Getting Care

AmeriHealth Caritas Ohio will pay for your care for covered services when you meet required terms and conditions and go to one of our healthcare providers. We call these providers our "network" providers. Network providers are providers that we have contracted with to provide healthcare services. You can find a network provider in our online provider directory.

A provider who is not one of ours is called "out-of-network." If you go to one of these providers, you may have to pay for the care you get.

When you are sick

Specialized care

  • Healthchek children's services
    Help to make sure your children get the medical care they need and find out about childhood diseases and illnesses early.
  • Care for Pregnant Members
    Get information about finding care while you're expecting.
  • Your Care Manager
    Our Care Managers can help you to manage your physical or behavioral healthcare needs.
  • Seeing a specialist
    Your PCP may send you to a specialist for some of your care.
  • Preauthorizations
    We may need to approve some services before you visit a provider.
  • Coverage types and services not covered
    Find out more about what is and isn’t covered by our plan.   
  • Continued care
    If you get ongoing treatment from a provider who is not in the AmeriHealth Caritas Ohio network, you may be able to continue that treatment under certain circumstances.
  • Lead screenings
    Exposure to lead, a toxic metal, can be dangerous. Lead screenings are an important measure to keep you and your family healthy.

If you have any questions about your health, you can call our 24/7 Nurse Advice Line at 1-833-625-6446 (TTY 1-833-889-6446).

If you have questions about your benefits or AmeriHealth Caritas Ohio, call AmeriHealth Caritas Ohio Member Services at 1-833-764-7700 (TTY 1-833-889-6446)