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For members

Member Help Team

Isn't it good to get help from people who know you? At AmeriHealth, we realize that your health care coverage is an important part of managing your health care needs. That's why we've established the Member Help Team, a dedicated team of representatives. These professionals are experienced in handling the unique needs of our Medicare customers. Their goal is to get you the answers you need to get the most out of your health coverage.

They can help answer questions about:

  • How to use your coverage
  • Prescription drug coverage
  • Billing
  • Copays
  • Provider and network concerns

Give one of your team members a call and get your questions answered. From time to time, your Member Help Team will send you mailings with tips on how to use resources available through your coverage or updates regarding product or coverage enhancements.

Contact the Member Help Team today

AmeriHealth PPO: Call toll-free 1-866-569-5190 (TTY/TDD: 711), 8 a.m. to 8 p.m., seven days a week.

AmeriHealth Medigap: Call toll-free 1-866-406-5967 (TTY/TDD: 711), 8 a.m. to 8 p.m., seven days a week.

Please note that on weekends and holidays from April 1 through September 30, your call may be sent to voicemail.

Quality Management Program

The AmeriHealth Quality Management (QM) Program is organized around a vision of supporting optimal health outcomes and satisfaction with care for our members, as well as meeting all applicable regulatory and accreditation requirements.

Learn more

Sharing personal health care data

Your health care data lives in many places — with your health plan, doctor, pharmacy, and more. To help make better health care decisions, you may choose to use a third-party app or website to track and view everything in one place.

The federal government created the Centers for Medicare and Medicaid Services (CMS) and Office of the National Coordinator for Health Information Technology (ONC) Interoperability and Patient Access API Rule to aid in this effort. The goal is to simplify the patient's experience and provide better access to health care data (also known as personal health information).

Please check back in January 2024 for more information on how to share AmeriHealth health care data with a third party app or website.

Medical Policy

For more information regarding our medical policies, visit our Medical Policy Portal.

Drug Management Program

Our Drug Management Program (DMP) can help make sure our members safely and properly use their prescription opioid or other frequently abused medications. If you use opioid medications that you get from several doctors or pharmacies, we may talk to your doctors to make sure your use is appropriate and medically necessary.

Member health and safety is our top priority. We recognize how certain medications have higher rates of abuse and are more likely to lead to addiction. This is why we have our Drug Management Program (DMP). The DMP is another way in which we make sure our members have the resources, support, and accountability they may need.

Drugs, alcohol, and tobacco

Spouses and families play a crucial role in helping loved ones stay drug-, alcohol-, and tobacco-free. Fortunately, there are a number of resources and tools that can help.

Immediate assistance

Help quitting

Tobacco: Smokefree.gov provides free, accurate, evidence-based information and professional assistance to help support the immediate and long-term needs of people trying to quit smoking.
Alcohol: Alcoholics Anonymous1-212-870-3400 is open to anyone affected by an alcohol-related disorder. There are no age or education requirements.
Drugs: Narcotics Anonymous is an international, community-based association that provides a recovery process and support network for those affected by substance abuse disorders.
Nutritional Resources: ChooseMyPlate.Gov provides valuable information on healthy eating.

 

 

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Website last updated: 7/18/2023

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