Summary of Benefits & Coverage
The Priority Partners HealthChoice plan includes coverage for the Medical Assistance For Families/Maryland Children’s Health Program (MCHP), a program for pregnant women and children.
As a Priority Partners HealthChoice member, your benefits include:
Medical visits with a primary care physician (PCP)
- Oral exam and cleaning twice per year
- Limited x-rays
- Simple and surgical extractions
- 1 eye exam per year
- 1 pair of glasses or contact lenses every 2 years
- Help with transportation or scheduling doctor appointments
- Call 1-888-500-8786
Mental health and substance abuse services
- Call 1-800-888-1965
- For diabetics, pregnant women, and those with various other illnesses
Pregnant women receive all of the benefits above, plus:
No- or low-cost childbirth classes
- You will get reimbursed in part or in whole once the classes are over.
Access to the program “Partners with Mom”
- For members with a high-risk pregnancy
- Locating OB physicians and keeping OB appointments
See our pregnancy page for more information on tips and services.
*NOTE: Some procedures and services require a prior authorization. To see information details on prior authorization and other explanation of benefits, review our Outpatient Referral and Pre-Authorization Guidelines.
All documents are available in paper form without charge. To request a paper copy, please call Customer Service at 1-800-654-9728 (TTY for the hearing impaired: 1-888-232-0488).
Health Services Needs Information
Do you have health goals you want to achieve?
Are there challenges keeping you from your best health?
Priority Partners can help you. You can partner with a health coach to lose weight or quit smoking. You can work with a care manager to help improve a health condition. You may even be able to get free rides to and from your doctor visits.
Find out how we can help you! Fill out a Health Services Needs Information form. Tell us about your health, and we’ll see what services may be able to help.