We understand healthcare is important to you and your family. Nebraska Total Care offers comprehensive coverage through Heritage Health.
This page is a summary of some of the available benefits. More detailed information can be found in the Nebraska Total Care Member Handbook. Nebraska Total Care does not limit coverage of services based on moral or religious objections.
*Some Medicaid members may not have all the benefits listed. If you do not know your benefit plan you can find it in the Member Portal. You can get information about the three Medicaid plans on the Medicaid Benefit Plans page.
Nebraska Total Care can help you find a provider, find local resources and plan an appointment. Call Member Services at 1-844-385-2192 (Relay 711).
As part of our benefits, Nebraska Total Care covers these behavioral health services:
- Outpatient mental health and substance use services (counseling/therapy)
- Psychiatry services and medication management
- Psychiatric inpatient hospital and partial hospital services
- Psychological Testing
- Intensive Outpatient Services (IOP)
- Non-hospital residential detoxification, rehabilitation and halfway house
- Crisis services
- Psychiatric Residential Treatment Facilities (PRTF) for children
- Rehabilitation services, like Assertive Community Treatment (ACT), Community Treatment Aid (CTA), and Psychosocial Rehabilitation (PSR)
- Behavior modification, including Applied Behavioral Analysis
Care Management can be helpful if you have a condition that needs special care. Nebraska Total Care offers one-on-one assistance to members who need extra help to be as healthy as possible.
Care Management could be helpful to you if you:
- Have a life long illness like asthma or diabetes
- Are at risk for a serious condition like Sickle Cell Anemia or HIV/AIDS
- Have a behavioral health need
- Have a child with special needs
- Have a developmental or physical disability
- Have some other special healthcare need
Call Member Services at 1-844-385-2192 (Relay 711).
As a Nebraska Total Care member, you can choose who you see for your healthcare needs from our network of providers.
If you need assistance finding a provider, please visit the Find a Provider page. You can also call Member Services for assistance at 1-844-385-2192 (Relay 711).
You must chose a Primary Care Provider (PCP). If you do not choose one, Nebraska Total Care will assign you one.
Preventive care visits are covered by Nebraska Total Care. This means visiting the doctor for a regular check-up, rather than waiting until you are sick.
Adults should have an annual physical. These are always covered by Nebraska Total Care.
Regular well-child checkups are also covered for those under the age of 21. Schedule well-child visits at these ages:
- 3-5 days old
- 1 month old
- 2 months old
- 4 months old
- 6 months old
- 9 months old
- 12 months old
- 15 months old
- 18 months old
- 24 months old
- 30 months old
- annually through age 20
You have unlimited visits to your Primary Care Provider (PCP). If you are sick or injured, schedule an appointment with your doctor. Nebraska Total Care also covers the immunizations and blood work recommended as a part of well-child checkups.
Get rewarded for focusing on your health! Earn rewards when you complete healthy activities like a yearly wellness exam, annual screenings, tests and other ways to protect your health.
Our Nurse Advice Line is ready to answer your health questions 24 hours a day – every day of the year.
It is staffed with Registered Nurses who have spent lots of time caring for people. They are ready and eager to help you. Call 1-844-385-2192 (Relay 711).
Translation and interpreter services are available and free. This includes American Sign Language.
Nebraska Total Care has a telephone language line available any time. To request an interpreter, call Member Services at 1-844-385-2192 (Relay 711). You can tell us the language you speak and we will get an interpreter.
If you need our written materials translated into a language other than English, please call Member Service. We can also provide some things in other formats such as Braille, CD or large print.
Our Community Health program can help you get the care you need to be healthy. They can talk to you about things like how to choose a doctor, plan benefits and living healthy.
They can also connect you to community supports to meet your other needs. These could be programs to help you with food, housing and clothing.
Community Health Workers can help you over the phone or come to your home.
Nebraska Total Care has special services to help you and your baby be healthy. Schedule an appointment with your doctor as soon as you think you are pregnant. After your appointment tell us that you are pregnant so we can help you get the care you need. Complete the Notice of Pregnancy NOP Form (PDF).
Start Smart for Your Baby®
Start Smart for Your Baby (Start Smart) is our special program for women who are pregnant and for those moms who just had a baby. We want to help you take care of yourself and your baby. Our Start Smart staff can answer questions and give you support. We can even arrange a home visit if you need more help.
If you are pregnant, please let us know by filling out a Notice of Pregnancy NOP Form (PDF). You can print the form and mail it to us. Or you can fill it out in the Member Portal. If you need help call Member Services at 1-844-385-2192 (Relay 711). We can help you.
By submitting this form, you will join the Start Smart for Your Baby program. You will get information in the mail, over the phone, email or by text message.
Doctors and health organizations agree that breastfeeding is best. Breast milk has the perfect nutrients your baby needs. Breast pumps are helpful if you are breastfeeding when you have to be away from your baby. Call us to help in getting a breast pump.
Text4baby uses texting to give you information about you and your baby's health and needs. Text "BABY" (or "BEBE" for Spanish) to 511411. You will receive texts until your baby's first birthday. More information is available on the Text4baby website.
You can get more information in the Pregnancy Resources section. Our Nebraska Total Care case managers can answer questions and give you support for any high-risk needs. If you need help, call Member Services at 1-844-385-2192 (Relay 711). We can help you.
You may be able to get transportation for your non-emergency medical appointments. If you are eligible, rides are free.
Transportation services are covered by Nebraska Total Care through our transportation vendor, MTM, Inc. To arrange transportation for appointments call Member Services. The phone number is 1-844-385-2192 (Relay 711). Choose the transportation option.
Nebraska Total Care covers vision services for members. This includes:
- Members 20 and under: Annual exam and eyewear every 2 years
- Members 21 and older: Exam and eye wear every 2 years
- Treatment for eye conditions
Vision coverage is not available with HHA Basic benefits.