***FLU SEASON ALERT*** 

The flu is widespread in Delaware. Health authorities recommend protecting yourself against the flu. Read more


Highmark Blue Cross Blue Shield Delaware, a name you recognize and respect has partnered with Gateway HealthSM, a leading Medicaid managed care organization that provides best in class healthcare programs that promote health and well-being.

 

Health Options offers:

  • A large network of doctors, hospitals and specialists.
  • Prescription drug coverage.
  • Health and wellness programs and tools.
  • Strong care management solutions and responsive member service.

In addition, Health Options members receive valuable extra benefits that can improve your overall health and well-being, such as:

  • Pill boxes to help those who require some help in managing their medications.
  • Weight scales for members living with heart failure.

Search the Community Repository, a directory of state and local community resources and online education. You can find many kinds of assistance and information for health conditions and everyday needs. You can also suggest new agencies or alert us to changes to one of the resources.

Read the Member Newsletters
 

Check the Member Handbooks to know more about the benefits Health Options can offer you.

 

Consult the complete Member Benefits Grids.

Member Forms:
Advance Directive Form
Member Appeal Form
Member Grievance Form
MOM Options Rewards

Pharmacy Information:
Formulary Updates
Medical Necessity Determination (Definition)
Pharmacy Copay Information
Prior Authorization Criteria
Drug Formulary
Drug Safety and Recall Information

Resources
Delaware 211 Community Resources
Delaware 211 Community Resources (Spanish)

Quality of Care
We want you to be happy with the health care you are receiving. If you have concerns about your care or services, you may have a Quality of Care concern. Examples include concerns about your safety or access to services. Please call one of our Member Advocates at 1-855-430-9852 or Member Services at 1-844-325-6251 if you have a concern about your care.

Rights and Responsibilities
Learn more about your Rights and Responsibilities.