Getting Care

AmeriHealth Caritas Delaware wants to be sure our members get the care they need for emergency and urgent problems.

AmeriHealth Caritas Delaware will pay for your care when you go to one of our health care providers. We call these providers our "network" providers. Network providers are providers that we have contracted with to provide health care services. You can find a network provider in Find a provider.

A provider who is not one of ours is called "out-of-network." If you go to one of these providers, you may have to pay for the care you get.

When you are sick

• Using your primary care provider.
  Your PCP is your regular doctor. Visit your PCP for checkups, exams and more.
• Emergencies and urgent care.
  Urgent care is for conditions that are serious, but are not emergencies. If you have a health emergency, call 911 now.
• Care when you are away from home.
  There are times when you will need care while you are away from home. Here is what you should do.
• How to stay healthy after your hospital stay.
  Some people end up back in the hospital soon after their stay. Here's how you can stay healthy.
• 24/7 Nurse Call Line.
  Do you have a question about your health? Call our 24/7 Nurse Call Line at 1-844-897-5021.
• Standard length of time to see your doctor.
  AmeriHealth Caritas Delaware has established appointment availability standards for providers in our network to ensure members get the care they need.
• Telehealth Services with AmeriHealth Caritas Delaware.
  
  AmeriHealth Caritas Delaware covers telehealth services. These services help you get physical and behavioral health services from home. 

Specialized care

• Your Clinical Care Coordinator.
  Our Clinical Care Coordinators can help you to manage your physical and/or behavioral health care needs.
• Seeing a specialist.
  Your PCP may send you to a specialist for some of your care.
• Women's health.
  Women members can get many special health services without a referral.
• Children's health.
  Our Health Check program helps us keep all of our young members healthy.
• Prior authorizations.
  We may need to approve some services before you visit a provider.
• Continued care.
  If you get ongoing treatment from a provider who is not in the AmeriHealth Caritas Delaware network, you may be able to continue that treatment.

If you have any questions about your health, you can call our Nurse Call Line at 1-844-897-5021. If you have questions about your benefits or AmeriHealth Caritas Delaware, call AmeriHealth Caritas Delaware Member Services, 24 hours a day, 7 days a week, at:

• Diamond State Health Plan: 1-844-211-0966 (TTY 1-855-349-6281).
• Diamond State Health Plan-Plus: 1-855-777-6617 (TTY 1-855-362-5769).

Pick up health tips just for you. Visit the Health Shelf in the member portal.