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What is Healthy Connections Prime?
Healthy Connections Prime is a new program that combines all of the benefits of Medicare and
Healthy Connections Medicaid under a single Medicare-Medicaid plan to make it easier to get the
health services you need. Your Medicare Part D prescription plan is also covered under this plan.
- Better care by making it easier for you to get all of your Medicare,
Medicaid and Part D services from a single health plan.
- Better value through a care team and a care manager that works directly
with you and your loved one and providers to make sure you or your loved one get needed health services.
- Better health through flexible benefits that will help you stay at home
with family as long as possible.
How is this different?
This program combines all of the benefits of Medicare (Parts A/B), Medicare
Part D (prescription drugs) and Healthy Connections Medicaid under a single Medicare-Medicaid Plan to make
it easier to get the care you need. As a member, you will have:
| Current Services |
New Benefits |
| Doctor visits | One plan |
| Hospital care | One card |
| Prescription and over-the-counter drugs | One number to call |
| Adult preventive dental* |
No insurance premiums, no costs for doctor visits and hospital stays |
| Durable Medical Equipment (DME) | $0 drug copays |
| Medical transportation* | A care team |
| Nursing Home and Community Long-Term Care (CLTC) |
A personalized care plan that fits your needs |
| Behavioral health services | Help transitioning home from the hospital or nursing home |
*These services are still covered and available for you under Healthy Connections Medicaid.
Who qualifies for the program?
Healthy Connections Prime provides coverage to seniors age 65 or older, who live in South Carolina,
have both Medicare and Healthy Connections Medicaid, and are living at home. Some exclusions may apply.
To learn more, call South Carolina Healthy Connections Choices Customer Service Center at (877) 552-4642
Monday-Friday, 8:30 a.m. – 5:00 p.m. TTY users call (877) 552-4670. This call is free.
When do I sign up for Healthy Connections Prime?
Individuals who are eligible for the program will be automatically enrolled into one of our
three participating health plans.
You may also apply over the telephone. Contact the South Carolina Healthy Connections Choices
Customer Service Center at (877) 552-4642 to speak with an enrollment
counselor. TTY users call (877) 552-4670. This call is free.
How can I find out more information?
For more information, please visit our website
at www.scdhhs.gov/prime or
call a representative at (877) 552-4642. A counselor can help you Monday-Friday, 8 a.m. – 6 p.m. TTY users should call (877) 552-4670.