Important First Steps for Young Adults
(or Any New Member) With AmeriHealth Caritas New Hampshire
With the AHC Mobile app, you have ready access to your AmeriHealth Caritas New Hampshire ID Card as well as your Member Handbook.
Register using the member ID number that is on your member ID card.
Choose the email address you want to use as your user ID and create a password.
ID Card — bring your AmeriHealth Caritas New Hampshire ID card with you to all of your medical appointments and to the pharmacy. Bring your State of New Hampshire Medicaid card also.
AmeriHealth Caritas New Hampshire ID card
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State of New Hampshire Medicaid card
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Welcome Kit – Your Welcome Kit will include the following two booklets. Please look through them.
Reference Guide for Members (PDF) provides essential information you need to know right away.
Member Handbook (PDF) provides more in-depth information about your benefits, contact information, how to appeal a decision you don’t agree with, and much more.
To find your PCP:
Look at the letter that came with your AmeriHealth Caritas New Hampshire ID Card.
Log into your Member Portal.
Call Member Services at 1-833-704-1177.
- New Hampshire Department of Health and Human Services by visiting NHEasy
- AmeriHealth Caritas New Hampshire: Call Member Services at 1-833-704-1177.
Welcome call or text
Expect to receive a welcome call or text from AmeriHealth Caritas New Hampshire. This will direct you on next steps to take, such as choosing a primary care provider and setting up your first appointment.
Questions?
Call Member Services at 1-833-704-1177, 24 hours a day, seven days a week.
Common terms and what they mean:
The term used to describe the plan’s practice of assisting members with getting needed services and community supports. Care coordinators make sure participants in the member’s health care team have information about all services and supports provided to the member, including which services are provided by each team member or provider. For more information, refer to Section 5.2 (Care coordination support) in your Member Handbook (PDF).
An amount you may be required to pay as your share of the cost for a medical service or supply, including a doctor’s visit, hospital outpatient visit, or a prescription drug. Under our plan, you may have a prescription drug copayment.
Refer to the Benefits Chart in Chapter 4 of your Member Handbook (PDF) for a list of covered services.
A “medical emergency” is when you, or any other reasonable person with an average knowledge of health and medicine, believe that you have medical symptoms that require immediate medical attention to prevent loss of life, loss of a limb, or loss of function of a body organ or part. The medical symptoms may be an illness, injury, severe pain, or a medical condition that is quickly getting worse. Or in the case of a pregnant person in active labor (meaning labor at a time when there is not enough time to safely transfer you to another hospital before delivery, or the transfer may pose a threat to your health or safety or to that of your unborn child).
A prescription drug that has the same active-ingredient formula as a brand-name drug. Generic drugs usually cost less than brand-name drugs. The U.S. Food and Drug Administration (FDA) rates these drugs to be as safe and effective as brand-name drugs.
Services, supplies, or prescription drugs needed for the prevention, diagnosis, or treatment of a medical condition and meet accepted standards of medical practice. For more information about medically necessary services, refer to Section 6.1 (Medically necessary services) of your Member Handbook (PDF).
Doctors, pharmacies, and other health care professionals, medical groups, hospitals, durable medical equipment suppliers, and other health care facilities that have an agreement with the plan to accept our payment and your cost-sharing amount, if any, as payment in full. We have arranged for these providers to deliver covered services to members in our plan.
These services are covered by the plan if you are unable to pay for the cost of transportation to provider offices and facilities. The plan covers non-emergency medical transportation to medically necessary New Hampshire Medicaid covered services listed in the Benefits Chart in Chapter 4 (Transportation services — Non-emergency medical transportation [NEMT]) of your Member Handbook (PDF).
A premium is the periodic payment paid to an insurance company or a health care plan by a member or other party to provide health care coverage. There is no member premium for your AmeriHealth Caritas New Hampshire Medicaid managed care plan.
The network doctor or other provider you see first for most health problems. The PCP will make sure you get the care you need to keep you healthy. They may also talk with other doctors and providers about your care. Refer to Section 3.1 (Your Primary Care Provider (PCP) provides and oversees your medical care) of your Member Handbook (PDF).
Urgent care is urgently needed services or after-hours care provided to treat a non-emergency, unforeseen medical illness, injury, or condition that requires immediate medical care to prevent a worsening of health due to symptoms that a reasonable person would believe are not an emergency but do require medical attention. Urgently needed services may be furnished by network providers or by out-of-network providers when network providers are temporarily unavailable or inaccessible. Urgently needed services are not routine care. For more information, refer to Section 3.6 of your Member Handbook (PDF) (Emergency, urgent and after-hours care).
Questions and Answers for New Members
- Who is AmeriHealth Caritas New Hampshire?
- How do I choose a plan?
- I am interested in enrolling in AmeriHealth Caritas New Hampshire. How and when can I enroll?
- Will my family be on different managed care organization (MCO) plans or are we able to stay on the same plan?
- Can I still enroll if I also have Medicare?
- Will I have a monthly payment?
- What will I receive as a new member?
- What are the benefits and services offered by AmeriHealth Caritas New Hampshire?
- Does my health care provider (PCP) participate with AmeriHealth Caritas New Hampshire? Is my PCP on your plan? Does my PCP participate in your network?
- Will my benefits change?
- How can I get care when I’m out of state?
Who is AmeriHealth Caritas New Hampshire?
AmeriHealth Caritas New Hampshire is a managed care organization and a member of the AmeriHealth Caritas Family of Companies, a national leader of Medicaid managed care.
AmeriHealth Caritas New Hampshire is honored to have been selected as one of the managed care organizations to administer health care services to participants in the New Hampshire Medicaid managed care program.
Headquartered in Manchester, AmeriHealth Caritas New Hampshire is a mission-driven health care organization. We emphasize preventive care, health maintenance, and community outreach programs.
At AmeriHealth Caritas New Hampshire, care is the heart of our work.
How do I choose a plan?
New Hampshire DHHS can help you choose and enroll in a plan.
Call the DHHS Customer Service Center at 1-844-275-3447 (TTY 1-800-735-2964), Monday through Friday, 8 a.m. to 4 p.m. ET.
I am interested in enrolling in AmeriHealth Caritas New Hampshire. How and when can I enroll?
Call the DHHS Customer Service Center at 1-844-275-3447 (TTY 1-800-735-2964), Monday through Friday, 8 a.m. to 4 p.m. ET.
Will my family be on different managed care organization (MCO) plans or are we able to stay on the same plan?
Your family can choose to be on one health plan or split up between plans. Although, each person can only be a member of one health plan.
Yes. Members may be eligible for both Medicaid and Medicare, depending on income level. The state determines your eligibility.
Will I have a monthly payment?
There is no member premium for your New Hampshire Medicaid managed care plan. New Hampshire Medicaid is a federal and state funded health program. A premium is the periodic payment paid to an insurance company or a health care plan by a member or other party to provide health care coverage.
What will I receive as a new member?
Once you are enrolled with AmeriHealth Caritas New Hampshire, you will receive a Welcome Kit. The information in this kit tells you about our plan, benefits, and services. The kit will include the Member Handbook and member ID card. It will also have information on how to change your primary care provider. You can also access this information online through our Next Steps for New Members section.
What are the benefits and services offered by AmeriHealth Caritas New Hampshire?
Visit our members section to learn more about the benefits and services we offer.
Does my health care provider participate in the AmeriHealth Caritas New Hampshire network?
You can use our online provider search tool to find a provider already in our network.
You can also call Member Services at 1-833-704-1177 to have a Provider Directory mailed to you or for help finding which providers are in the AmeriHealth Caritas New Hampshire network.
Will my benefits change?
How can I get care when I’m out of state?
Routine care should be received by a doctor that is part of our AmeriHealth Caritas New Hampshire network of providers. You can search for in-network doctors.
Some providers in our network offer telehealth services. You use our online Provider Search and select “Places by Type” and search for “TeleCare”. This means you can visit an in-network provider through video without actually being at the same location. This only works for certain types of services such as mental health counseling.
If you are traveling out of state and you need care that can’t wait, you may get care at an urgent care center or emergency department.
If you attend school in another state, check with your school to see what health care benefits are is available to you through the school. Some schools offer as-needed health care or Student Health Services included with your tuition.
New Hampshire borders multiple other states, and there may be some providers that are part of AmeriHealth Caritas New Hampshire’s network who are located in a neighboring state. Use our provider search tool or call Member Services to check if the provider you want to see is part of our network.