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Members

Healthchek Ohio's Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Services

Doctor and patient smiling

What’s covered

Healthchek services are available at no cost to members. Healthchek covers:

  • Medical exams
  • Immunizations (shots)
  • Health education
  • Laboratory tests for everyone on Medicaid from up to age 21 years

 

Healthchek also covers complete:

  • Medical
  • Vision
  • Dental
  • Hearing
  • Nutritional, developmental and mental health exams
  • Care to treat physical, mental or other problems or conditions found during a checkup

Tests and Treatment Services

Healthchek covers tests and treatment services that may not otherwise be covered for members 21 years of age and younger; some of the tests and treatment services may require pre-approval.

Healthchek services include:

  • Preventive checkups for newborns, infants, children, teens and young adults under age 21.
  • Healthchek screenings:
    • Complete medical exams (with a review of physical and mental health development)
    • Vision exams
    • Dental exams
    • Hearing exams
    • Nutrition checks
    • Developmental exams
    • Lead testing
  • Laboratory tests for certain ages
  • Immunizations
  • Medically necessary follow-up care to treat physical, mental or other health problems or issues found during a screening
  • Health education

When should members get care?

These exams are important to make sure that children are healthy and are developing physically and mentally. Mothers should have prenatal exams and children should have checkups at birth, 3-5 days of age and at 1, 2, 4, 6, 9, 12, 15, 18, 24 and 30 months of age. After that, children should have at least one checkup per year.

Grow and Stay Healthy Guidelines

Our guidelines provide you with information about the health checkups and screenings your child needs to have and when he or she should get them. Read here.

Member Handbook

For more information about Healthchek, read this: Healthchek: Start Healthy, Stay Healthy. You can also refer to your Member Handbook.

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