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Medicaid and WVCHIP insurance in West Virginia

Ready. Set. Renew

It may be time to renew your health benefits. We are here to help. We created this short video to show you how. Keep in mind, if you don’t renew before the deadline, you may have a gap in health coverage. Take steps now to protect yourself and your family.

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No longer qualify for Medicaid? We can connect you to a plan that’s right for you.

Learn more about plans

Be aware of scams and fraud during Medicaid renewals. There is no cost to complete a Medicaid renewal and if we reach out to you about renewing your coverage, we will never ask for money.

Man helping boy learn to ride a bike

Serving West Virginia Mountain Health Trust, Medicaid, and CHIP members with Unicare. With UniCare, you get the benefits you need to live your best life.

Doctor visits Doctor visits
Hospital care Hospital care
Dental and vision for kids Dental and vision
for kids
Maternity care Maternity care

Plus you get access to services like:

  • 24-hour nurse help line with toll-free access to registered nurses who can answer your health questions anytime, day or night
  • Free translation and interpretation services via telephone and onsite for your medical appointments
  • No-cost Disease Management program to help you manage conditions such as asthma, diabetes and major depressive disorder
  • A behavioral health team to help you manage concerns like anxiety, depression and substance use disorder
     

Medicaid

For childless adults ages 19-64, children under 21, pregnant women and families with children
See Medicaid benefits

WVCHIP

For children under 19 and pregnant women who are not eligible for Medicaid and do not have other health insurance coverage
See WVCHIP benefits

Updates and reminders

New WVCHIP Pharmacy Benefits Manager

For WVCHIP members, beginning July 1, 2024, your covered pharmacy benefits are managed through Gainwell Technologies. Please note, there will be no changes to the pharmacy benefits you have now. If you have questions about your benefits, call the Gainwell Technologies Help Desk at 888-483-0797.

Introducing Sydney Health

Download the Sydney Health mobile app from your app store and log in using the same Unicare username and password.

Download Sydney Health

Copayment Updates

Copayments for medical and dental services are required for WVCHIP members effective July 1, 2023. WVCHIP waived copayments for medical and dental services pursuant to the COVID-19 Public Health Emergency (PHE). The PHE ended May 11, 2023.

Approved Member Notice Copayments 2023

Gender affirmation surgery updates

As of September 1, 2022, gender affirmation surgery for Medicaid members ages 21 and older diagnosed with gender dysphoria is a covered service when certain criteria are met and the member has received prior authorization (an OK) from UniCare. 

West Virginia Children’s Health Insurance Plan (WVCHIP): Tobacco cessation benefits

Tobacco cessation services for WVCHIP include care from multiple healthcare providers. There’s no cost to members, and they can get two 12-week cycles of FDA-approved drugs with no prior authorization. Members will need to talk to their healthcare provider to get more, if needed. Children and pregnant women are also covered.

New vision vendor – Superior Vision to provide vision services for UniCare Health Plan of West Virginia, Inc. members

Beginning May 1, 2022, vision services will be provided by Superior Vision for all UniCare members. This vendor change will not affect your current vision benefits. For more information on vision services, please review the Benefits tab on our website, unicare.com/wv, or contact the Customer Care Center at 800-782-0095 (TTY 711) Monday through Friday, 8 a.m. to 6 p.m. Eastern time.

Emergency preparedness

Learn how to keep your health in mind before an emergency. Get started

New Dental Benefits for Adults

Adults ages 21 and over can now receive new preventive dental services.

Read more about adult dental care.

Clarksburg Water Board customers may have lead in their water. 

Take your Health Risk Screener

The Health Risk Screener is a quick and easy health questionnaire. When we know more about your health, we can help you get the right care.  

Take your Health Risk Screener