
Preventive care can be your child’s superpower
They may not be able to leap tall buildings in a single bound, but your child can have a super start to the new year with a visit to their pediatrician for an annual check-up. At this visit, you and your child’s doctor can focus on the health and well-being of your child both physically and emotionally.
The annual check-up is a great time for you and your child’s doctor to put together a plan for making sure your child eats healthy, gets plenty of exercise and stays up to date with recommended vaccines. And your child’s annual check-up is covered by your WellSense plan, so there is no additional cost to you.
Planning for a baby in the new year?
Sunny Start helps moms and babies get the care they need during and after pregnancy. We can help with scheduling appointments and making the most of your benefits so you have the right support before and after the baby comes.
Call 866-853-5241 or click here to learn more.

Prioritize your mental health in 2026
Make caring for your mental health a New Year’s resolution
- Utilize community resources to build your support network
- Practice self-care strategies
- Continue to take your medications as prescribed
- Take advantage of telehealth services such as virtual therapy and counseling sessions with in-network behavioral health providers
If you were in the hospital for a behavioral health concern, schedule a follow-up with your doctor within seven days of discharge. Make sure you understand your discharge instructions.
Visit our behavioral health page for more information.
Managing a chronic illness: Map the journey
Managing a chronic illness, like diabetes or hypertension, is a journey. The start of a new year is a great time to make a plan for what mile markers you’ll want to reach along the way. Heart, lung and blood sugar issues can quickly detour your route, so plan for regular testing and follow-up to keep you on the road to better health.
Diabetes mile markers
- Annual check-up
- A1c test at least twice per year
- Annual retinal eye exam
- Kidney function blood test
Heart-related mile markers
- Blood pressure check at least twice per year*
- Annual cholesterol test
*If you take your blood pressure at home, be sure to call your doctor with the results so those can be added to your chart.
The good thing about being a WellSense member is that you don’t have to take the journey of managing a chronic illness alone. We’re here to help. Visit our Your Health page for more information about our disease management programs.
Check your benefits
Select your plan to see what’s covered – including your free extras. Use the Covered Services List to see what’s covered, what’s not covered, which services require prior authorization, and more. Remember to check back periodically, as your benefit documents are updated with any plan changes each year.
If you have questions about your benefits, or if you would like to request mailed copies of benefit documents, contact Member Service at 888-566-0010 (TTY: 711).
- Preventive services
- Fluoride treatments for members of all ages
- Dental sealants for members younger than 21
- Pain relief and treatment of infections
- Fillings and crowns
- Root canal treatment
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