Molina Healthcare of Washington Member Services: (800) /TTY

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1 Benefits At-A-Glance Our goal is to provide you with the best care possible. Abortion Involuntary pregnancy termination (miscarriage) Voluntary pregnancy termination Acupuncture Ambulance Transportation Antigen (Allergy Serum) Applied Behavioral Analysis (ABA)Services Autism Screening Birthing Centers/Home Births Birth Control Prescription birth control, over-the-counter birth control, emergency birth control, devices such as contraceptive patches and rings Blood Products Braces (Orthodontics) Breast Implant Removal Breast Pumps Cancer Treatment/Chemotherapy Cardiac Rehab Chemical Dependency Treatment Childbirth Classes Chiropractic Care (Children up to 36 months) (if medically necessary) (children age 20 and younger) = covered benefit = services covered with your Medicaid Services Card through Washington

2 Circumcision of Newborns (if medically necessary) Cleft Palate Colonoscopy Court Ordered Treatment Dental Care Developmental Screenings (Children between 9 to 30 months) Diabetes Supplies/Education Dialysis Diapers Durable Medical Equipment (DME), Prosthetics and Supplies Eating Disorders (if medically necessary) Emergency Room Care Experimental Treatment or Devices (if medically necessary) Eye Exams/Routine Refractions (limited benefit) Eye Glasses (children age 20 and younger) Family Planning Fertility /Impotency Drugs and Treatment Formula (Enteral/Parenteral Nutrition) Gastroplasty (Bariatric Weight Loss Surgery) Genetic Services Habilitative Services (Apple Health Adult only) Health Education Hearing Aids (children age 20 and younger) Cochlear Implant (children under age 21) Hearing Exam (if medically necessary) Home Health Care = covered benefit = services covered with your Medicaid Services Card through Washington

3 Private Duty Nursing Hospice Care Hospitalization Immunizations/ Vaccines Implants Incarcerated Members (Inpatient Services) Infertility/ Impotence Keratotomy/ Kerato-Plasty (Refractive Lensectomy) Laboratory Tests Long-Term Care Mammogram Massage Therapy Medications Medication Assisted Treatment (Chemical Dependency) Mental Health Naturopathy Neurodevelopmental Therapy Non-Emergent Transportation Nutritional Counseling/Therapy Opiate Replacement Organ Transplants Out-of-Area Care Outpatient Surgery Oxygen Pain Clinics (children age 17 and younger) (if medically necessary) (if medically necessary) (Only during PT/OT) (Limited Benefit) (Limited Benefit) (Limited Benefit) = covered benefit = services covered with your Medicaid Services Card through Washington

4 Physical Exams Physical, Occupational and Speech Therapy Plastic & Reconstructive Surgery Podiatry Pre-existing Conditions Prenatal/Postpartum Care Prenatal Genetic Counseling Preventive Care Pulmonary Rehab Radiology Reconstructive Surgery Screening, Brief Intervention and Referral to Treatment (SBIRT) Second Opinions Skilled Nursing Facilities Sleep Study Smoking Cessation (e.g. counseling, nicotine patches or gum) Sterilization (Tubal Ligation or Vasectomy) Temporomandibular Joint Disorder (TMJ) Transgender Health Services Urgent Care Vitamins Vision Therapy (Limited Benefit) (If medically necessary) (Limited Benefit) (Limited Benefit) (Limited Benefit for adults age 18 and older) (Adults age 21 and older) (If medically necessary) (Limited Benefit/) = covered benefit = services covered with your Medicaid Services Card through Washington

5 Vocational Rehabilitation Weight Loss Drugs Women s Health Care = covered benefit = services covered with your Medicaid Services Card through Washington

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