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Medallion Medicaid

Medallion 4.0 is coming. You’ll still get the same benefits you’re used to, but now with more! To choose or switch to the Anthem HealthKeepers Plus plan, call 1-800-643-2273.

If you’re still a Medallion 3.0 member, visit the Your Resources page to see your Medallion 3.0 member handbook and other resources.

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When does Medallion 4.0 start?

For eligible members, the start date will vary by region. If your region has not rolled out yet, you’ll remain a Medallion 3.0 member until Medallion 4.0 begins. 

Regional rollout for eligible members:

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What you get

Benefits to help you live life, your way. Plus, there are no copays or deductibles for services that are part of your benefits.

family on couch

  • More than  25,000 doctors, hospitals and specialists to choose from near you
  • Urgent and emergency care
  • Our 24/7 NurseLine – talk to a nurse any time, day or night, and get answers to health questions by calling 1-800-901-0020 (TTY 711)
  • Disease management programs for asthma, diabetes, chronic obstructive pulmonary disease (COPD), heart failure, coronary artery disease (CAD), major depressive disorder, bipolar disorder, substance abuse disorder, schizophrenia, hypertension and HIV/AIDS
  • Translation and interpretation services via phone and onsite for your medical appointments 
  • Rides to doctor appointments, and the drugstore to get your prescriptions and grocery stores and farmer’s markets —– set up a ride by calling Southeastrans at 1-877-892-3988 (TTY 711) or visiting the  Southeastrans website.  For more information, visit our Schedule a Ride page
New services you get with Medallion 4.0
  • Early intervention services —– services like speech or occupational therapy designed to help a baby under the age of three who may not be learning or developing like other babies and toddlers. For more information, look in your member handbook.
  • Community Mental Health and Rehabilitation Services (CMHRS) —– services like in-home care and substance abuse crisis intervention

Over-the-counter medications and prescription drugs at no cost

The Preferred Drug List (PDL) is what doctors can use to prescribe your medicines. Drugs listed on the PDL are safe and effective. A group of doctors and pharmacists review and update this list every three months to make sure these drugs are still good choices.

Learn More

For children and adults through Davis Vision

  • Members under 21: Glasses or contacts as medically necessary, plus one routine eye exam every 24 months
  • Members 21 and up: One routine eye exam and a discount on materials every 24 months
To find providers and store locations, call Member Services at 1-800-901-0020 (TTY 711).

Healthy mind, healthy body

Being healthy is about more than just your body, so our benefits help you with your emotional and mental health, too. These behavioral health and substance abuse treatment and recovery services are included in your plan:

  • Intensive outpatient (IOP)
  • Partial day treatment
  • Opioid treatment
  • Case management
  • Residential treatment for pregnant and postpartum women
  • Halfway house and group home treatment
  • Residential treatment
  • Residential detox
  • Crisis stabilization
  • Peer supports

Want to know more about your benefits? Read your member handbook or call Member Services at 1-800-901-0020 (TTY 711), Monday through Friday from 8 a.m. to 8 p.m. Eastern time.

Our Healthy Rewards program pays you for taking control of your health. You can earn up to $25 for completing activities like wellness check-ups, diabetic screenings, mammograms or refilling your medication.

Healthy Rewards are dollars put onto a debit card when you go to doctor visits for:
  • Well-woman visit
  • Adult well-visit
  • Well-child visit
  • Adolescent well-visit
  • Childhood/adolescent immunizations
  • Human papillomavirus (HPV)
  • Lead screening
  • High blood pressure medication refills
  • Diabetic  A1c testing
  • Diabetic eye exams
  • Diabetic nephropathy
  • Flu vaccine

To learn more and enroll, please call 1-877-868-2004.

To learn more and enroll, please call 1-877-868-2004 or visit mss.anthem.com/healthyrewards.

Find out more information about:
  • How the program works.
  • What rewards are available and which ones you may be eligible for.
  • How often you can earn a reward for each activity.
  • Where you can spend your reward dollars.
  • And more!

You must be enrolled in the Healthy Rewards program to earn rewards for your healthy activities.

Want to know more about your benefits? Read your member handbook or call Member Services at 1-800-901-0020 (TTY 711), Monday through Friday from 8 a.m. to 6 p.m. Eastern time.

Should I apply?

Yes

No

Find out if you’re eligible and apply for benefits online.

What to expect after you sign up

Getting started

We’ll make sure you have the tools you need to get your benefits and stay healthy.

Learn more about what to expect after you sign up.

Your new member packet

You’ll receive your new member packet soon after signing up with us. Your packet will include your welcome letter, your quick start guide and your health assessment.

Your quick start guide is a general overview of your benefits, services, and resources to help guide you as a new member.

For more detail about your plan and benefits, be sure to check out your member handbook.


Your health assessment (HA) is a short questionnaire which will help us learn more about your health. So we can help you get care and doctors to fit your needs. It won’t take more than five minutes to fill out.

Take your Health Assessment

If you have questions or didn’t get your HA, call 1-844-533-1994, ext. 106-103-5148 (TTY 711). We’ll help you fill yours out over the phone Monday through Friday from 8:30 a.m. to 5 p.m. Eastern time.

Keep your benefits

  • Renew on time! To keep your benefits, you have to renew every 12 months.
  • Keep your address and phone number up-to-date with the state by calling us. If they don’t have the right contact information for you, you could lose your benefits.

To renew your benefits, call Cover Virginia toll free at 1-855-242-8282 (TDD 1-888-221-1590) or renew online.

To report a new address or phone number, call Member Services at 1-800-901-0020 (TTY 711) or update your information on your secure account.

Have a different plan and want to switch to us?

Call the Managed Care HelpLine at 1-800-643-2273 and tell them you choose the Anthem HealthKeepers Plus plan. You can change health plans each year during your region’s open enrollment.


You may receive a new ID card, but don’t worry! Your benefits aren’t changing.


You’ll continue receiving your usual Medallion Medicaid and FAMIS value-added benefits, plus the extras that are coming with Medallion 4.0.