Frequently Asked Questions (FAQs)
Find answers to your health plan questions
Your health plan
Healthy Blue is a managed care organization (MCO) that provides Nebraska Medicaid benefits for eligible kids and adults. For over 80 years, Blue Cross and Blue Shield of Nebraska has been helping people get access to great health care benefits. And now with Healthy Blue, Medicaid members in Nebraska can get Blue, too.
Medicaid helps low-income children, adults and families get health care coverage. And with Medicaid expansion in Nebraska, more adults ages 19 to 64 now qualify. Learn more about Medicaid eligibility
Once you are approved for Medicaid, there are several ways to choose Healthy Blue as your MCO:
- Visit the Heritage Health website.
- Call 888-255-2605 (TTY 711). Choice Counselors are available Monday through Friday from 7 a.m. to 7 p.m. Central time.
- Complete and mail the Health Plan Change Form found in your welcome packet from the Department of Health and Human Services (DHHS).
Your primary care provider (PCP)
Yes, if your primary care provider (PCP) is part of the Healthy Blue plan. If your PCP is not in our plan, we can help you select a new one. You can also choose or change your PCP online by logging in to your account.
You can change your PCP at any time. To find a doctor in your area, use our Find a Doctor search tool. Then, log in to your online account to change your PCP. You can also call Healthy Blue Member Services at 833-388-1405 (TTY 711) Monday through Friday from 8 a.m. to 5 p.m. Central time, and we can help you.
If you change your PCP, we will send you an updated member ID card. It may take a few days for you to receive your card in the mail, but the change will start right away.
You may see any doctor in our plan without a referral. However, some doctors may request a referral from your PCP. We will still cover medically necessary services provided by a plan provider without a referral.
Your ID card
You will get your Healthy Blue ID card in the mail within 10 business days from the date we are notified of your enrollment in Healthy Blue. Once you create an online account, you can view, download and print a copy of your ID card. Download the Healthy Blue mobile app to always have your member ID card with you.
If you go to the doctor’s office without your member ID card, you can tell them you are with Healthy Blue. The doctor’s office will call us to verify your information. You can also view your ID card with the Healthy Blue mobile app. Do your best to bring your card with you to every appointment.
If your ID card is lost or stolen, call us right away at 833-388-1405 (TTY 711) Monday through Friday from 8 a.m. to 5 p.m. Central time. We will send you a new card. You can also print a copy of your ID card from your online account.
Some members will have a small copay, or fee, for some services. If you receive a bill from your provider, give Member Services a call at 833-388-1405 (TTY 711) Monday through Friday from 8 a.m. to 5 p.m. Central time. Keep your Healthy Blue and Medicaid ID cards with you at all times. You will need to show them every time you get care. By showing your ID cards, you can avoid getting a bill from a provider.
Have a smartphone? Download our free app!
With the Healthy Blue mobile app, you will always have your member ID card with you! Download the mobile app.
Yes. You do not need to see your PCP before getting behavioral health services. If you need help finding mental health or substance use services, call Member Services at 833-388-1405 (TTY 711). You can also use our Find a Doctor tool to find a behavioral health provider.
If you are experiencing a mental health crisis, call our 24/7 Behavioral Health Crisis Line at 833-405-9087 (TTY 711) for help. If you think you are in danger of harming yourself or others, call 911 or go to the nearest emergency room.
Your prescription drug coverage
You can get prescriptions filled at any Healthy Blue plan pharmacy. It includes most major chains and many independent community pharmacies. You can search our list of pharmacies. You can also call Pharmacy Member Services at 833-370-0703 (TTY 711) or ask your local pharmacy for help.
Many OTC medicines are covered by Healthy Blue for eligible members. All OTC medicines require a written prescription from your doctor and can be filled at any plan pharmacy. If you have questions about whether or not you are eligible to receive OTC medicines, call Member Services at 833-388-1405 (TTY 711) Monday through Friday from 8 a.m. to 5 p.m. Central time.
Your doctor can request preapproval on medicines by calling the Healthy Blue Pharmacy department at 833-388-1406.
The formulary is a list of all brand-name and generic drugs available in your plan. All drugs on the formulary are covered, but some require preapproval before the prescription can be filled. Search the formulary
If you do not see your medicine listed on the drug list, you can ask for an exception at firstname.lastname@example.org.
You can manage your prescriptions for home delivery through your online account. You can view prescriptions that are eligible for home delivery, request a new prescription for home delivery and track your order status all within your online account. Start managing your prescriptions
If you need a refill while on vacation, contact your doctor for a new prescription to take with you. To view a list of plan pharmacies, you can search our online provider directory.
If your medicines are lost or stolen, you should contact your doctor to authorize the pharmacy to refill your prescription early. The pharmacy may have to contact us for prior approval. Replacement of lost or stolen medicines will be reviewed on a case-by-case basis.
If you had to pay for a medicine, you will need to request reimbursement from the pharmacy. The pharmacy will work with us to submit the claim.