Will Health Right pay for my health care services?
How do I get a referral to see a specialist?
What prescription drugs are paid for by Health Right?
Do I have to have Medicaid to become a Health Right member?
What doctors can I see and where can I get my prescriptions filled?
What is a PCP and when do I go to one?
Does Health Right have a toll free phone number?
What are Health Right's office hours?
Can I have materials about Health Right sent to me?
What Health Care services can I get without a referral?
Do you offer Mental/Behavioral Health Services?
Will Health Right provide transportation for me to go see my doctor?
Health Right offers transportation to and from planned health care appointments. If you need transportation to a scheduled appointment, please call Health Right's Member Services at (202) 218-0380. A member services representative will find the best way to get you to your appointment. Please try to call at least 5 days in advance, to give us time to arrange your transportation.
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Will Health Right pay for my health care services?
Health Right pays for many health care services. Click here to see a list of covered services.
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How do I get a referral to see a specialist?
Specialty Care and Referral
How to get specialty care
Please see your PCP first. Your PCP will oversee all of your care. Physician assistants and nurse practitioners provide many of the same services as your PCP, and you may be seen by one of them when you go for care. Your PCP may also refer you to a specialist or others for certain tests or treatment if your PCP feels that a specialist can give you the best care for your condition. Your PCP will give you a slip of paper (called a referral) that tells the other doctor that the visits were approved. Be sure to take this slip with you to your appointment. If your PCP does not approve the visit, you may have to pay the bills. If you are suffering from serious ongoing medical conditions, you may be able to choose a specialist as your PCP. Please call Member Services so we may tell you if you qualify.
If you want to see a specialist, but Health Right said it wouldn’t pay for the visit, you can:
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What prescription drugs are paid for by Health Right?
Health Right has an open drug formulary and no co-payment for members. Prescription drugs that are paid for by Health Right are left to the discretion of the Medical Director.
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Do I have to have Medicaid to become a Health Right member?
Yes. For more information on how to become a Health Right member please click here.
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What doctors can I see and where can I get my prescriptions filled?
You can find out what doctors are available for the type of practice, time and location you need by clicking on our provider directory . To learn more about where you can have your prescriptions filled, call our Member Services Department at (202)218-0380.
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What is a PCP and when do I go to one?
A PCP is your Primary Care Provider, which is the doctor you will visit when you need any check-ups, physicals, immunizations, referrals or other routine services. For more information, click on choosing a PCP.
How to verify your provider's Board Certification.In order to verify your provider's Board Certification follow the instructions below.
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Does Health Right have a toll free phone number?
Yes! Health Right's toll free number is 1-877-284-0282. English and Spanish speaking representatives will be available to assist you.
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What are Health Right's office hours?
Monday through Friday 8:00 am - 5:30 pm. After 5:30 pm, weekends, and holidays you can call the Nurse Help Line Toll Free: 1-800-239-0145. The Nurse Help Line is available in 150 different languages.
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Can I have materials about Health Right sent to me?
Yes, you can have materials about Health Right sent to you. To receive information about Health Right, please call and ask our Member Services Department at (202) 218-0380.
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What Health Care services can I get without a referral?
- Family Planning
- Vision
- Dental Care
- OB/GYN
- Mental Health
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Do you offer mental/behavioral health services?
Yes, Health Right offers an array of behavioral health services to meet our member's needs. They include an Evaluation, Inpatient Hospitalization, Partial Hospitalization, Day Treatments, Residential Treatment Services, various Outpatient Clinic Services and Psychological Testing/Laboratory Services. For additional information contact our Mental Health Provider at (202) 218-0373 ext 116.
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