What is Covered under IowaCare?
What types of care are covered?
- Inpatient hospital care - when you are admitted to the University of Iowa Hospitals and Clinics or Broadlawns and stay at least one night
- Outpatient hospital care- when you are seen at the University of Iowa Hospitals and Clinics or Broadlawns and are able to go home the same day
- Doctor and nursing services at the hospital
- Primary care at your assigned medical home
- Some dental services
- Yearly physicals (see below)
- Prenatal care (see below)
- Help to quit tobacco (see below)
Important: Medical providers do not have to offer all of the services on the above list. IowaCare is a limited benefit program. It's a good idea to ask about what is covered when you call to make an appointment.
How can I get a yearly physical?
If you have been assigned to a Medical Home, it is required that you have your yearly physical done at your Medical Home.
If you have not been assigned to a Medical Home, you can have your yearly physical done at any Iowa Medicaid provider.
If you need advanced or specialty follow-up care as a result of your physical, your Medical Home or the Iowa Medicaid provider you saw may refer you to the University of Iowa Hospitals and Clinics or Broadlawns Medical Center.
For help in deciding if you need to go to the emergency room or use other health care services call: 1-866-890-5966.
For help quitting smoking call your Medical Home. You may also call Quitline Iowa at 1-800 Quit-Now/1-800-784-8669.
Is medicine covered?
Not unless it is part of a covered inpatient stay at the University of Iowa Hospitals and Clinics or Broadlawns Medical Center. Outpatient drugs may be available at reduced cost through programs operated by IowaCare network providers.
How can I get prenatal care?
If you are pregnant you must first contact your local DHS office.
You can go to any Iowa Medicaid provider unless you live in Cedar, Clinton, Iowa, Johnson, Keokuk, Louisa, Muscatine, Scott or Washington counties. Then, you must go to the University of Iowa Hospitals and Clinics in Iowa City for prenatal care.
Are there any other costs?
There may be premiums and co-payments required for some IowaCare services. Check with your provider to make sure what services are covered and what you may have to pay for before starting any treatment.
Are any types of care not covered by IowaCare?
Yes, IowaCare has limited benefits and services.
Transportation: Transportation including ambulance services is not covered.
Mental Health Services: IowaCare does not cover mental health services. If you utilize the University of Iowa Hospitals and Clinics or Broadlawns for these types of services you may be responsible for the bill.