Vaya Health knows that more goes into health and well-being than what happens inside the doctor’s office. Beginning July 1, Vaya Total Care members can access a new suite of value-added services, known as Vaya Total Care Perks. These perks are designed to support members, helping them manage their health and well-being more comprehensively and effectively.
Vaya Total Care Perks offers a range of services at no additional cost to Vaya Tailored Care Medicaid members. These services address various needs, from educational support to health incentives and non-medical transportation. Vaya Total Care Perks aligns with Vaya’s mission to help people get the support they need to live the life they choose. By offering these services, Vaya empowers members to take control of their health and well-being.
- GED/Education Support: Assistance for those seeking to further their education and improve their job prospects.
- WW™ (formerly Weight Watchers): Support for members aiming to achieve their weight loss and health goals.
- Flu and COVID Vaccine Incentives: Encouragement and support for staying up to date with important vaccinations.
- Safety Equipment: Provision of necessary safety gear to ensure the well-being of members in their daily lives.
- Breast Pump/Lactation Classes: Support for new mothers by providing breast pumps and lactation education.
- Post-Hospital Meal Delivery: Nutritious meal delivery to aid recovery after a hospital stay.
- Non-Medical Transport: Transportation assistance for non-medical needs, ensuring members can access essential services and activities.
To be eligible for Vaya Total Care Perks, participants must be members of Vaya Total Care with Medicaid. Some perks have additional eligibility requirements, which can be found on the Vaya Total Care Perks webpage. Vaya’s website also includes resources to help members understand these perks, including detailed information about benefits, eligibility, and how to request services.
In addition to Vaya Total Care Perks, Vaya has partnered with Navitus Health Solutions, WellCare, and other entities to provide more service lines for its members.
Vaya has partnered with Navitus Health Solutions to manage Tailored Plan pharmacy benefits, including prescription drugs, certain over-the-counter medicines, insulin and diabetic supplies, smoking cessation agents, emergency contraception, and medical/surgical supplies.
- Service Line: The Vaya Pharmacy Service Line (1-800-540-6083) is available Monday through Friday, 7 a.m. to 6 p.m., including holidays. Callers who leave a message outside these hours will receive a return call the next business day.
Vaya contracts with WellCare to provide a Nurse Line for Tailored Plan Medicaid members, available 24/7 at 1-800-290-1623. This line offers advice for physical health and medical questions. Members can also be transferred to the Vaya Behavioral Health Crisis Line if needed.
Non-Emergency Medical Transportation (NEMT)
NEMT includes rides to and from any Medicaid appointment, including:
- Doctors or specialists
- Prescription pick-up
- Mental health appointments
- Substance use treatment
Vaya Total Care Medicaid members can get free rides for different needs. To schedule a ride for an appointment, call Modivcare (1-888-621-2084) Monday through Saturday, 7 a.m. to 6 p.m. NC Medicaid Direct beneficiaries may request NEMT services from a local DSS.
Vision Services
Vaya partners with Avēsis to provide members and recipients with vision care services. Members and recipients can call (1-866-889-4457) to:
- Verify benefits
- Locate providers
- Schedule appointments
Other call lines for Vaya members, recipients, and providers include:
- The Member and Recipient Service Line (1-800-962-9003) is available Monday through Saturday, 7 a.m. to 6 p.m., including holidays for general information or help with a question or complaint.
- The Behavioral Health Crisis Line (1-800-849-6127) is available 24 hours a day, seven days a week with crisis intervention and information about local services. Calls are confidential.
- The Provider Support Service Line (1-866-990-9712) is available Monday through Saturday, 7 a.m. to 6 p.m., including holidays to providers caring for Vaya members and recipients.
