Getting started
A step-by-step guide on how to use and make the most out of your WellSense Clarity plan.
Register for the WellSense member portal
The member portal is where you can find your benefit information and log details about your doctor’s appointments. To create an account you’ll need the Member ID number that’s on the back of the member card you got in the mail.
Pick your Primary Care Provider (PCP)
See what medications are available and what they cost
Find out what services are covered
Your benefit documents outline all of the covered and non-covered services for your plan. In some cases you will need prior approval before a service will be covered. You or your doctor can confirm if the service requires a prior authorization. When in doubt, please call and ask us before you get a service. We don't want you to receive a surprise bill.
If you want to know how much a service costs, you can estimate the cost of common treatments with this tool. You can also read about your rights and protections against surprise medical billing.
Take advantage of your member extras
1. Register for the WellSense member portal
The member portal is where you can find your benefit information and log details about your doctor’s appointments. To create an account you’ll need the Member ID number that’s on your member ID card.
2. Schedule your free wellness visit
If you haven’t already, now is a great time to make an appointment with your primary care provider (PCP) to get your free yearly checkup. Having a yearly exam with your PCP is an important step to getting the most out of your healthcare. During this exam, your doctor will check your overall health, recommend tests if any are needed, and address any health concerns you may have. If you don’t know who your PCP is, you can find their information in your member portal or by calling us at 855-833-8120 (TTY: 711).
3. Learn about your pharmacy benefit
Your pharmacy benefit includes coverage for thousands of medications. See if your medications are on the list and find out what they cost. If you take maintenance medications you may be able to have them mailed to your home as part of our mail order pharmacy program.
4. Understand your costs
Health insurance helps you pay for part of your medical bills and provides free preventive care, like annual checkups. It is important that the services you receive are covered by us. A covered service means that we would pay for part of that service but not necessarily all. To see which services we cover, check your benefit documents which will also tell you what share of the total expense you can expect to pay. The actual cost of a service may vary depending on what doctor or hospital you use. If you want to know how much a service costs, you can estimate the cost of common treatments with this tool.
Health insurance is meant to protect you from unexpected medical bills. Always call us if you are not sure how much something will cost or if you receive an unexpected bill. You can also read about your rights and protections against surprise medical billing.
In some cases your doctor may need to submit a prior authorization for us to approve a service before it will be covered.
5. Take advantage of your member extras
As a Clarity plan member you get extra benefits on top of your healthcare coverage. Get money back on your gym membership fees, free shipping on deliveries from Mom’s Meals, discounts on eyewear, and more.
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