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We provide CHIP coverage for a wide range of health services that are important for your children, including (but not limited to):
Primary Care visits: Choose a Primary Care Provider (PCP) for each covered child. Your children’s PCP will provide direct care (including well child visits and immunizations, as well as sick visits) and refer your children for specialist services when needed.
Specialist visits: Visits to KidzPartners participating specialists are covered when referred by your children’s PCP. Prior authorization (approval by Health Partners) may be required for certain services.
Dental Care: Preventive, routine and emergency services are covered. No referrals are required. Certain services may require prior authorization.
Eye Care: Coverage includes preventive and routine services, with no referrals required. Up to two pairs of eyeglasses or contact lenses are also covered yearly.
Prescriptions: Drugs on our formulary (plan-approved list) are covered with a prescription when obtained from a KidzPartners participating pharmacy.
Emergency Care: Emergency care is covered in and out of network. The ER copay is waived if hospital admission results within 24 hours.
Hospital: Your children are covered for up to 90 days of inpatient hospital care yearly.
Please see our Member Handbook for additional details (including limitations and restrictions) and for information about other covered benefits.
Except for emergency care, all services provided by non-KidzPartners participating providers (out-of-network care) must be prior authorized by Health Partners.
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