Choose a Medicaid Plan Like Your Health Depends On It!

It’s Free with MPC:

Pharmacy Prescriptions

• $0 co-pay

Dental Care

• Free exams and cleanings two times a year
• X-rays
• Cavity fillings
• Extractions
• $750 maximum benefits amount

Vision Care for Adults (21 and Older)

• One eye exam every year
• One set of glasses OR contact lenses every two years
• One pair of lenses every year (when needed)

Vision Care for Children (20 and Under)

• One eye exam every year
• One set of glasses every year
• One pair of lenses (when medically necessary)

Medicaid/MCHP recipients in the HealthChoice program have three opportunities to switch MCOs:

1. Within the first 90 days of enrolling in Medicaid/MCHP
2. After being enrolled in your current MCO for at least 12 months
3. When there is an approved reason to change
   Approved Reasons to Change MCOs

   • If you move to another county where your current MCO does not offer care
   • If you become homeless and find that there is another MCO closer to where you live or have shelter, which would make getting to appointments easier
   • If you or any of your family has a doctor in a different MCO and the adult member wishes to keep all family members together in the same MCO. (This does not apply to newborns, newborns must remain in the MCO that the mother was in at the time of delivery for the first 90 days.)
   • If you have a foster child placed in your home and you or your family members receive care by a doctor in a different MCO than the foster child, the foster child being placed can switch to the foster family’s MCO.
   • If the MCO terminates your PCP contract for reasons other than listed below, then you will be notified by the state.
     • Your MCO has been purchased by another MCO;
     • The provider and the MCO cannot agree on a contract for certain financial reasons; or
     • Quality of care.

HealthChoice is a program of the Maryland Department of Health.