You have a choice.
     Make yours today . . .

Choose a Medicaid plan with doctors who treat and understand your disease, with case managers to coordinate your care, and with additional benefits to help you live a healthier life.

To learn more about Clear Health Alliance, please call us toll-free at (877) 777-7871 or TTY 711 for hearing impaired. Our office hours are Monday through Friday, 8 a.m. to 7 p.m. You may leave us a message after hours, Saturdays, Sundays and holidays and we will call you back the next business day. All calls are private.

For information on how to enroll, click here.

Clear Health Alliance is a Medicaid Plan with a main office in Coral Gables, Florida. Members get care from a team of doctors and caregivers they can count on. The Clear Health Alliance team works with members to make a treatment plan and get the services that will help them the most.

The Clear Health Alliance team includes

  • Highly trained HIV qualified doctors from our network of Primary Care Physicians and Specialists
  • A care coordinator to help get services for the member and their family
  • Other caring people working together with the member’s doctor and case manager to keep them healthy

More reasons to choose Clear Health Alliance

In addition to offering many services and support, Clear Health Alliance provides:

  • Best in class clinical expertise and best practices in the treatment of HIV/AIDS from recognized leaders
  • Access to an outstanding network of specialists in HIV and other medical fields including cardiology, dermatology, endocrinology and pulmonary medicine
  • A specialty network for all members at leading area hospitals
  • The highest level of privacy

Our Services

All Expanded Benefits are in excess of benefits specified in the Medicaid State Plan. Clear Health Alliance may require enrollees to use an established network of providers, approved by the Agency, to obtain expanded benefits under this Contract. Unless otherwise specified in this Exhibit, expanded benefits are not subject to prior authorization or co-payment charges.

MMA Expanded Benefits

Approved Limitations

Adult Dental Services

One (1) exam every six (6) months; one (1) cleaning every six (6) months; one comprehensive exam every thirty-six (36) months; one (1) comprehensive x-ray every thirty-six (36) months; two (2) preventive x-rays every (12) months; two (2) simply extractions per year by a general dentist.

Hearing Services

One (1) preventive hearing screening per year.

Home and Community Based Services

Homemaker services post hospitalization discharge; limited to two (2) visits within seven days of discharge; maximum two (2) hours per visits; limited to enrollees without in-home supports; subject to prior authorization.

Home Health Care (Non-Pregnant Adults)

Three (3) visits per day; limited to enrollees post hospitalization.

Influenza Vaccine (Adult)

One (1) vaccination per year.

Medically Related Lodging & Food

Seventy dollars ($70) per day for enrollee's parent or caregiver; limited to child enrollees; only available if enrollee is required to travel more than one-hundred-twenty (120) miles from home for medically necessary treatment; limit of twenty-five dollars ($25) per day for food included in per diem; not available for the days an enrollee is receiving inpatient treatment; not available if staying overnight in a private residence; subject to prior authorization.

Newborn Circumcision

Available to male enrollees upon request up to twelve (12) weeks old.

Nutritional Counseling

Fifteen (15) visits per year referral required; subject to prior authorization.

Outpatient Services

One (1) speech therapy evaluation; maximum three (3) speech therapy visits per week for three (3) weeks (9 visits total); limited to adult enrollees; subject to prior authorization.

Over-The-Counter (OTC) Medication/Supplies

Twenty-five dollars ($25) per household per month.

Physician Home Visits

Two (2) primary care specialty visits per month; limited to homebound enrollees; subject to prior authorization.

Pneumonia Vaccine (Adult)

Two (2) vaccinations per lifetime; subject to prior authorization.

Post Discharge Meals

Two (2) meals per day for five (5) days; limited to enrollees post hospitalization where no in-home support present; physician request required; subject to prior authorization.

Prenatal/Perinatal Visits

Four (4) prenatal visits for high-risk pregnancies; one (1) postnatal visit within eight (8) weeks of delivery for all pregnancies.

Primary Care Visits (Non-Pregnant Adults)

One (1) visit per day.

Shingles Vaccine (Adult)

One (1) vaccination per lifetime; subject to prior authorization.

Vision Services

One (1) set of glasses every two (2) years; subject to medical necessity and prior authorization.

Waived Copayments

Enrollees shall not be subject to co-payment charges with the exceptions of: denture services.

Clear Health Alliance is a Managed Care Plan with a Florida Medicaid contract. The benefit information provided is a brief summary, not a complete description of benefits. For more information contact Clear Health Alliance at (877) 777-7871 (TTY:711). Limitations, co-payments, and restrictions may apply. Benefits, formulary, pharmacy network, premium and/or co-payments/ co-insurance may change