Getting started

Welcome to WellSense! Use the information below to get the most out of your WellSense plan or download our Quick Start Guide.
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1.  Register for a WellSense member portal account

The member portal is where you can find your benefit information, download your digital member ID card, track claims and log details about your doctor’s appointments. To create an account, you’ll need the Member ID number from your WellSense Medicaid ID card.

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2.  Schedule a visit with your doctor and earn up to $50 in rewards*

Schedule an appointment with your primary care provider (PCP) for your no-cost yearly checkup, an important part of your healthcare. During your visit, your doctor will check your overall health, recommend tests if needed, and address any of your health concerns. If you don’t know who your PCP is, log into your member portal account or call us at 877-957-1300 (TTY: 711). You'll earn $25 for attending your yearly check up and another $25 for taking a health survey with your PCP. Learn more here. 

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3.  Check your medications

Your plan includes coverage for thousands of medications. See if your medications are on the list of covered drugs and 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 provider's office as part of our medical drug program.

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4.  Understand your benefits

Your health insurance plan pays for specific covered services and provides preventive care, like annual checkups at no cost to you. It is important that the services you receive are covered by us. To see which services we cover, check your Member Handbook. 

In some cases your doctor may need to submit a prior authorization for us to approve a service before it will be covered.

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5.  Learn about your member extras

As a WellSense New Hampshire Medicaid member you get extra benefits on top of your healthcare coverage. Complete qualifying healthy activities to earn funds on an OTC rewards card, get money back for childbirth classes if you're pregnant and more.

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6. Get help managing your health

Our care management program offers members with complex health needs personalized care management from a nurse or social worker. Complete a health survey and we'll contact you if we think you’d benefit from one of our programs.

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New to dealing with insurance?

Utilize these resources to get the most from your WellSense coverage as a member of New Hampshire Medicaid.

Medicaid basics

*Members can earn a maximum of $250 in cash and non-cash goods and services each State fiscal year which runs from July 1 to June 30. 


Please see the Member Handbook for a Covered Services List and additional information, including which benefits, services and medications are covered or noncovered on our plan and any restrictions or guidelines we must follow before providing them. You can find doctors and hospitals in our network here, see our privacy policies, and learn how we make sure you get the right care at the right time with our Utilization Management policy.