EPSDT Age Out

If you received an Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) age out letter here is what you need to know.

If you are enrolled in Fee for Service (FFS) your benefits include:

Behavioral health services
Chronic illness management
Durable medical equipment, prosthetics, orthotics and certain supplies
Emergency and non-emergency medical transportation
Emergency medical services
Family planning services
Immunizations/vaccines
Inpatient/outpatient hospital services
Laboratory tests and x-rays
Pregnancy and newborn care
Prescription Medicines/pharmacy
Rural health clinic services
Unlimited Primary Care Physician (PCP) visits
Vision services
Women’s health services

 

If you are in a managed care plan your benefits include:

Behavioral health services
Chronic illness management
Durable medical equipment, prosthetics, orthotics and certain supplies
Emergency and non-emergency medical transportation
Emergency medical services
Family planning services
Immunizations/vaccines
Inpatient/outpatient hospital services
Laboratory tests and x-rays
Pregnancy and newborn care
Prescription Medicines/pharmacy
Rural health clinic services
Unlimited Primary Care Physician (PCP) visits
Vision services
Women’s health services

Plus additional benefits offered by the health plan you are enrolled in. If you have a question, call your plan directly or visit this link https://myplan.healthy.la.gov/sites/default/files/Documents/458288_LAEB-HP-COMP-E-v05_PROOF-1.pdf

If you are a Chisholm Class Member, you must choose a managed care plan.

Visit https://myplan.healthy.la.gov/choose/compare-plans to compare plans.

Dental Information

All adults are enrolled in adult dental coverage.

For adults age 21 and up, services do not include routine dental care or tooth repairs to natural teeth. These are the services covered: