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Benefits and Services

Nebraska Total Care provides the same benefits as Medicaid, plus more. In this section, you can learn about the Nebraska Medicaid health benefits, pharmacy services and value added services Nebraska Total Care offers.

Heritage Health and Nebraska Total Care 

If you need help understanding these benefits and services call Member Services. The phone number is 1-844-385-2192 TTY: 711.     

You can also view more information about Nebraska Total Care and Nebraska Medicaid in our Member Handbook.

Nebraska Total Care has many doctors who are working to make sure you get the best care. They review new treatments for illnesses. They read studies from other doctors and scientific groups. They want to make sure we cover the treatments that are helping people. When new treatments are covered by Nebraska Medicaid we tell the Nebraska Total Care providers. This lets them give the best and most current treatment to you.

All services must be medically necessary. Your Provider will work with you to make sure you get the services you need.  

Some services may:    

  •  Have coverage limits.    
  •  Need a doctor’s referral.    
  •  Need prior authorization.

You can see authorization approvals on our secure Member Portal.

Guidelines for Care

We have guidelines to help make sure you get medically necessary care. These are the criteria that we follow for all providers and members. Decisions we make about your health care will follow these guidelines

*Some Medicaid members may not have all of the benefits listed.