Maryland Physicians Care offers medical coverage and health benefits that are close to home. This 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. MPC’s participation in the HealthChoice program is available to Maryland Children’s Health Program or MCHP qualified recipients. Members can work within MPC’s network of doctors to find the care that is right for them.
No Pharmacy Copays
MPC members get free prescriptions and over-the-counter medications. Visit Approved Medications to learn about medications approved under your MPC medical coverage.
Maryland Children’s Health Program
Maryland Children’s Health Program, or MCHP, is no-cost or low-cost health coverage for eligible children in Maryland. This program covers routine check-ups, immunizations and dental care.
Those eligible for free coverage through MCHP are uninsured children under age 19, whose household modified adjusted gross income is at or below a percentage of the federal poverty level for their family size.
To find the income level for your family size, see the MCHP income guidelines.
You can apply for MCHP in the following ways:
Free vision care for adults (age 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)
Free vision care for children (age 20 and under)
- One eye exam and set of glasses every year
- One set of contact lenses (when medically necessary)
Questions about vision coverage?
Dental care for adults (age 21 and older)
- Free exams and cleanings two times a year
- X-rays, fillings, and extractions are covered under a $750 maximum benefit
The Healthy Smiles program offers dental care to keep children under the age of 21 and pregnant women healthy.
Questions about dental coverage?
Behavioral / Mental / Substance Abuse Care Coordination
Taking care of your body is essential. But being healthy is about more than physical health.
Mental health or Substance Abuse help is available. If you think you need help, please call:
- Maryland’s Behavioral Health Provider, Optum Maryland, at 1-800-888-1965
- Optum Maryland is open 24 hours a day, seven days a week, trained to handle your call, and will help you get the services you need. They provide emergent, urgent, and routine care.
- MPC’s Member Services Hotline at 1-800-953-8854
- Your primary care physician (PCP)
- When you speak to your PCP, they may refer you to Optum Maryland for additional care and services.
Urgent Care Services and MyVirtualMPC
Members can be seen at urgent care centers. Please visit MPC’s website or call customer service for urgent care centers close to you.
MyVirtualMPC is your access to an emergency care doctor from 9 a.m. to 9 p.m., seven days a week.
Download the MyVirtualMPC app or go to myvirtualmpc.com and see how easy it is to connect to a doctor!
For emergency care, call 911 or go directly to a hospital emergency department if you are experiencing life-threatening conditions.
Mammograms and Annual Well Women Care
A mammogram is a special type of X-ray picture of the breast. It is used to find early signs of breast cancer. Regular mammograms are the best way to find cancer early. Finding cancer early means that there are more options and better treatments for it.
Find out more about Women’s Health Services, including cervical cancer screenings, here.
MPC covers comprehensive family planning services such as:
- Office visits for family planning and counseling
- Laboratory tests, including pap smears
- All FDA-approved contraceptive devices, methods, and supplies
- Immediate postpartum insertion of IUDs
- Oral contraceptives (Must allow a 12-month supply to be dispensed for refills)
- Emergency contraceptives and condoms, without a prescription
- Voluntary sterilization procedures (Sterilization procedures are not self-referred. Members must be 21 years of age or older and use an in-network provider or have authorization for out of network care.)
Seeing a Specialist
Your primary care physician (PCP) gives you most of your care. You should always go to your PCP first. Sometimes your PCP will send you to a specialist. Specialists work on specific parts of the body. For example, some specialists care for the skin (dermatologist). Some care for bones (orthopedists). Others care for the heart (cardiologists).
Your PCP and specialist will work together, so you get the care you need. Your PCP will tell you what to do if you need a specialist.
MPC focuses on keeping our members healthy. That’s why the health programs and medical care that members receive is closely measured for quality and safety. This measurement is part of the Quality Improvement Program, a system that ensures members are receiving the care that meets their needs and improves their health.
MPC members have no financial liability (i.e. co-insurance, deductibles, charges in excess of allowable amounts, differences in cost between in-network care and out-of-network care, or costs that vary for the formulary) for covered services during valid HealthChoice enrollment assigned to Maryland Physicians Care.