- Customer Service
-
St. Clairsville & Morgantown
P: 740.695.7904
TF: 1.888.613.8385
Email: information@healthplan.org
Hours: Mon. - Fri.,
8:30am to 5:00pm
Mountain Health Trust is a fully insured managed care plan offered to Medicaid-eligible residents of West Virginia.
The plan requires a member to select a Primary Care Physician (PCP), obtain a referral for specialty physician services and to follow precertification guidelines for procedures, diagnostic testing, outpatient surgical procedures, and inpatient admissions. Members do not have out-of-network benefits unless prior authorized by the Plan.
If you need any written information provided by The Health Plan in an alternate language or format due to special needs such as vision or reading impairments or language translation difficulties please contact The Health Plan's Customer Service Department at 740.695.7904 or toll-free 1.888.613.8385, Monday through Friday, 8:30am to 5:00pm.
The following information is always availabe here on this website or you may call our Customer Service Department at 740.695.7904 / 1.888.613.8385 to request a printed copy or ask any questions/concerns you may have of:
- Enrollee Rights & Responsibilities.
- Grievance & State Fair Hearing procedures.
- The Member Handbook can be provided whenever requested.
- Specialty care and other benefits not provided by the PCP.
- Pharmacy services, mental health, substance abuse, children's dental services, and non-emergency transportation are covered benefits available through Medicaid.
- Benefits covered by The Health Plan.
- How and where to access emergency care and post-stabilization services.
- Provider Directory.
Member
Rights & Responsibilities
View your Rights & Responsiblities. (61k)
Appeal Procedures
View your Grievance and State Fair Hearing procedures. (24k)
Mountain Health Trust Handbook
View your Handbook to find specialty care; other benefits not provided by the PCP; pharmacy services, mental health, substance abuse, children's dental services, and non-emergency transportation which are covered benefits available through Medicaid; benefits covered by The Health Plan; and how and where to access emergency care and post-sabilization services. (282k)
Mountain Health Choice Handbook
View your Handbook to find specialty care; other benefits not provided by the PCP; pharmacy services, mental health, substance abuse, children's dental services, and non-emergency transportation which are covered benefits available through Medicaid; benefits covered by The Health Plan; and how and where to access emergency care and post-sabilization services. (282k)
> Drug Lists (Formularies)This list contains generic and brand-name drugs that are preferred by The Health Plan. Also view drugs for The Health Plan’s three-tiered incentives.
> Pharmacy ServicesView Pharmacy benefit information, Pharmacy Counter News and customer service phone numbers.
