Medicaid Frequently Asked Questions

The Medicaid Member Handbook will answer most questions related to what is covered. If you need a new Member Handbook or still have questions, please call Member Services at 1-800-392-1147 TTY 711.

Please call Member Services at 1-800-392-1147 TTY 711 to ask for a new I.D. Card.

 

Don’t like talking on the phone? Use secure messaging and live chat in our free member portal.

Yes. Your Member Card can be accessed via the member portal. 

To find out how, visit the Member Card page of this website.

If you already have a doctor (primary care physician or “PCP”) in mind, please call Member Services at 1-800-392-1147  TTY 711 to make your doctor selection. If you do not have a PCP, please call Member Services at 1-800-392-1147 TTY 711 and a representative will help you find a doctor that accepts Highmark Wholecare.

Please call Member Services at 1-800-392-1147 TTY 711 before the 25th of the month so that you can see your new doctor on the 1st day of the next month. If you call after the 25th of the month, you will need to keep seeing your present doctor for the next month.

 

Example:

  • If you call to change your doctor on January 5, you can start seeing your new doctor on February 1.
  • If you call to change your doctor on January 28, you will not be able to see your new doctor until March 1.

Don’t like talking on the phone? Use secure messaging and live chat in our free member portal.

You can use the Find A Doctor tool or you can call Member Services at 1-800-392-1147 TTY 711. We can print a list of doctors and mail the list to you or give names of doctors or providers over the phone.

 

Examples: Family Medicine Doctors, Internal Medicine Doctors, OB-GYNs, Dentists, Foot Doctors, Eye Doctors, Pharmacies, etc.

 

Don’t like talking on the phone? Use secure messaging and live chat in our free member portal.

Medical Assistance offers a program called 'Medical Assistance Transportation Program' or 'MATP'. You must sign up with your local MATP office in order to use this service. Please call Member Services at 1-800-392-1147 TTY 711 to get your local county's MATP phone number.

 

Learn more about our Transportation benefits

Why should I get a flu shot?
Flu shots can help protect you from getting sick from the flu virus. It can help keep you healthy so that you don’t miss work or school. It can also prevent hospitalizations or death caused by the flu.

 

How often should I get a flu shot?
Once a Year.

 

Who should get the flu shot?
Everyone 6 months and older should get a flu shot. People who have a high risk of developing flu-related complications should especially get the flu shot. This includes:

  • Adults 65 + years
  • Asthma
  • Heart Disease & Stroke
  • Diabetes
  • Chronic Kidney Disease
  • Pregnant Women
  • Children younger than 5 years old
  • HIV/AIDs
  • Cancer

Some people may not be able to get a flu shot because of their age, health history or allergies. Talk to your doctor to see if you should get a flu shot.

 

Where can I get a flu shot?
Children 3 years and younger can get their flu shot from their PCP or Health Department. Children over 3 years of age and adults can get their flu shot at their PCP’s office, Health Department or local Pharmacy.

 

Source: CDC.gov
Last updated 1/26/2021