Can We Help?

Choosing a health care plan is a big decision. And we want you to have all of the information you need.  You can contact Harmony to get more information, including a list of the providers that belong to Harmony, how we pay our providers, or answers to any other questions you have before you make a choice. If you would like more information, please contact Harmony at 1-800-608-8158 (TTY 1-877-650-0952) and we will be happy to help you.  You have choices.  We’d like to be your choice.  Questions? Want to learn more? Give us a call. A few minutes of your time can make a long-term difference in your health care. 

• Harmony +10 - NOW IT'S MONTHLY! Get $10.00 worth of personal care items EACH MONTH, sent right to your home! We offer over 60 items to choose from each month.
• NO Pharmacy Co-pay - ONLY Harmony pays your co-pay for you. All you need to do is this. Take your State ID card and your Harmony ID card with you when you get your prescription filled.*
• Dental Care for Adults (21 years and older)
• One Periodic Oral Evaluation every 12 months
• One Adult Prophylaxis (cleaning) every 12 months
• Molar Root Canal  (your dentist should obtain prior authorization)
• Periodontal Scaling and Root Planing (deep cleaning) (your dentist should obtain prior authorization)

   

Stick with Harmony and keep enjoying these GREAT benefits:

• Healthy Kids Club - the club that educates your kids about good health choices. We make learning fun by mixing health education with monthly birthday parties for Healthy Kids Club members.
• NurseLink - You can call a nurse 24 hours a day to ask health questions and get advice. Now you always have a health professional who can answer your health questions - anytime, day or night!
• More Transportation - In addition to giving you rides to your medical appointments, Harmony takes you to more places. Harmony will take you to the pharmacy, WIC offices and even to visit family members who are in the hospital! We provide sibling ride-alongs too!

Thank you for putting Harmony in your life. We're glad you are our member! We think you'll enjoy all that Harmony offers to you and your family. If you have any questions, please call our Member Services department at 1-800-608-8158 (TTY/TDD 1-877-650-0952). Call Monday-Friday, 8am-5pm Central Time. They will be happy to help you!

Harmony Commitment

• Superior service to our physicians, hospitals and members
• Streamlined authorization process
• Designated staff to respond to your questions or inquires
• Your own provider relations representative ensures responsiveness
• Physician participation in policy development through Quality Committee involvement
• Leading edge information system designed to meet current and future needs of our provider network

Provider Benefits Include

• Rapid capitation distribution
• Fast and accurate claims payments made for clean claims
• Quality Incentive Programs reward physicians for superior member service
• Highly competitive physician reimbursement

• The Provider Manual is a resource for physicians with guidelines on health plan coverage procedures, policies and other information related to the provision of health care services to our members. This document should be used simultaneously with the Rapid Reference Guide, Education Materials and Forms.

• Harmony Hugs prenatal care program for enrolled members
• 24/7 Plan telephone availability for members and physicians
• Expanded medically necessary transportation benefits
• Kids Club for children 5 to 10 years old

Commitment to Quality Care

We Understand that member satisfaction is directly related to the quality of medical care our members receive. Harmony Health Plan has established relationships with many of the best providers in the region. We encourage an atmosphere of open communications with our network physicians and hospitals as well as the local business we serve. We are dedicated to streamlined authorization procedures, rapid claims payment and ongoing personal communication.