Getting started

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 visits

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).

You're also eligible for a no-cost annual behavioral health screening. Click here to search for an in-network behavioral health provider near you. 

3.  Learn about your pharmacy and medical drug benefits

Your benefits include coverage for thousands of medications. See if your medications are on the list and find out what they cost. Some medications can be mailed to your home as part of our mail order pharmacy program and others are available at your providers office as part of our medical drug 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.

6.  Complete your health survey

Your answers help us to provide you with personalized support if you need it. After we review your responses, we may follow-up to offer you free programs that can help improve your health.