NY Child Health Plus (CHPlus) benefits

There are no copays for covered medical services, including:

• Primary care provider (PCP) visits
• Immunizations and wellness visits
• Specialist visits
• Urgent care
• Emergency care
• Lab and X-ray services
• Pregnancy services
• Family planning
• Hospital care
• Physical therapy
• Speech and hearing services
• Behavioral healthcare
• Autism spectrum disorder services

Check your member handbook for a full list of benefits in your child’s plan.

Find care 

Dental benefits are provided through LIBERTY Dental. There are no copays for covered dental services, including:

• Dental exams
• Teeth cleaning (twice a year)
• X-rays
• Extractions
• Fillings
• Emergency care
• Dentures (removable or partial)
• Orthodontics

Check your member handbook for a full list of dental benefits in your child’s plan. To find or change your child’s dentist, call LIBERTY Dental at 833-276-0847, or visit their website.

 

Find a dentist 

There are no copays for covered vision services, including:

• One eye exam each year
•  Prescription glasses each year
• Contact lenses (if medically necessary)

Check your member handbook for a full list of vision benefits in your child’s plan.

 Provider Directory – Vision Plan

Your child’s benefits include coverage for a wide range of prescription and over-the-counter (OTC) drugs in New York. We work with CarelonRx to provide these benefits. There are no copays for covered drugs.

Visit the pharmacy page to find a pharmacy near you and check if your child’s medicine is on the Preferred Drug List (PDL).

Go to Pharmacy Page 

Some services need a referral from your child’s primary care provider (PCP) such as:

• Going to a hospital for nonemergency care
• Getting medicine from another doctor in your child’s plan 

You do not need a referral for:

• Women’s healthcare
• Pregnancy services
• Family planning services
• Emergency services
• School-based health center services
• Behavioral health and substance use disorder services
• Certain doctors for children with special healthcare needs

Some services need preapproval or prior authorization. This means you or your child’s doctor must ask Anthem to approve those services or benefits before getting them. These services include:

• Ambulance transportation (emergency air and nonemergency)
• Chiropractic services
• Diagnostic testing
• Durable medical equipment
• End-stage renal disease services
• Home health extended services (age 20 and younger)
• Hospice services
• Inpatient acute care hospitalization
• Certain medicines
• Mental health rehab services
• Nurse-midwifery services
• Organ transplant services
• Outpatient hospital services including physical therapy, occupational therapy, speech therapy, and surgical procedures
• Physician services, such as medical assessments, treatments, and surgical services
• Podiatry services
• Post-stabilization care services
• Radiology services
• Rehabilitation services: physical therapy, occupational therapy, and speech therapy

Healthy Rewards is a no-cost optional program for eligible Anthem members. It pays you for helping your child complete healthy activities like:

• Yearly well-child visits.
• Yearly childhood dental visits.
• Immunizations such as flu shots.

To redeem your Healthy Rewards, visit the Benefit Reward Hub. To learn about other value-added benefits, visit the Extra Benefits page.

New York never sleeps, and neither do we. Get 24-hour phone advice from a registered nurse anytime, day or night.

Call 800-300-8181 (TTY 711).