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If you need translation services, call 1-855-373-4636 and ask for a translator. 
If you are deaf, hard-of-hearing, deaf-blind, or have difficulty speaking, call Relay Missouri at 711 or 800-735-2466 (Voice) or 800-735-2966 (Text Phone).

MO HealthNet Programs

MO HealthNet offers healthcare coverage through either a Managed Care health plan (also referred to as MAGI) or the Fee-For-Service Program (referred to as non-MAGI). Which program you get your services through depends on your age and eligibility. If you are not sure which program you have, log in to the FSD Benefit Portal for more information about your coverage.

Managed Care Health Plan

Your Guide to Managed Care cover
MC English 
MC Español

You will get your MO HealthNet coverage through one of the Managed Care Health Plans: Healthy Blue, United Healthcare, or Home State Health if you are a:

  • Parent or guardian with a child under age 19 in the home
  • Child (birth through age 18)
  • Adult age 19-64 without a disability
  • Pregnant woman (including your newborn child)

Review the Managed Care Guide for more information about your program. 

También está disponible una versión en español de la Guía de atención administrada: Su Guía de Managed Care.

Fee-For-Service Program

Fee For Service Program Cover
FFS English
FFS Español

You will get your MO HealthNet coverage through the Fee-For-Service program if you are a:

  • Person with a disability
  • Senior (age 65 or older)
  • Blind or visually impaired adult
  • Woman (under age 65) with breast or cervical cancer

Review the MO HealthNet Fee-For-Service Guide for more information about your program.

También está disponible una versión en español de la guía de pago por servicio: Su guía del programa Pago Por Servicio de MO HealthNet

NOTE: Certain individuals will get their coverage through Show Me Healthy Kids (SMHK). 

Can I get a ride to my appointment?

If you have an appointment with your healthcare provider and you need a ride, you may be able to get one through Non-Emergency Medical Transportation (NEMT). Learn more on the NEMT webpage.

You will need to call at least 3 days before your appointment to arrange a ride (unless you need to go to urgent care or are being discharged from the hospital).

Covered Services

Refer to the chart below for what services are covered based on your type of coverage. Work with your healthcare provider to determine if the service you need is covered. 

 

Service Managed Care Members Fee-For-Service Participants
Hospital (overnight stay required) ✔ ✔
Laboratory tests & x-rays ✔ ✔
Lead poisoning ✔ ✔
Maternity services ✔ ✔
Nurse midwife ✔ ✔
Nursing facility ✔ ✔
Occupational therapy services ✔* ✔ **
Outpatient (overnight stay not required) ✔ ✔
Personal care ✔ ✔ **
Pharmacy ✔ ✔
Physical Therapy services ✔* ✔ **
Preventative care ✔ ✔
Podiatry (feet) ✔* ✔ **
Sexually Transmitted Diseases ✔ ✔
Specialist care (with provider referral) ✔ ✔
Speech therapy services ✔* ✔ **
Substance use treatment ✔ ✔
Tobacco cessation counseling ✔ ✔
Transplant related services ✔ ✔
Transportation to medical appointments ✔* ✔ **
Treat no transport services ✔ ✔
Tuberculosis ✔ ✔
Vision ✔* ✔ **

* Limited Benefit, refer to Your Guide to Managed Care or your health plan’s member handbook for more information.
** Services may be limited or not covered based on your eligibility group or age. To find out, refer to Your Guide to Fee-For-Service or call the Participant Services Unit at (800) 392-2161. 

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