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DC Healthy Families Program

We help you get all your benefits, like doctor visits, lab and X-rays, shots, medicines, and more — all at no cost to you. We know healthcare is about more than just doctor visits, so our benefits are designed to help you live as healthy as you can be.

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Am I eligible?

In the District of Columbia, you may be eligible for the DC Healthy Families Program if you are:

  • A low-income childless adult up to age 64, a parent/caretaker relative, a child up to age 21, or a pregnant woman eligible for Medicaid
  • A foster care enrollee who decides to remain in this program
See if you’re eligible

What you get with the DC Healthy Families Program

We offer benefits to help you feel better and live your best.

With Amerigroup DC, you go to one main person for your healthcare. This person is called your primary care provider or PCP. They can be a family or general practitioner, a nurse practitioner, an internist, a pediatrician, or an obstetrician/gynecologist. More doctors and nurses join our plan every day.

To find a PCP in your area, visit our Find a Doctor page.

Everyone struggles sometimes, and everyday problems can lead to depression, anxiety, and alcohol or drug abuse. We’re here if you or a family member needs help. We have doctors, therapists, and counselors to help you with your behavioral health needs. All behavioral health services and treatments are private, and you don’t need a referral from your PCP.

To find a provider in your area, visit our Find a Doctor page.

You get a wide range of prescription and over-the-counter medicines when you choose Amerigroup DC. We work with CarelonRx to provide you with medicines.

Visit the Pharmacy page to find a pharmacy near you and check if your medicine is covered.

Go to Pharmacy page

Free dental benefits through Avesis

  • Oral exam every six months
  • X-rays once every three years
  • Teeth cleaning every six months
  • Tooth extraction and fillings (when medically needed)

These services are covered when you use an approved dental care provider. To make an appointment, find a dentist near you, or choose or change your primary dental provider, call Avesis at 833-554-1012 (TTY 711).
 

Free vision benefits through Avesis

  • Glasses (frames and lenses) once every 24 months, or sooner if you lose your glasses or your prescription changes
  • Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) services for kids under 21, including regularly scheduled and as-needed eye exams and eyeglasses

These services are covered when you use an approved eye care provider. To make an appointment or find an eye doctor near you, call Avesis at 833-554-1012 (TTY 711).

  • An allowance to purchase over-the-counter supplies online or in store
  • Free home-delivered meals to eligible enrollees after hospital discharge
  • Virtual care options, including telehealth and Nurse HelpLine
  • Transportation services, rideshare gift card, and Capital Bikeshare membership
  • Asthma and COPD relief toolkit
  • Feminine care collection
  • Extracurricular sports support package
  • Youth club memberships
  • Free Chromebook for recent high school grads
  • GED assistance
  • Baby essentials bundle including Boppy pillow, highchair, booster seat, portable crib, car seat, breastfeeding support kit, or safe sleep kit
  • Organic baby food
  • Employment certification assistance
  • Uniform and employment attire assistance
  • Substance use disorder recovery support
  • Amerigroup DC Community Resource Link — search by ZIP code for free and low-cost community services*
  • LiveHealth Online – this app gives you quick and easy access to doctors 24/7
  • Active Fit Kit that can include gym membership and WW® vouchers *Coming soon
  • And more

*Different eligibility rules apply to each benefit. Call us at 800-600-4441 (TTY 711) or look in the enrollee handbook to learn more.

Healthy Rewards is a no-cost, optional program for health plan enrollees. The program encourages you to get the care you need to create a healthy lifestyle and then rewards you with gift cards to popular retailers. You may be eligible to earn rewards for some of the activities below:

  • Prenatal and postpartum visits
  • Annual wellness and dental visits
  • Cancer screenings
  • Diabetes care
  • Vaccines
  • Medication refills
Enroll and earn rewards

To see what you’re eligible to earn, enroll in Healthy Rewards by logging into your Amerigroup DC account and visiting the Benefit Reward Hub. You can also enroll in the program or learn more by calling Healthy Rewards at 888-990-8681 (TTY 711) Monday through Friday from 9 a.m. to 8 p.m. Eastern time.

If you need help setting up your Amerigroup DC online account, call Enrollee Services at 800-600-4441 (TTY 711).

Access Healthy Rewards

We put tools and technologies in your hands to make it easier to access care and services. Your Care Plan is a tool for DC Healthy Families Program enrollees. It helps you:

  • Stay connected with your care coordinator.
  • Get your care coordinator’s phone number and email address.
  • Send secure messages about diagnoses, goals, medicines, services and more.
  • Stay up to date on your care plan.
  • View your goals and objectives.
  • Check due dates and statuses for your goals and objectives.
Go to Your Care Plan

Your enrollee resources

Enrollee handbook

Your enrollee handbook is your go-to guide for health services. It tells you how to get the most from Amerigroup DC. Read it to find out about:

  • Your benefits.
  • Special programs and services, including case management, service coordination and our Health Home program.
  • Your rights and responsibilities as an Amerigroup DC enrollee.
  • How to choose a primary care provider or primary dental provider.
  • How to get help if your doctor’s office is closed.
  • Renewing your benefits.
  • How to reach us if you have questions.

New enrollee welcome guide