Benefits Overview

Absolute Total Care offers health insurance plans with comprehensive healthcare services that suit the needs of families and individuals throughout South Carolina.

View some of Absolute Total Care's benefits below. You can also view more information in our Member Handbook.        

A behavioral health condition, also called a mental health condition can happen to anyone. Many are medical problems just like cancer or heart disease. Left alone, mental health problems can get worse. Treatment may include talking to a therapist or taking medicine. If you need help finding a behavioral health provider, call Member Services at 1-866-433-6041 (TTY: 711).

Care coordination and disease coaching are part of your health benefits and are provided to you at no cost. Absolute Total Care pays for these services. We provide services for many conditions, such as asthma, diabetes, COPD, high-risk pregnancy and more. Call Member Services at 1-866-433-6041 (TTY: 711).

As an Absolute Total Care member, you can choose who you see for your healthcare needs from our network of providers. We have many providers for you to choose from. You can find the right provider for you by using our Find a Provider Tool. If you need help choosing a provider, call Member Services at 1-866-433-6041 (TTY: 711).

Some providers don’t offer family planning services due to moral or religious grounds. View the Moral and Religious Objection List to find Absolute Total Care providers who don’t provide these services.

Absolute Total Care covers unlimited doctor visits with a $0 copay!

You don't have to wait until you are sick to visit the doctor. Preventative care visits and annual physicals for adults are also covered with a $0 copay.

Regular child check-ups up to age 21 are covered by Absolute Total Care. These doctor visits should occur at the below ages.

  • Birth
  • 3 to 5 days
  • 1 month
  • 2 months
  • 4 months
  • 6 months
  • 9 months
  • 12 months
  • 15 months
  • 18 months
  • 24 months
  • 30 months
  • 3 years
  • 4 years
  • Every year until age 21

Children also need a blood lead test at 12 and 24 months of age. We cover this! After 24 months, children who are high risk will need a blood lead test each year for ages 3 to 6. 

Use our Find a Provider Tool to search for a provider in our network.

Our nurse advice line, called NurseWise®, is ready to answer your health questions 24 hours a day, every day of the year. It is staffed with registered nurses. These nurses have spent lots of time caring for people. Now they are ready and eager to help you. Call 1-866-433-6041 and say "Nurse."

Through our MemberConnections® program, we can help you get the support you need. A MemberConnections team member can talk to you over the phone. They can also visit your home. They can talk to you about things like how to choose a doctor, plan benefits and living healthy. They can also connect you to community social service programs. These programs will help you with food, housing and clothing.

Start Smart for Your Baby® (Start Smart) is our special program for women who are pregnant. We want to help you take care of yourself and your child throughout your pregnancy. Our Start Smart staff can answer questions and give you support if you are having a problem. We can even arrange for a home visit, if needed.

If you go to your prenatal and postpartum visits, Absolute Total Care will give you up to $60 on your CentAccount card. This is our way of saying thank you for taking good care of yourself and your baby!

Are you pregnant? Tell us right away!

Call Member Services at 1-866-433-6041 (TTY: 711). You can also login to your Absolute Total Care account or visit the Member Handbook and Forms page to fill out the Notification of Pregnancy form.

Interpreter services are provided free of charge to you during any service or grievance process. This includes American Sign Language and real-time oral interpretation.

If you need something translated into a language other than English, please call Absolute Total Care. We can also provide things in other formats such as braille, CD or large print.

If you need an interpreter for your medical appointment, contact Absolute Total Care from 8 a.m. to 6 p.m. (EST), Monday through Friday. Please call us at least 72 hours before your scheduled appointment. We will arrange for an interpreter to be at your appointment. 

South Carolina’s Medicaid Transportation program provides non-emergency transportation for members. If you need to schedule a ride for a non-emergency reason, please call the reservation line for the region that your county is located in. Transportation must be arranged at least 72 hours before your appointment. 

Region 1

Abbeville, Anderson, Cherokee, Edgefield, Greenville, Greenwood, Laurens, McCormick, Oconee, Pickens, Saluda, Spartanburg

Region 2

Aiken, Allendale, Bamberg, Barnwell, Calhoun, Chester, Clarendon, Fairfield, Kershaw, Lancaster, Lee, Lexington, Newberry, Orangeburg, Richland, Sumter, Union, York

Region 3

Beaufort, Berkeley, Charleston, Chesterfield, Colleton, Darlington, Dillon, Dorchester, Florence, Georgetown, Hampton, Horry, Jasper, Marlboro, Williamsburg

Statewide number for nursing homes and medical facilities

1-866-420-6231

Website for Health Care Facilities

http://facilityinfo.logisticare.com/Default.aspx?alias=facilityinfo.logisticare.com/scfacility&

Call Member Services at 1-866-433-6041 (TTY: 711) if you are having a problem scheduling a ride to your medical appointment. Member Services will assist you in contacting your Transportation broker to arrange transportation.

Absolute Total Care covers ambulance transportation to the nearest hospital for emergency situations. You do not need to contact Absolute Total Care before using an ambulance for emergencies.

In addition to routine eye care, Absolute Total Care covers one complete pair of glasses (frame and lenses) every 12 months for members ages 20 and younger.

Every member can earn rewards! 

Earning CentAccount® Rewards is easy!  Absolute Total Care puts funds into your account for completing healthy behaviors. These behaviors include:

  • Annual Adult Well Care Visit
  • Well Child Visit
  • Infant Well Child Visits
  • Childhood Immunizations
  • Health Risk Screening
  • Annual Cervical Cancer Screening
  • Annual Breast Cancer Screening
  • Annual Diabetes Screening – HbA1c Tests, Eye Exams, Kidney Screening, and LDL-cholesterol Screening
  • Flu Shot
  • Prenatal Visits
  • Postpartum Visit

Call Member Services at 1-866-433-6041 (TTY: 711) for more information.