Eligible adults ages 18 and older with a BMI equal to or greater than 25 can enroll in WW to help aide them on their path to better health. Your physician must complete a baseline form, which can be found online under provider resources.

Find your BMI.

How to Access

1. The baseline form must be completed by your doctor to begin the program. If you haven't been to the doctor in the last 12 months, you will need to see your doctor to have the baseline form completed.
2. Once your doctor sends in the baseline form, you will receive a Weight Watchers Welcome letter that advises you of all the steps you need to complete to register for Weight Watchers.

For additional questions please call Member Services at 1-866-799-5318 (TTY: 711).

WellCare members diagnosed with Asthma can have access to the following services to help reduce flare-ups because of a triggering event:

• Carpet cleaning (Twice per year per household. Covers max of 2 bedrooms, 1 living room, and 1 hallway. Not available for members living in an apartment complex that provides carpet cleaning at no cost to tenant. $200 limit, per household.)
• HEPA filter vacuum cleaner (Covers 1 per lifetime at no cost. Must live in home or apartment with carpet.)
• Hypoallergenic bedding (Covers 1 mattress casing and 1 pillow casing, up to $100 per year.)
• Peak flow meter (Covers 1 Peak flow meter to monitor and determine asthma symptoms. Prior authorization not required. Must be an active member with a diagnosis of asthma.)

Please call Member Services 1-866-799-5318 (TTY: 711) to order any of the above.

We can help stop the spread of infections to the ones we love by making sure caregivers are current on their immunizations.  WellCare will cover the cost of 2 vaccines for caregivers ages 21 and older who are NOT covered by another health care plan. You must live in the same house as the WellCare covered member. These services are encouraged if you are the caregiver for a member that is a newborn or has a compromised immune system.  

Vaccines available: Yearly Influenza (Flu) Shot and Whooping cough vaccine for caregivers ages 21 and older who live with a pregnant member.

How to Access

Please call Member Services 1-866-799-5318 (TTY: 711) and a voucher to be used at Walgreens will be mailed to you.  

WellCare offers hearing exams and hearing aids from an Audiologist for members ages 21 and older to promote overall wellness and quality of life. Early detection and treatment of hearing issues can help prevent complications. Our commitment to these services ensures our members can lead healthier, more fulfilling lives.

This benefit covers the cost of 1 hearing exam every 2 years for members ages 21 and older. As well as 1 hearing aid every 2 years if medically necessary. To obtain a hearing aid, WellCare members need a doctor referral and prior authorization performed by an Audiologist.  

To find an Audiologist for hearing screening and get assistance with ordering the correct hearing device, please contact HearUSA Member Services at 1-855-243-5508 (TTY: 711).

Provides members with confidential online behavioral self-management tools. You can find help for things like depression, anxiety, stress, sleep problems, and substance use. Available to all active members.

How to Access   

Members can download the Teladoc app to their iPhone in the App Store or members can download the Teladoc app to their Android phone in the Google Play Store. Members can also register for the program online.

Note: When registering, make sure that the health code box is not checked during time of enrollment. This step is not required of WellCare members.

Provides each WellCare Member with $10 worth of OTC items each month. The OTC benefit can save you money and help you and your family stay healthy. Choose from more than 200 items, mailed directly to your home. Orders can be placed through the secure member portal, by phone via our automated system, or by contacting Member Services.

Health and wellness items, such as:

• Medicine for coughs, cold, allergies, fever, and heartburn
• Toothbrushes, toothpaste, and floss
• First aid items
• Sunblock
• Vitamins and supplements

How to Access

See the WellCare over-the-counter catalog (PDF) for a list of items allowed. Members will also receive an OTC brochure with available items as part of their New Member Welcome Kit.

Ordering Process

Option 1: Choose the items you want, have the item numbers ready, log into the secure Member Portal and submit your order.

Option 2: Choose the items you want, have the item numbers ready, call 1-866-799-5318 (TTY: 711) to reach our automated system. Then follow the instructions. Make sure to have your Medicaid ID number and Date of Birth ready.

Option 3: Choose the items you want and have the item numbers ready. Call Member Services 1-866-799-5318 (TTY: 711) Monday - Saturday, 7 a.m. to 6 p.m. and tell the Customer Service Representative (CSR) the items that you would like to order. The CSR will complete the order in the WellCare Toolbox for you. Please allow 10-14 days (about 2 weeks) to receive your order in the mail. 

If you do not order your items every month, you will lose your $10 benefit for that month. It will not carry over to the next month.

By completing your GED, you are taking a big step toward bettering your future. Because WellCare of North Carolina wants to help you succeed, we will cover the cost of your exam.  

To qualify, members must:

• Be at least 16 years old 
• Not have a high school certificate or diploma 
• Not be currently enrolled in high school       
• Have a valid State ID card
  

To take the GED test, members must:

• Spend a minimum of forty (40) hours in state-approved adult education classes
• Complete the GED READY™ test and/or Official Practice Test 

How to Access:

1. Contact Member Services 1-866-799-5318 (TTY: 711) to request information on the GED program.
2. You will then receive a program description letter and should follow the instructions, such as going to the adult testing center to complete classroom work.
3. Once the adult testing center confirms you have completed the requirements listed above, you will receive a letter with a voucher number to register to take the GED test.
4. You can then take the GED test at an Adult Testing Center.

For additional questions, please call Member Services.

The importance of reading for children cannot be underestimated. Reading for pleasure can benefit a child’s education, social and cognitive development, their wellbeing, and their mental health. The more a child reads, the better their overall academic achievement and social skills. Children who read will have a larger vocabulary, increased concentration, greater imagination, and creativity.

This program has limited availability, and members will be selected first come, first served. To be eligible, members must:

• Be a current active WellCare of North Carolina member
• Be a member in Pre-Kindergarten to 12th grade who wants to improve their reading skills
• Complete a Reading Scholarship Request Form
  

How to Access

Fill out the form completely and have your child’s teacher sign. Once signed, return the form to WellCare in one of three ways:

• By fax: 1-888-338-3373
• By email: CaidProdMgmt@WellCare.com
• By mail: P.O. Box 31419, Tampa, FL 33631

For additional questions, please call Member Services 1-866-799-5318 (TTY: 711).

WellCare offers tutoring services for members ages 8-18. Members can receive 6 tutoring sessions per year, for a maximum of one hour per session. After the 6 tutoring sessions, the member must be re-evaluated by the tutoring vendor to determine if additional sessions are required. 

Our tutoring vendor, The Sunshine Method, matches children with a tutor based on their character, interest, and needs. Tutors can help children in all subjects like Math, Science, English, and History. This flexible approach gives children the tools and support they need to grow.

How to Access

1. Contact Member Services 1-866-799-5318 (TTY 711) to request tutoring.
2. The tutoring vendor (The Sunshine Method) will then outreach you to schedule a session.
3. Sessions can be done online or in-person.

Qualified members can receive an allowance of up to $250.00 yearly to assist with housing or utilities.

The Housing Allowance benefit can be used for rental deposits and utility payment/deposits. Members must meet benefit qualifications. Please allow for a 14-day turnaround time. For urgent circumstances, please contact your care manager for additional support.   

Qualification Requirements

1. You must be an Active WellCare of North Carolina Member.
2. The interruption of utilities/rent could affect your health status or condition.
3.  You need to sustain housing due to instability, and/or unexpected hardship (loss of job, extended illness, or hospitalization).

Members must have verification of exhausted community resources documented and have contacted at least 2 community resources.

Please call Member Services 1-866-799-5318 (TTY: 711).

WellCare knows that transportation is key in getting and staying healthy. Because of this, WellCare provides rides to your appointments at no cost to you.

Core NEMT Benefits cover Medicaid-Covered Services.

In addition to the Core NEMT benefits linked above, WellCare offers additional supplemental non-emergency medical transportation services including trips to: 

• Member Advisory Committee meetings
• Prescription Pickup
• Drug or Alcohol Rehab
• Community Based Support Groups
• Member Education
• Church
• Court Ordered Exams or Appointments

How to Access

Option 1: Call MTM, our transportation provider directly at, 1-877-598-7602 8 AM – 6 PM EST, Monday through Saturday. There is an after-hours line that takes urgent transportation requests and provides the option to leave a message to be returned the next business day.

Option 2: Schedule your Trip through the MTM Member Portal.

Please make sure you schedule at least 2 business days before your appointment and have the following information available:

• Your full name, current address, and phone number
• Your Medicaid ID number
• The date of your appointment
• The name, address, and phone number of where you are going
• The name, address, and phone number of your doctor/provider
• The reason you need a ride
• The type of appointment (for example: doctor/provider visit, lab test, therapy appointment)
• The type of assistance or mobility aid you require

Reimbursement Process

1. Call MTM Before Your Medical Appointment: Make sure you call MTM on or before the day of your medical appointment. During this call you will receive a trip number. Write this number down on your Trip Log. To be reimbursed, you must submit a Trip Log for all trip requests or use the app/web portal. 
2. Submit Trip Logs Within 60 Days: Trip Logs must be submitted no later than 60 days past the date of the first appointment.
3. Get Trip Log Signed: Any healthcare professional at the facility must sign the Trip Log. This includes nurses, therapists, physician assistants, or nurse practitioners. It doesn’t have to be the doctor.
4. Make Copies of the Trip Log: We suggest making copies of your blank Reimbursement Trip Log. You can download the form from the member portal or request a mailed copy from MTM.
5. Make Sure Form is Complete: Incomplete forms cannot be processed. It's your responsibility to complete the form correctly.
6. Contact MTM for Questions: If you have questions about the Reimbursement Process, call 1-888-513-0703.
7. Submit Claims Through the Mobile App: You can submit your claims from the mobile app, eliminating the need for a paper trip log. This speeds up payment processing. Your claim must be submitted on the day of your valid gas milage reimbursement (GMR) ride, and only full claims are accepted, not partial ones. You can download the Mobile App from Google Play or download the app from the App Store.

MTM has added Uber to our network for recovery and urgent trips. We already have Lyft in our network and are excited to add Uber. You may find that your future trip is provided by an Uber or Lyft vehicle.

Please note that you will need to still make reservations for transportation directly through MTM. Reservations can NOT be made via Uber or Lyft.

A doula is a trained professional who can support you physically, emotionally, and with education through your pregnancy, childbirth, and post-partum phase. WellCare offers this service to any maternity member that has had their first OB visit. It is especially encouraged for members with high-risk pregnancies or those with a limited support system.

How to Access

1. Search the Provider tool for Doulas in your area: Find a Doula Provider
2. Call Member Services 1-866-799-5318 (TTY: 711).

Provides training and support to parents, ages 21 and older, who have a child or children with serious emotional disturbance (SED) and are at risk of out-of-home placement. 

To receive these benefits, please call Member Services 1-866-799-5318 (TTY: 711) with additional questions.

Having a baby is a life changing event. Here at WellCare, we want to support you and your baby on the path to healthy living. Members who complete their prenatal visit can select 1 baby item from the following:

1. Stroller
2. Portable playpen
3. Car seat
4. Diapers

Note: Once you complete your prenatal visit, your provider submits claims for the service, proving your visit. This can take up to 4-6 weeks from the date of service. If you have not completed your prenatal visit, go to the Find a Provider tool to find a provider and set up an appointment. 

4-6 weeks after your prenatal visit, please call Member Services at 1-866-799-5318 (TTY: 711) to request a baby item as your reward for completing your prenatal visit.  

Note: Once your order is placed, please allow 10-14 days to receive
your order in the mail.

After school sports and youth club programs can help children learn new skills, create new friendships, and improve overall mental and physical health and wellbeing. That is why here at WellCare, we make the following programs accessible to you and your family.

WellCare will provide a free yearly membership and after school programs for members ages 5-18. This does not include summer camps and program fees. This benefit cannot be accessed until the school year begins.

How to Access

1. Call Member Services 1-866-799-5318 (TTY: 711) to request benefit.
2. A letter with a voucher will be mailed to you if you qualify.
3. You will then take the voucher to your local Boys and Girls Club to register.

WellCare will cover the program cost for 4H club activities for members ages 5-18, up to $10 per member per year. The program includes activities where kids can complete hands-on projects in areas like science, health, agriculture, and civic engagement, in a positive environment. Summer camps are not included in the membership. This benefit cannot be accessed until the school year begins. 

How to Access

1. Please call Member Services 1-866-799-5318 (TTY: 711) to request benefit.
2. A letter with a gift card will be mailed to you if you qualify.
3. You will then take the gift card to your local 4H Club to
   register.

WellCare will cover the cost of 1 sport physical per calendar year for members ages 6-18. Physical must be given by a Primary Care Physician (PCP) or Pediatrician.

How to Access

1. Contact your PCP or Pediatrician to make an appointment. 

Covers the cost of 1 membership per calendar year for members ages 5-18. It can aIso cover the cost of a yearly adult membership, which allows a parent or caregiver to be a troop leader and/or participate in other activities.  

How to Access

1. Call Member Services 1-866-799-5318 (TTY: 711) to request benefit.
   
2. A letter with a voucher will be mailed to you if you qualify.
3. You will then take the voucher to your local Boy Scouts and Girl Scouts to register.