Gateway Health Plan^® was the first Medicaid managed care plan to be awarded an ‘Excellent' rating from NCQA (National Committee for Quality Assurance) and has received this rating for more than 12 years.

No co-payments on PCP, Dental and OB/GYN visits. No limits on PCP and OB/GYN visits.

Large network of providers to serve you. Members enjoy access to over 8,000 participating doctors, 110 participating hospitals and nearly 3,000 participating pharmacies.

Eyeglasses or contacts for adults, too. Members get routine eye exams and can choose from a selection of frames for prescription eyewear at no cost.

Member Services to help you at home or while away. Members have access to member service staff 24 hours a day, 7 days a week ready to help. If you get sick when you are out-of-town, simply call our toll-free number at 1-800-392-1147. You will be connected to your doctor at no cost to you.

Drug Benefit. With a prescription, members can get vitamins, over-the-counter (OTC) medicines like cough and cold medicines and diabetic supplies. Your medical assistance category determines your coverage for other prescription drugs.

Special programs to help keep you healthy. If you are pregnant, have asthma, diabetes, or heart problems, you can get extra help to stay healthy. You will also have a nurse case manager to answer questions and arrange the extra support you need.

• MOM Matters^® for Pregnant Women gives you the support you need to have a healthy baby.
• "AIR" Gateway^® helps members keep asthma under control.
• Help Your Heart program helps adult members with congestive heart failure, a heart attack or coronary artery disease.
• Healthy Returns diabetes program helps members with diabetes and their families understand how diet and medication can keep blood sugar under control.

Dental care for everyone. All members receive routine and preventive dental care such as exams, cleanings and x-rays. Additional dental services are available to members who qualify.

If you would like information about Gateway Health Plan^®'s Quality Improvement Program please contact Member Services at 800-392-1147.

All information/materials on this website can be requested in hard copy by calling Member Services at 800-392-1147.