Does Maryland Physicians Care require referrals to see a specialist?
Do Members Need Referrals From Their Primary Care Providers (PCPS) For Well-Woman Checkups? No. Members may see their gynecologists for well-woman visits without a referral.
What kind of insurance is Maryland Physicians Care?
MPC provides free, quality health care services to Maryland’s HealthChoice enrollees by extending the full benefits of Medicaid. Our strong network of hospitals, doctors, clinics and pharmacies helps our Members live as healthy as possible through education, support, and quality programs.
Does Maryland Physicians Care cover pregnancy?
My Benefits Maryland Physicians Care’s coverage includes access to primary and urgent care visits, pregnancy and new mother benefits, specialists care, pharmacy coverage, primary mental health services, vision and dental care (including adults), and more.
Does Johns Hopkins take Maryland Physicians Care?
Johns Hopkins Community Physicians is participating with Maryland Medical Assistance but IS NOT participating with Out-of-State Medical Assistance plans. Priority Partners is the only Maryland Medicaid MCO that Johns Hopkins Community Physicians is participating with.
What is timely filing for Maryland Physicians Care?
Timely Filing Limitations Providers must submit electronic or paper claims to MPC for reimbursement within one hundred eighty (180) days from the service date. For a claim on a CMS 1500 claim form, one hundred eighty (180) days are counted from the day the service was performed.
Does Maryland Physicians Care cover MRI?
These services include CT/CTA, MRI/MRA, PET Scan, CCTA, Myocardial Perfusion Imaging, MUGA Scan, Stress Echocardiography, and Echocardiography (TTE/TEE).
Will Maryland Physicians Care cover breast reduction?
Breast Reduction in the Female: Breast Reduction is considered reconstructive and medically necessary for members with symptomatic macromastia when ALL of the following criteria are met: 1. The amount of breast tissue anticipated to be removed is at least 350 grams per breast, or a total of 700 grams.
Does John Hopkins accept Medicare?
Medicare Coverage Please be advised that Johns Hopkins Medicine hospitals and most Johns Hopkins University physicians participate with Medicare, but we are not contracted with most Medicare Advantage Plans.
How do I report a doctor in Maryland?
Download the complaint form here and mail to the MIA address below or fax: (410) 468-2260. Find more information on submitting a written complaint here. Call the MIA helpline: (800) 492-6116.
Where can I find a physician in Maryland?
The Maryland Physicians Care (MPC) provider directory is a list of physicians, hospitals, and other healthcare providers that are available to you. To start your search, *click on the button below.
Who are doctors who accept Maryland physicians care insurance?
Doctor.com has profiles for millions of doctors and other health providers in the United States, including those who take Maryland Physicians Care insurance.
How to contact Maryland physicians care member services?
Contact the State of Maryland’s Eligibility Verification System (EVS) at 1-866-710-1447 or contact Member Services at 1-800-953-8854 to verify enrollment. What are services covered by Maryland Physicians Care? Please refer to the HealthChoice Benefit Summary page for a brief description of covered benefits.
How to find a Medicaid provider in Maryland?
Can’t find the provider you are looking for or have additional questions about MPC Providers: Call MPC Member Services at 800-953-8854 for additional help. Subscribe to MPC’s Newsletter for answers to Medicaid Questions, Health Tips, Resources, News, and More.