Your benefits

Benefits available under Medicaid:

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Find a provider
To use your benefits, you must visit healthcare providers that partner with WellSense (also called in-network providers). 

Find a provider

Additional benefit information

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Children and teens
It's important for children and teens to regularly see their primary care physician (PCP) for preventive care to stay healthy. Your PCP can offer screenings to make sure they are healthy – and to keep them that way.
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Behavioral health

WellSense partners with Carelon Behavioral Health to support your mental health and substance use needs. Carelon is available 24 hours a day, 7 days a week, at 855-834-5655.

Find more behavioral health resources here.

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Nurse advice line

Call 866-763-4829 to get immediate health advice from a registered nurse, 24 hours a day, seven days a week. All calls are confidential. 

More details

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Telehealth
Telehealth appointments, such as video calls, can be a convenient option for medical care without having to go into your doctor’s office.  Telehealth visits are covered by your WellSense plan if you use an in-network provider. To find out if your provider offers telehealth appointments, you should call their office and ask.
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Transportation
WellSense helps get you to your scheduled healthcare services and back home. Call us at 844-909-7433 at least 48 hours in advance of your appointment to schedule your ride. Get more details here.
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Community resources
Need a little extra help? Use our directory to find low-and no-cost community resources when you need them.

You may need prior authorization before a service will be covered. You or your doctor may confirm if the service requires prior authorization.

The following are some of the services are not covered:

  • Cosmetic surgery unless medically necessary
  • Diagnosis and treatment for infertility
  • Alternative treatments such as acupuncture and homeopathy
  • Experimental treatments or drugs not approved by the FDA
  • Personal comfort items including air conditioners, radios, telephones and televisions
  • Services not otherwise covered by New Hampshire Medicaid Program, except as determined by WellSense Health Plan to be necessary for your continuing health and well-being
  • Certain laboratory services
  • Services provided outside the United States and its territories
  • Drugs listed as "excluded" on our List of Covered Drugs

For a complete list of services that are not covered, please see your Member Handbook.

Please see the Member Handbook for a Covered Services List and additional information, including covered and non-covered benefits; any restrictions to services, benefits or the provider network; and a summary of pharmaceutical management procedures. Click the ‘Find a Provider’ link at the top right of the page to find out about our providers. Please see Your Privacy for our privacy policies. Please see a summary of our utilization management procedures.