I have
Medical Assistance and want to enroll with an MCO, am I
eligible?
Contact your case worker at your
local Department of Social Services.
Click here for a list of Social
Services offices in each county.
How do I
enroll with a Managed Care Organization (MCO)?
Contact Health Choice at 800-977-7388
My benefits
have been terminated, how do I re-enroll?
Contact your case worker at your local Department of
Social Services.
Click here for a list of Social Services offices in each county.
Is my
newborn automatically enrolled?
Yes, if mother is a Priority Partners member on the
newborn’s date of birth.
No, if mother is a member of a different MCO on the newborn’s date
of birth.
No, if mother has no MCO or MA coverage on the newborn’s date of
birth. In this case their Mother should contact local Department of
Social Services. Click here for a list of Social Services office in
each county.
How do I
get a replacement identification (ID) card?
Contact Priority Partners at 800-654-9728.
How do I
change my Primary Care Physician (PCP)?
Contact Priority Partners at 800-654-9728.
How do I
obtain a listing of PCP’s and Specialists that
participate with Priority Partners?
Contact Priority Partners at 800-654-9728 or go to
the “Search
for a Provider” section of this website.
Who or
Where do I call for eye/vision care?
Contact Block Vision at 800-428-8789.
Who or
Where do I call for dental care?
Contact Doral Dental at 800-698-9611.
Who or
Where do I call for mental health or substance abuse
participating providers?
For mental
health services contact Medical Assistance Psychiatric Services or
MAPS at 800-888-1965. For substance abuse services contact Baymeadow
Behavioral Health Services at 800-261-2396.
How long
does it take for my insurance to become effective?
Each
application is reviewed individually so it’s difficult to
predict a specific timeline. The Department of Health and Mental
Hygiene strives to process them within
days of receiving the application. Check back with the Health
Department in your county. They will be responsible for
processing and approving your application. Once your application
is approved you have 28 days to select one of the Health Choice
MCOs to provide your health benefits. Services become available
10 days after you choose an MCO.
Do I need
to contact Priority Partners prior to going to the
emergency room?
No.
For life threatening emergencies contact or dial 911 and then call
your Primary Care Provider within 24 hours to let him or her know
about the emergency. However, if you have a problem after normal
business hours that is not a medical emergency you can receive
services at one of 15 Urgent Care Centers. You can obtain a list by
going to the Urgent Care Centers
list on our website.
If I pay
the full price for a prescription will Priority Partners
reimburse me?
Yes, as long as the prescription is
on the list of medication covered by Priority Partners (see
full list in the Provider section of this website). You may
initially want to return to the pharmacy within two weeks of
obtaining the prescription for reimbursement. After two weeks send
your prescription receipts to Priority Partners. Call Customer
Service at 800-654-9728 for additional information.
How can I
obtain a nebulizer?
Contact Priority Partners at 800-654-9728.
When do I call my
case worker?
Call
your caseworker if your coverage has been terminated and you don’t
know why; if you recertify your case and the coverage is still not
active; to make corrections to your name or date of birth; to update
your address; to notify us that you have new employment and no
longer need insurance coverage; or if you’ve moved out of Maryland.
Call Priority Partners to change your Primary Care Physician; to add
a newborn and mom on the baby’s date of birth; to verify enrollment
eligibility; or to obtain a MCO ID card.
When do I call Priority Partners’ Customer Service?
Call Priority Partners to change your Primary Care Physician; to add
a newborn and mom on the baby’s date of birth; to verify enrollment
eligibility; or to obtain a MCO ID card.
