Skip to Main Content

Benefits Overview

WellKids by PA Health and Wellness is there for your kids with quality, comprehensive health insurance coverage for routine doctor visits, prescriptions, dental, eye care and much more. The following is an overview of your WellKids by PA Health and Wellness benefits. 

doctor showing a stethoscope to child

Medical

  • Well-visits for routine care, such as checkups and immunizations
  • Doctor visits when your child gets sick
  • Behavioral health and substance abuse services
  • Emergency room, urgent care and hospital care
  • Nutritional counseling and tobacco cessation counseling
  • Physical, occupational, speech therapy
  • And More

      

Dental

  • Dental services including routine check-ups and other services
  • Orthodontia services (braces, not for cosmetic reasons and only when medically necessary)
mother holding a baby at the doctor's office

   

doctor showing clipboard to mother and children

Vision

  • Eye exams
  • Corrective lenses

   

Pharmacy

  • Prescriptions and some over-the-counter medications are covered. 
  • Enrollees must use participating pharmacies to fill prescriptions.
mother and sick child on a telehealth visit

Your managed care plan may not cover all your health care expenses. Read your member handbook carefully to determine which health care services are covered. Call 1-855-445-1920 (TTY: 711) for more information.

For More Information