A state of emergency has been declared related to the outbreak of novel coronavirus (COVID-19). If you are impacted and need assistance in obtaining medical service or prescription drugs, please contact Customer Service at 1-866-597-9560. If you are experiencing a medical emergency, please call 911.

Essence Healthcare is waiving all member related costs associated with the testing and treatment of confirmed or suspected COVID-19 cases from March 6th forward. This includes any applicable co-pays, co-insurance, or deductibles that our members would have normally been responsible for. This waiver will be in effect until May 31,2020, at which time we will reevaluate based on the status and containment of the COVID-19 virus.

Your over-the-counter (OTC) benefit is managed by Convey Health Solutions. Unfortunately, due to the COVID-19 pandemic, Convey is experiencing shortages of certain OTC items. Please visit the Convey website at www.essencehealthcareOTC.com for latest availability. You may also call Convey to place an order and if a specific item is not available, they can help you find an alternative solution. Their number is 1-877-494-2806. Please be assured that Convey is working diligently to refill their inventory. We apologize for any inconvenience this may cause and thank you for your patience.

Here's more information on managing stress during this time.

 
The quick links below gives you quick access to the most common items Essence members typically have questions about. As always, you can use the menu above to access anything you don’t see below.
Search our Provider Directory
Find a Provider

Search our Provider Directory for a doctor, specialist, hospital, pharmacy, or other provider

Search our Drug Formulary
Find a Medication

Download our Drug Formulary to see what medications are covered

View your Claims
View your Claims

View details on all your current and past claims, their status and what was paid

View your Referrals
View your Referrals

View details and print copies of any of your referrals or authorizations

View your Benefit Documents
Benefit Documents

View your Summary of Benefits, Explanation of Coverage, and Annual Notice of Change Documents

View your Prescription Benefits
Your Prescription Benefits

Learn more about your Part D prescription drug benefits and how to make the most of them

Use your ID Card Services
Replace your ID Card

If your Essence Member ID Card is damaged or lost, you can obtain a replacement card here

See how much you have spent out of pocket this year
Out of Pocket Costs

See how much you have spent out of pocket thus far this year and how close you are to your limit (MOOP)

View your Benefits When Traveling
Out of Town Benefits

Learn what to do when you need medical care when traveling

View your Dental Benefits
Your Dental Benefits

Learn how to make the most of your dental benefits

View your Vision Benefits
Your Vision Benefits

Learn how to make the most of your vision benefits

View your Fitness Benefits
Your Fitness Benefits

Learn how to make the most of your fitness benefits and health club membership

Y0027_20-322 - Last updated 01/30/2020