Nebraska Total Care covers all of the medical services that are included in the Heritage Health plan. In addition to those, we offer some additional services to help members be well. These are called Value-Added Services.
Some of these services are available to all Nebraska Total Care members. Others are offered to members that meet certain health criteria. Listed below are some of the additional services that we offer.
These adult immunizations are covered every year:
An annual membership for the Boys & Girls Club can be covered for age-appropriate members.
Breast feeding has many healthy benefits for babies. Nebraska Total Care wants to help members who are breast feeding. We will give a free electric breast pump to any new mother in our plan. We will give:
- One electronic breast pump per member, per delivery. For multiples (twins, triplets, etc.) only one pump will be provided.
- Breast pump kit
You can ask for your breast pump at the beginning of your 37th week of pregnancy, until 45 days after your baby is born. Your doctor will need to write a prescription for a breast pump.
Getting a Breast Pump (PDF)
Beginning January 1, 2020, eligible members can get one breast pump every two years.
The Client Assistance Program (CAP sessions) covers up to five outpatient therapy sessions annually without an Initial Diagnostic Interview. Members can contact providers directly to receive services.
This will be a new benefit beginning on January 1, 2020.
Nebraska Total Care will pay for one community garden plot per household, to established community garden organizations.
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.
Nebraska Total Care offers GED testing materials. Contact Member Services for additional information. Choose the Care Management option.
New parents whose infant has been admitted to the NICU receive additional supplies and supports from Nebraska Total Care. Services are delivered by Community Health Workers.
Pacify is a mobile app for new parents. It lets you talk to nurses, lactation consultants, and dietitians through the smartphone app 24/7. It includes video chats. You do not need an appointment and most calls are answered in less than 30 seconds. Their staff are experienced and well trained. It can also send you helpful text message reminders about pregnancy and caring for your new baby's needs.
You can download the Pacify app. You will need a code to set up your account. You can get the code from your doctor or you can call Member services. The phone number is 1-844-385-2192, Nebraska Relay Service 711.
Note: Begining January 1, 2020 this will not be a covered benefit.
Nebraska Total Care can arrange for an electronic monitoring system for adults who meet certain criteria. Adults must have a serious impairment. They must live alone or be alone much of the day.
In an emergency, the person can press a call button to ask for help. The system will ensure that the appropriate person or service agency responds to the call.
Call Member Services if you would like information about this program. The phone number is 1-844-385-2192, Nebraska Relay Service 711. Choose the Care Management option.
Note: Beginning January 1, 2020 this will not be a covered benefit.
If you or your child have been in the hospital for a behavioral health concern, it is important for you to see your provider after you go home. This appointment should be within seven days after your discharge from the hospital. Follow-up appointments help people recover from the crisis that led to them going to the hospital.
This appointment could be with your:
- Other licensed behavioral health clinician
When you attend your follow-up appointment in seven or less days you will receive a gift from Nebraska Total Care. Adults will receive a gift card. Children will receive a HOPE Bear.
If you have any difficulty scheduling a follow-up appointment we will help you. If you have a Care Manager you can call them. Or you can call Member Services. The number is 1-844-385-2192, Nebraska Relay Service 711.
Nebraska Total Care covers required sports physicals for members ages 4-18. Contact the youth’s PCP to receive services.
Nebraska Total Care provides eligible members vouchers for online Weight Watchers participation.
To be eligible, members need to be:
- At least twelve years old
- For children ages 12-16 have a BMI of 25 or higher
- For members age 17 and older have a BMI of 30 or higher
To get the Weight Watchers vouchers your doctor needs to confirm your BMI. They need to have checked you within the last month. The doctors office can call or fax us with your information.
Extensions can be approved if you decrease your BMI by 1 point. Go to your doctor and get a note showing the decrease in your BMI. You will also have to be involved with our Care Management team. To talk to Care Management staff call Member Services. The number is 1-844-385-2192, Nebraska Relay Service 711. Choose the option to talk to Care Management.
Doctor’s notes can be mailed or faxed to us. Mail to:
Nebraska Total Care
ATTENTION: Care Management
2525 N 117th Ave, Suite 100
Omaha, NE 68164
The fax number is: 1-844-340-4888.
When you meet these requirements we will send you another set of vouchers. We will stop giving extensions when your BMI makes you not eligible for the program. If you stop participating in Care Management we won’t give more extensions.
Nebraska Total Care will pay for one 3 month membership for all of our members.
There are two ways to get a three month extension of the YMCA membership.
- Be involved in Care Management. If you want an extension please call us. The number is 1-844-385-2192, Nebraska Relay Service 711. Choose the option to talk to Care Management.
- Send us a doctor’s note. You can email a doctor’s note to NTCInvoice@NebraskaTotalCare.com. Or, you can fax it to 1-844-305-8372.
YMCAs are not required to participate in this program. Contact your local YMCA to ask if they participate.