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An Affinity for Members

 New Medicaid Benefits

 

Important Pharmacy Update: 

    

Getting Mail-Order and Specialty Drugs at Retail Pharmacies

Starting now, you can get any drugs you get through our specialty or mail-order pharmacy at a retail pharmacy that is in our CVS Caremark Pharmacy Network.  These include many drugs used for certain illnesses such as cancer or multiple sclerosis.  If you want to keep getting your drugs through our specialty or mail-order pharmacy you can, no change is needed. If you want to change to a new pharmacy, you will need a new prescription from your doctor. However, you will only be allowed to do this if the retail pharmacy agrees to our payment for the drug.  

 

 If you have any questions, please contact Pharmacy Customer Service at 855-465-0031.  

 

 

 

 

 

 

 

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Important Pharmacy Update: 

  

CVS Caremark will be Affinity's Child Health Plus pharmacy benefit manager (PBM) to administer prescription drug benefits, starting October 1, 2012.      Read more  

 

 

 

 

 

 

 

 

 

 

 

 

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Important Lab Update: 

  

LabCorp will be Affinity Health Plan’s Exclusive Outpatient & Specialty Lab Provider Effective 9/1/12! All other outpatient labs, (e.g., Quest Diagnostics, Bio Reference Laboratories, Shiel Medical Laboratory, and all other regional labs), will be terminated and claims will be denied after 9/1/12.

 

 See LabCorp materials below for more information:

                     

    

     »  Member Notification Letter (Non-Medicare)

     »  Member Notification Letter (Medicare)

     »  LabCorp Patient Service Center Listing for all service areas, 

        or call 1-888-522-2677 to find the nearest location.

     »  LabCorp Frequently Asked Questions 

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At Affinity Health Plan, we care about you and your health. We call it Maura’s Promise - a promise from our president and CEO that we will work hard to help you get the care you need. To do this, we offer you and your family free or low-cost health coverage.

 

Here's what we offer - free or low-cost health coverage for you and your family given by top quality doctors and backed by our great customer service. If you let us take care of your health, here are some things you can be sure of:

 » You will have your own personal doctor selected from our network of doctors.

» Your doctor will take care of you, give you check-ups and refer you to specialists, if needed.

» When you call us, our caring and friendly staff will be there to speak with you.

» You will take part in our special health and wellness programs to help you stay healthy.

» With more than 15 community service centers (CSCs), we’re never far from you. You may visit any of our CSCs near you and get answers to your questions.

On these pages, you will learn a lot more about Affinity – our health coverage programs, how you can join us, and more.

 

Recertification

Affinity wants to make sure your coverage continues without a break. We make it easier for you to renew your coverage. You may call us toll free at 1-866-247-5678 or you may visit any of our Community Service Centers (CSC) near you to find out on how and when to renew your coverage.

 

Rights and Responsibilities

Learn about the rights and responsibilities of being an Affinity Health Plan Member.

 

Privacy Notice

This Notice describes how medical information about you may be used and disclosed by Affinity Health Plan and how you can get access to this information.

 

Drug Formulary

A formulary is a list of covered drugs chosen by Affinity. These drugs represent the medications that we believe are a necessary part of a quality treatment program.

 

Provider Lookup

Are you searching for an Affinity provider in the Medicaid, Child Health Plus, Family Health Plus network?

 

Frequently Asked Questions (FAQs)

Frequently asked questions by our Members.

kid
Child Health Plus Program (CHP)

More children now qualify.

learn more