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Medicaid Member Managed Care Organization Option Information

On Oct. 1, 2013, Kentuckians began enrolling for healthcare coverage through Kentucky's Health Benefit Exchange, kynect.ky.gov. Coverage began Jan. 1, 2014.

Individuals eligible for expanded or traditional Medicaid will need to choose a Managed Care Organization (MCO). Since health care is important to an individual and his or her family, choosing an MCO plan that works best for everyone also is important. Please review the questions to consider before choosing a MCO section before choosing an MCO.

The MCO options available will depend on the individual's region and eligibility group (current or expansion Medicaid). To determine the region and eligibility group, view the Coverage Map. You may view the MCO contact information in the table below.

Refer questions to the contact listed below or return to the kynect Pre Screening page.

Available MCO Plans

Available MCO Plan

Telephone

Statewide Expansion Excluding Region 3

Statewide Traditional Excluding Region 3

Traditional Region 3

Anthem

(855) 690-7784

X

CoventryCares of Kentucky

(855) 300-5528

X X X

Humana CareSource

(855) 852-7005

X X

Passport Health Plan

(800) 578-0603

X X

WellCare of Kentucky

(877) 389-9457

X X X

 

Questions to consider before choosing a MCO
 

Which plan has all or most of the doctors my family and I visit?

Which plan has the hospitals my family and I like to use?

Which plan offers the extra services I need or want, like additional vision, dental or transportation services?

Will I have to pay co-pays for prescriptions, vision/dental services, prenatal programs and immunizations?

Do you or any family member have a health problem, which needs treatment by a specific type of doctor or specialist?

 

Contact Us
 

For KY Medicaid Member Questions, call (800) 635-2570

For enrollment questions, call (855) 4kynect (459-6328).

 

Last Updated 9/16/2014
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