Coordinated Care Benefit Summary

We provide the same medical services as Medicaid. We also have extra benefits and services.

All services must be medically necessary and some may:

• Have coverage limits.
• Need a doctor’s order.
• Need prior approval.
• Have a copay (for Basic Health members only)

Click on the links below to see a full list of services.

Basic Health Benefits Coverage (Benefit Grid)
Healthy Options Benefits Coverage (Benefit Grid)

View the Healthy Options Website
View the Basic Health Website

• Medical Services – doctor visits, lab and x-ray tests, emergency care, inpatient and outpatient hospital and more.
• Behavioral Health Care – doctor office, counseling and inpatient hospital services
• Dental Care – this is not covered by Coordinated Care. You must use a Medicaid dental provider that will bill DSHS. Dental care is only covered for children less than 21 years old.
• Nurse on Call – talk to a nurse any time of day. NurseWise is ready to answer your health questions 24 hours a day – everyday of the year.