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Benefits and Services

‘We are members’ - Partners Tailored Plan
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Family having fun in the backyardIn this section, you can learn about plan benefits, pharmacy services, and extra health care services offered through Partners Tailored Plan.

Your primary care provider (PCP) or behavioral health provider will work with you to make sure you get the care and services you need. Ask your PCP or call Member and Recipient Services at 1-888-235-4673 if you have any questions about your benefits.

You can get some services without going through your PCP. These include:

  • Primary Care
  • Emergency Care
  • Women’s Health Services
  • Family Planning Services
  • Children’s Screening Services
  • School-Based Services
  • Certain Behavioral Health Services

You must get some services from providers in the Partners Tailored Plan network. These services must be medically necessary, and provided, managed or referred by your PCP. See the list below for examples of these services. A complete list of services and benefits can be found by going to partnersbhm.org and selecting Services from the top navigation.

  • Regular Health Care
  • Maternity Care
  • Hospital Care
  • Behavioral Health Services (Mental Health and Substance Use Disorder)
  • Intellectual and Developmental Disability Services
  • Home Health Services
  • Pharmacy
  • Emergency Care
  • Specialty Care

More information about Partners Tailored Plan services is in your Member Handbook.

You can find additional information by clicking on the following  Quick Links:

Need help understanding benefits and services? Call Member and Recipient Services Monday-Saturday, 7 a.m. – 6 p.m., 1-888-235-4673, or Relay NC 711 or TTY 1-800-735-2962 (English) and 1-888-825-6570 (Spanish).

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