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:
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Medical visits with a primary care physician (PCP)
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Dental services
- Oral exam and cleaning twice per year
- Limited x-rays
- Simple and surgical extractions
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Vision services
- 1 eye exam per year
- 1 pair of glasses or contact lenses every 2 years
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Pharmacy coverage
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Outreach services
- Help with transportation or scheduling doctor appointments
- Call 1-888-500-8786
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Mental health and substance abuse services
- Call 1-800-888-1965
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Care Management services
- For diabetics, pregnant women, and those with various other illnesses
Pregnant women receive all of the benefits above, plus:
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No- or low-cost childbirth classes
- You will get reimbursed in part or in whole once the classes are over.
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Access to the program “Partners with Mom”
- For members with a high-risk pregnancy
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Outreach assistance
- Locating OB physicians and keeping OB appointments
See our pregnancy page for more information on tips and services.
For details on the benefits above, download a PDF of our summary of coverage and benefits . You can also download a PDF of the Members Handbook.
*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).