New York Health and Recovery Plan (HARP)
As an Anthem Blue Cross and Blue Shield HP HARP member in New York, you get many benefits with little to no costs or copays.
Extra care for behavioral health needs
HARP is the Anthem Health and Recovery Plan in New York. It offers regular Medicaid benefits plus extra access to care for behavioral health needs, such as mental health and substance use treatment.
Who’s eligible for HARP in NY?
You may be eligible for HARP through Anthem if you:
What you get with Anthem
Doctor visits
Low-cost prescriptions
A helpful care manager
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 (mental and substance abuse services)
- Smoking cessation services
- Home healthcare services
- Disease management for asthma, diabetes, and other conditions
Check your member handbook for a full list of benefits in your plan.
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
To find or change your dentist, call LIBERTY Dental at 833-276-0847, or visit their website.
There are no copays for covered vision services, including:
- One eye exam every two years
- Prescription glasses every two years
Check your member handbook for a full list of vision benefits in your plan.
Starting April 1, 2023, your prescriptions will not be covered by Anthem. They will be covered by Medicaid NYRx, the Medicaid pharmacy program.
Some services need preapproval or prior authorization. This means you or your doctor must ask Anthem to approve those services or benefits before you get them. These services include:
- Some ambulatory surgery
- Certain chemotherapy not covered by NYRx
- Dialysis
- Durable medical equipment
- Growth hormone evaluation
- Digital hearing aids
- Home care
- Hyperbaric oxygen therapy
- Inpatient services
- Lithotripsy
- Non-emergent fixed wing transportation
- Obstetrical services (except family planning services)
- Oxygen equipment (respiratory therapy)
- Prosthetics and orthotics
- Some physician-administered drugs not covered by NYRx
- Transplant evaluation
In Lieu of Services (ILS) are other physical and behavioral health services you may receive instead of those covered by your Medicaid plan. ILS services:
- Are cost-effective substitutes for covered services and settings.
- Are approved by New York State.
- Help us give you more options for your care.
To learn more about ILS and what we offer, visit the New York State Department of Health website.
Healthy Rewards is a no-cost optional program for eligible Anthem members. It pays you for completing healthy activities like:
- Yearly well-child and childhood dental visits.
- Prenatal and postpartum visits for pregnant members.
- Screenings for diabetes management.
To redeem your Healthy Rewards, visit the Benefit Reward Hub. To learn about other value-added benefits, visit the Extra Benefits page.
Behavioral healthcare includes mental health and substance use treatment services. These services can help with your emotional health. You can also get help with alcohol or other substance use issues.
As a member of Anthem HARP, you can get specialty services to help you reach your health goals. Behavioral Health Home and Community Based Services (BH HCBS) can help you stay out of the hospital and live safely in the community. These services can also help you:
- Find housing.
- Live independently.
- Find a job.
- Return to school.
- Manage stress.
- Prevent crises.
- Get help from people who’ve been there.
You have access to a care manager who’ll make sure you get the medical, behavioral health, and social services you need. They can help you make appointments, find housing, and get food assistance.
There are no copays for covered services. Check your member handbook for a full list of benefits in your plan. For more information, call 888-830-4300 and ask to speak with a care manager.
New York never sleeps, and neither do we. Get 24-hour phone advice from a registered nurse anytime, day or night.
- MLTC plan members: Call 855-661-0002 (TTY 711)
- All other members: Call 800-300-8181 (TTY 711)
Already a member? We’re glad you chose Anthem.
We want you to understand your benefits and receive the best possible care. Here are some resources to help.
The member handbook: Everything you need to know
Your member handbook is your go-to guide for health services. It contains complete benefit information about your plan. Read it to find out about:
Member Handbook - Health and Recovery Plan (English) *
Member Handbook - Health and Recovery Plan (Spanish) *
* Anthem versions of materials will be coming soon.
Need a handbook mailed to you?
