Show:
Types of Members
Pharmacy
Transportation
Value Added Services
Benefits
100
A member who has both Medicare & Medicaid coverage.
What is a Dual member?
100
Medicaid Superior Health Plan members pay this for their prescriptions.
What is zero copay?
100
1-877-633-8747
What is the toll free number for MTP
100
Start Smart Baby Shower Program
What is submitted through the applicable database for SDA of member?
100
Ambulance Services, Audiology Services (including hearing aids), Behaviroal Health Services, Dialysis, etc..
What are acute care benefits covered by superior for StarPlus Members?
200
A member who qualifies for the 1915(c) Nursing Facility Waiver Services.
What is a member with waiver benefits? or What is an L2 or L9 StarPlus member?
200
The PBM for Superior Health Plan Members.
What is US Script?
200
The Medical Transportation services program can also help with money for gas for someone who drives you to an appointment
What is a reimbursement authorization letter?
200
Connection's Plus pre-Programmed Cell Phone's
What is a value added service for High Risk members?
200
Well Checks
What is covered once a year for patients 21 years and over?
300
Members in which Superior pays 100% of their acute benefits.
What is a non-dual member? or What is LT or L9?
300
Medicaid members can have as many of this a month as needed.
What is unlimited prescriptions?
300
Health Education Classes or New Member Orientations
What is an included benefit of transportation?
300
Access to 8 hours of in home health care for PAS providers needing vacation or a day off.
What is Extra Respite Care?
300
Diapers
What is not a covered benefit by the StarPlus Program?
400
Members who do not show a PCP on file nor on their id card.
What is a Dual Member? or What is L2 or LD?
400
A written or faxed order request of medication.
What is a prescription?
400
Route the order via CRM to the MTP queue.
What is the process to follow if the member requires an authorization letter in the Hidalgo region?
400
Farmers Market Discounts
What is a covered value added service only in the Travis SDA?
400
Personal Attendant Services
What is a Long Term Service & Support Benefit for all StarPlus Members?
500
L2, L9, LD & LT members call for this and are usually referred to a Service Coordinator
What is Long Term Services Support? or What are waiver services?
500
Rx Direct handles this for Superior
What is mail order and OTC benefits?
500
Logisticare
What is the name of the Transportation Company for the Dallas Region?
500
Up to a $15.00 allowance for Gym Membership
What is a value added service for Dallas Dual and Non-Dual members?
500
Medical Supplies
What is a waiver benefit of L9 & L2 members?