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Benefits Overview

Magnolia Health offers health insurance plans with comprehensive healthcare services that suit the needs of families and individuals throughout Mississippi.

View some of Magnolia Health's benefits below. You can also view more information in our Member Handbook.        

Behavioral Health Care / Substance Abuse Disorder (SUD)

Magnolia will cover your inpatient and outpatient behavioral health needs including substance abuse disorder (SUD) treatment. A PCP referral is not needed for outpatient behavioral health care. You may go to any behavioral health provider in Magnolia’s network of providers. You may get five visits in a year without our okay. Be sure to go to a behavioral health provider in our network. Call 866-912-6285 (Relay 711) to get help with outpatient behavioral health services.

This is how we can help:

  • We will refer you to a PCP or therapist. You can also attend a community support group.
  • We can help you find community resources.
  • There are special groups for pregnant women and parents.
  • You will have a case manager to help with your care. They will help you find the right services for your treatment.
  • After hours, you can also call NurseWise. NurseWise is ready to answer your questions 24 hours a day – every day of the year. It does not cost you anything.

How can you get Help if You or Your Child Has Behavioral Health Problems? Do You Need a Referral for This?

Sometimes talking to friends or family members can help you work out a problem. When that is not enough, you should call your PCP or Magnolia. You do not need a referral from your PCP for these services. Magnolia will help you find the best provider for you or your child. Call 866-912-6285 (Relay 711) to get help right away. You can call 24 hours a day, seven days a week.

How do You Know if Your or Your Child Needs Help?

Help might be needed if you or your child:

  • Can’t cope with daily life
  • Feels very sad, stressed or worried
  • Are not sleeping or eating well
  • Wants to hurt themselves or others or have thoughts about hurting yourself
  • Are troubled by strange thoughts (such as hearing voices)
  • Are having problems at work or at home
  • Seem to be having problems at school

When you or your child have a behavioral health problem, it is important for you to work with someone who knows them. We can help you find a provider who will be a good match for you. The most important thing is for you or your child to have someone they can talk to so they can work on solving their problems.

What to do in a Behavioral Health Emergency

You should call 911 if you or your child are having a life‐threatening behavioral health emergency. You can also go to a crisis center or the nearest emergency room. You do not have to wait for an emergency to get help. Call Magnolia at 866-912-6285 (Relay 711) for someone to help you or your child with depression, behavioral illness, or emotional questions.

What to Do if You or Your Child are Already in Treatment

If you or your child are already getting care, ask your provider if they are in the Magnolia network. If the answer is yes, you do not need to do anything. If the answer is no, call Magnolia at 866-912-6285 (Relay 711). We will ask your/your child’s provider to join our network. We want you or your child to keep getting the care they need. If the provider does not want to join the Magnolia network, we will work with the provider to keep caring for you or your child until medical records can be transferred to a new Magnolia healthcare provider.

Care coordination and disease coaching are part of your health benefits and are provided to you at no cost. Magnolia Health pays for these services. We provide services for many conditions, such as asthma, diabetes, COPD, high-risk pregnancy and many more. Call Member Services at 866-912-6285 (Relay 711).

Magnolia Health is proud to be working with SafeLink Wireless to offer you this special, federal program. As a Member of our plan, you get all the same benefits of a SafeLink phone, plus unlimited inbound text messages and calls to Magnolia Health member services. There is no added cost for these extras.

How to Enroll:

As a Magnolia Health Member, you can choose who you see for your healthcare needs from our network of Providers. We have many for you to choose from. If you need help choosing a doctor, call Member Services at 866-912-6285 (Relay 711).

Preventative care visits are covered by Magnolia Health. This means visiting the doctor for a regular check-up, rather than waiting until you are sick.

Magnolia Health covers an annual physical for adults.

Regular child check-ups are also covered for those under the age of 21. These doctor visits should occur at the below ages. Children also need a blood lead test at 12 and 24 months of age. We cover this. After that, if they are high risk, they need the blood lead test each year age 3 to 6.

  • 3-5 days
  • Birth to one month
  • Two months
  • Four months
  • Six months
  • Nine months
  • 12 months
  • 15 months
  • 18 months
  • 24 months
  • 30 months
  • Once per year from ages 3-21 years old

Search for a provider in our network.

Our Nurse Advice Line is ready to answer your health questions 24 hours a day – every day of the year. It is staffed with Registered Nurses. These nurses have spent lots of time caring for people. Now they are ready and eager to help you. Call 866-912-6285 and say "Nurse."

Through our MemberConnections program, we can help you get the support you need. A MemberConnections team member can talk to you over the phone. They can also visit your home. They can talk to you about things like how to choose a doctor, plan benefits and living healthy. They can also connect you to community social service programs. These programs will help you with food, housing and clothing.

Start Smart for Your Baby (Start Smart) is our special program for women who are pregnant. We want to help you take care of yourself and your child throughout your pregnancy. Information will be given by mail and telephone. Our Start Smart staff can answer questions and give you support if you are having a problem. We can even arrange for a home visit, if needed.

Are You Pregnant? Tell Us Right Away!

Call us at 866-912-6285 (Relay 711). Or, you can login to your Magnolia Health account and fill out the Notification of Pregnancy form. 

Interpreter services are provided free of charge to you during any service or grievance process. This includes American Sign Language and real-time oral interpretation.

If you need something translated into a language other than English, please call Magnolia Health. We can also provide things in other formats such as Braille, CD or large print.

If you need an interpreter for your medical appointment, contact Magnolia Health x before your appointment. We will arrange for one to be at your appointment.

If you don’t have transportation, Magnolia can help you get a ride. MississippiCAN pays for rides to doctor appointments. We can help you set up an appointment and a ride to your doctor’s office. Call (866) 331-6004. 

My Health Pays® Program

Our My Health Pays™ rewards program rewards you for completing healthy activities.

You will receive your My Health Pays™ Visa Prepaid Card* when you earn your first reward from Magnolia Health.  And each time you earn a reward, your rewards dollars will be added to your card.   Don’t forget to keep your card.

Start Earning Today!

You can use your My Health Pays Visa prepaid card to purchase a variety of products and services:

  • Everyday items at Walmart (restrictions apply; cannot be used to purchase alcohol, firearms or tobacco products)
  • Utilities
  • Telecommunications (Cell phone bill)
  • Transportation
  • Childcare
  • Education
  • Rent

*This card is limited to qualifying products and services as listed above. Eligible items up to the amount of your balance will be covered. Any remaining balance will remain on our card. You can use it for future purchases. The card may not be used everywhere Visa debit cards are accepted. See Cardholder Agreement for complete usage restrictions. This card cannot be used at ATMs, and you cannot get cash back. This card may not be used to buy alcohol, tobacco, or firearms products. If you select DEBIT at the point of sale, you will need to provide your PIN. You will select a PIN at the time of card activation. If you select CREDIT, you will not need to provide your PIN; however, you may need to provide your signature. This card is not a gift card or a gift certificate. You have received this card as a gratuity without the payment of any monetary value or consideration. This My Health Pays Rewards Visa Prepaid card is issued by The Bancorp Bank pursuant to a license from Visa U.S.A. Inc. The Bancorp Bank; Member FDIC. Consult a tax professional to understand any possible tax implications for the My Health Pays program.

Funds expire 90 days after termination of insurance coverage or 365 days after date reward was earned, whichever comes first.

My Health Pays® (PDF)

 

Urgent Care: More than You Realize

Your Primary Care Provider (PCP) is always your best resource for ongoing care and advice. But if you’re sick or need care and can’t wait for an appointment, urgent care is a great option. Urgent care centers can do a lot more than you may realize:

  • diagnose illnesses
  • prescribe medicine and give shots
  • treat wounds, sprains and simple broken bones

Urgent care is a covered benefit at no cost to you. And the wait time at urgent care centers is often much shorter than going to the emergency room.

To learn more about urgent care and to view the urgent care centers in your area, please click on the links below:

Urgent Care Brochure – Central (PDF)

Urgent Care Brochure – North (PDF)

Urgent Care Brochure – South (PDF)

Remember: When you go to an urgent care center, be sure to bring your Magnolia Health member ID card with you!

Transportation to Urgent Care and Medical Appointments

For a ride to an urgent care clinic, call a Magnolia Case Manager at 866-912-6285 (Relay 711) as soon as you can, so they can help coordinate transportation.

Note: Magnolia cannot coordinate a ride to an emergency room. If you have a life-threatening medical emergency, call 911. For a regular medical appointment, please call at least two days ahead of your scheduled appointment time.

Your 24/7 Nurse Advice Hotline

Don’t forget that you can always call our 24/7 nurse advice hotline at 866-912-6285 (Relay 711). We can answer many medical questions and help you decide where to go for care.

Accessing Emergency Care

Emergency care is medical services for an accident, injury or sudden medical condition. An emergency applies when lack of medical attention could risk your health or the health of your unborn child. Emergency care is always covered by Magnolia Health.

It is okay if the hospital does not belong to the Magnolia Health network. You can use any hospital emergency room. You should call your Primary Care Provider (PCP) and Magnolia Health at 866-912-6285 (Relay 711) within 24 hours of admission. This helps your PCP give any follow-up care you may need.

The MyMagnolia Mobile App allows members to have their health information in the palm of their hands.  Once registered, they can view  their ID card, Health Alerts, Find a Provider and view CentAccount information.

  • Members can securely pull up their Member ID Card to present at the point of delivery of services.
  • Health Alerts remind members when it’s time for screenings, such as an eye exam.
  • CentAccount icon displays the card balance, status and card’s last 4 digits along with how to earn additional rewards.  It also shows the card’s recent activity.
  • The Provider icon displays the member’s PCP information (name, phone number and address).  Members will be able to quickly call their PCP by pushing the “Call My Primary Care Provider” button on the App along with the ability to call the 24-Hour Nurse Advice Line directly.
  • The MyMagnolia Mobile App also includes a Start Smart for your Baby icon.  Members can view DOM approved podcasts about pregnancy and a countdown to delivery tracker.

 

 

Magnolia will offer our members, age 6-18, a paid membership to any Boys and Girls Club in the state and adult members, a paid membership to any YMCA in the state. Just call Member Services at 1-866-912-6285 for more information. 

 

Appointment Wizard with Magnolia can assist you in making wellness or EPSDT appointments in real time

 

Weight Watcher Program for certain members in Care Management