Get started with your AmeriHealth plan
Welcome to AmeriHealth! Whether you are a new or returning AmeriHealth member there are a few ways to get your benefits off to a great start.
Choose a primary care physician
Your plan doesn't require you to choose a PCP, but it's still a good idea. Your PCP is your main partner for giving you annual health checkups, answering your health questions, and helping you decide what specialists to see when necessary. They will get to know your health history and medical concerns and can serve as your key partner in taking care of your health. You may choose a PCP who's in our network or one who isn't, but you'll generally pay less with an in-network PCP.
How to find an in-network provider
Our online Find a Provider tool can help you find in-network health care providers (like doctors, specialists, hospitals, urgent care centers, or retail clinics).
- Visit amerihealthmedicare.com/providerfinder.
- Sign in or search your location. Enter your health plan for in-network matches. Click All Plans to find your health plan by name.
- You can narrow your search by typing in a specific doctor, specialty, hospital, or condition. You can also easily sort and refine your results by distance, gender, and languages spoken.
- Select a provider's profile to view additional information, such as affiliations, hospital admitting privileges, medical school attendance, residency completion, board certification status, and quality recognitions.
Or contact our Member Help Team. They can help you find a provider.
Learn more about your network of PCPs, hospitals, dental vision, and hearing providers.
Visit your PCP
Your PCP is your partner in taking care of your health. At your annual checkup, you'll develop a care plan and discuss recommended preventive care. When you're not feeling well, but you can wait for the next available appointment, your PCP is the right place to go. They can diagnose what's wrong and either prescribe medication to treat the problem or suggest a specialist if you need one.
You have a $0 copay for an in-network PCP visit.
Contact an AmeriHealth Registered Nurse Health Coaches and Case Manager
Set, achieve, and maintain your health goals with an AmeriHealth Registered Nurse Health Coach or Case Manager, available to you at no additional cost!
They will work with you to:
- Answer your health-related questions
- Assist you in managing chronic health condition(s)
- Identify emerging health risks
- Follow your doctor's treatment plans
- Navigate your health journey
- Access support for stress, depression, or anxiety
Get connected
Learn about important plan information, manage your benefits, and discover healthy activities when you engage with us online. Check out these options for ways to connect with your health plan.
Connect to your member site
Log in to the AmeriHealth member site to find all your health and benefit information in one convenient place. Access your member ID card, search the Provider/Pharmacy Finder, check the status of recent claims, and read important messages. You can also manage your prescription drug benefit, search lower-cost alternatives, and order and track medications through our mail-order home delivery service.
Connect to important documents
This AmeriHealth Medicare website contains important plan documents or forms for understanding your benefits and accessing care.
Your EOC explains how your plan works, including your benefit details and how to get care. It also explains your member cost-share amounts and plan information.
Formulary
The Formulary is your plan's list of covered drugs. It notes the drug tiers for all covered medications and restrictions. Knowing which tier a drug is on will help you understand how much you will have to pay for it. The Formulary can also help you and your doctor find lower-cost alternatives.
Medical benefits (Part C) forms and information
Learn more about Part C prior authorizations and access the necessary forms such as Prior authorization and appeals.
Prescription drug (Part D) forms and information
learn more about Part D prior authorizations, coverage determinations such as Step Therapy, and to access necessary forms.
Connect a caregiver
It is good to have someone who can help you with your health plan. But we can only talk to them if you give us permission.
- Authorization for Disclosure of Health Information allows our Member Help Team to discuss plan and health information with your caregiver.
- Personal Representative lets your caregiver request changes to your member account and receive personal health information on your behalf. Legal documentation must be submitted with this completed form.
- Appointment of Representative authorizes a caregiver to file an appeal or grievance on your behalf or speak with a third-party vendor.
Connect your caregiver or loved one before a health event occurs. To learn more or to fill out these forms, contact our Member Help Team.
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Website last updated: 6/24/2024