MEDICAL MANAGEMENT BENEFIT SUMMARY MEMBER HANDBOOK MEMBER NEWSLETTERS MEMBER RESOURCES AND LINKS PROVIDER DIRECTORY FREQUENTLY ASKED QUESTIONS ADULT DENTAL BENEFITS REFERRAL PROCESS PREGNANCY/BABY BOOK English español

Frequently Asked Questions How do I contact Maryland Physicians Care Member Services? What other important phone numbers might I need? How long does it take a new member to receive an ID card? How do members find out what services are covered? Does Maryland Physicians Care cover brand name medications? Do members need referrals from their Primary Care Providers (PCPs) for well-woman checkups? How does a Maryland Physicians Care member see a specialist? Does a Maryland Physicians Care member need a referral form to see a dentist? Does Maryland Physicians Care cover abortions? How can a member replace a lost ID card? What if a member wants to change to a doctor closer to home? How do I contact Maryland Physicians Care Member Services? What other important phone numbers might I need? To contact Member Services call (800) 953-8854. Other important phone numbers can be found at the Contact Us page on this Web site. How long does it take a new member to receive an ID card? Maryland Physicians Care sends an ID card and a package of information to new members within 10 days of receiving enrollment information. Members should use their 11-digit Medical Assistance number (which is on the red and white card) to continue care until the Maryland Physicians Care ID card arrives. How do members find out what services are covered? Covered services include preventive care and those that are medically necessary. A member’s primary care provider or an approved Maryland Physicians Care specialist will coordinate these services. Consult the Member Handbook or call Member Services at (800) 953-8854 for more information. Does Maryland Physicians Care cover brand name medications? Members age 21 and older will have to pay $2 for brand name drugs, except for those who are pregnant or in a nursing home. The $2 does not apply to generic drugs, family planning drugs, vitamins or over-the-counter items. 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 getting referrals from their PCPs. For all other gynecological visits, a referral is needed. How does a Maryland Physicians Care member see a specialist? Maryland Physicians Care members need to see their Primary Care Provider first. If the Primary Care Provider determines that the member needs to see a specialist, the PCP will arrange the referral. Does a Maryland Physicians Care member need a referral form to see a dentist? No. A referral is not needed from a Primary Care Provider. Call Member Services at (800) 953-8854 or consult the Member Handbook for more information. Does Maryland Physicians Care cover abortions? No, but those services may be provided through the State of Maryland. Members should contact the State of Maryland for more information. How can a member replace a lost ID card? Members should call Maryland Physicians Care Member Services at (800) 953-8854. Maryland Physicians Care will verify the member’s name, mailing address, date of birth, phone number and current doctor before issuing a new ID card. What if a member wants to change to a doctor closer to home? Maryland Physicians Care provides members with other doctors’ names within their area or ZIP code. In most cases, this change will be effective the same day the member notifies Maryland Physicians Care of their request to change doctors.