after that. You can pay your premium through your portal.)

Perhaps most important, your Member Portal dashboard is your gateway to Health Options’ broad network of providers and where you can choose your primary care provider. We have a network of about 48,000 providers, including clinicians, hospitals and pharmacies, so you can manage your care no matter where you live. Our network includes all Maine hospitals*, most in New Hampshire and Centers of Excellence in Massachusetts.

If you are 18 or older you can also opt for a virtual-first primary care team through Firefly Health. Firefly provides 24/7 access to a primary care team, anytime, anywhere, making it easier to access care right from your cell phone, whether you need preventive and routine care, or help managing more complex issues. Learn more about Firefly Health and download the app here.

Also in your portal, you’ll find a Health & Wellness tab that gives you access to Amwell® telehealth services, where you can receive urgent care services or behavioral health care from the comfort of your home.  Urgent care access via Amwell is provided at $0 cost-share on all non-HSA plans, and $0 after a deductible for HSA plans. So, whatever your circumstances, you can speak to a provider right away to explore recommended treatments.

Additionally, the wellness tab has a link to Healthwise®, which includes a symptom checker and access to information on more than 6,000 health and wellness topics.

And if you get sick and have to manage a serious illness, we’re here to help you get through it. Our Care Management team can help to coordinate your care so that you can focus on your needs.

Importantly, if you need help choosing a primary care provider, accessing any of your benefits, or wish to speak to someone on our Care Management Team, please contact our Maine-based Member Services team at (855) 624-6463, Monday through Friday, 8 a.m. to 6 p.m.

 

*Except for Togus VA

SEE ALSO

Once upon a time, anyone who needed immediate medical attention would head to the emergency room (ER). Today it’s important to know all the options available so that when a time of need comes, you're better prepared to get the care you need at a cost that won’t break the bank.

First, it’s important to say that, in cases of a medical emergency, dialing 9-1-1 or/and heading to your nearest emergency room is still the way to go. But, for less urgent needs, like a bad sprain or high fever, we recommend using an Urgent Care Center, which is available without an appointment and is typically less expensive than the emergency room. Review this list of Urgent Care Centers in New England or have it handy to familiarize you with the Urgent Care Centers nearest to you.

For even less urgent needs – like a chest cold that won't go away, or those times when a child needs a sign-off for a minor injury to play sports – you also have a telehealth option. Health Options offers Amwell® Urgent Care telehealth at $0 cost-share on all non-HSA plans and $64 and $0 after the deductible for HSA plans.

The Amwell telehealth platform makes it easy to talk to healthcare professionals trained in internal medicine, family medicine, emergency medicine, and pediatrics about non-emergency needs whenever you need. For even more ease, if your telehealth provider recommends a prescription, you can get refills or be prescribed new medication. Note: Some prescriptions, including controlled substances, cannot be prescribed online. 

To get started with telehealth services, log into your Member portal, and click on the Health & Wellness tab. Once you've registered, your information will be stored for future visits. Telehealth makes access to care easy and affordable – no waiting room required.