Carrier Eligibility Checks

The below list contains details regarding all the different avenues to confirm Medicaid Eligibility by State given the limitations by HealthPlan. We have included instructions to set up agent portals, links, and agent support phone numbers to call the health plan directly.

  • Aetna Medicaid Eligibility lookup available for:
    • AL, AR, CA, CO, CT, FL, GA, KS, KY, LA, MD, MI, MS, MO, NC, NV, NY, OH, PA, SC, SD, TX, WV
    • Think Agent Portal construction requires self-initiation; agents will receive an error in attempting to gain access, but Aetna will manually create accounts if you call into 866-714-9301 (option 5 in phone tree for ThinkAgent support)
    • ThinkAgent Link: https://app.thinkagent.com/sign-in
  • Anthem Medicaid Eligibility lookup available for:
    • CA, CO, CT, FL, CA, IA, IN, KY, LA, MO, NC, NJ, NV, NY, OH, TN, TX, VA, WA, WI
    • Anthem Agent Support: 844-274-6355
  • Cigna for brokers (self-sign-up process) / individual lookup available for:
  • WellCare via Change Healthcare lookup available for:
    • AL, AR, TN, IL, AZ, CA, FL, GA, IN, KY, MO, MS, NC, CT, NJ, NY, OH, TX, WA, WI
    • Wellcare Agent Support: 866-211-0544
  • UHC Medicaid Eligibility lookup available for:
    • DC, DE, GA, MT, NC, OH, SD, TX
    • UHC Agent Support: 888-381-8581
State Aetna Anthem Cigna WellCare UHC
AL AL   AL AL  
AK          
AZ       AZ  
AR AR   AR AR  
CA CA CA   CA  
CO CO CO CO    
CT CT CT CT CT  
DE     DE   DE
DC         DC
FL   FL   FL  
GA GA   GA GA GA
HI          
ID          
IL       IL  
IN   IN   IN  
IA   IA      
KS KS        
KY KY KY   KY  
LA LA LA      
ME          
MD MD   MD    
MA          
MI MI        
MN          
MS MS   MS MS  
MO MO MO MO MO  
MT         MT
NE          
NV NV NV      
NH          
NJ       NJ  
NM          
NY NY NY   NY  
NC   NC   NC NC
ND          
OH OH OH OH OH OH
OK          
OR          
PA PA PA PA    
RI          
SC SC SC      
SD SD SD     SD
TN     TN TN  
TX TX TX TX TX TX
UT          
VT          
VA  VA        
WA       WA  
WV WV WV      
WI       WI  
WY          

 

Filed under: Aetna, Anthem, Cigna-HealthSpring, UnitedHealthcare, Wellcare