Maryland HealthChoice (2024)

Looking for the federal government’s Medicaid website? Look here atMedicaid.gov.

UnitedHealthcare Dual Complete plans

Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. Enrollment in the plan depends on the plan’s contract renewal with Medicare. This plan is available to anyone who has both Medical Assistance from the State and Medicare.Benefits, features and/or devices vary by plan/area. Limitations, exclusions and/or network restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year.

Premium disclaimer

Dual Special Needs plans have a $0 premium for members with Extra Help (Low Income Subsidy).

Benefit disclaimer

Benefits, features, and/or devices vary by plan/area. Limitations, exclusions and/or network restrictions may apply.

Nurse Hotlinedisclaimer

This service should not be used for emergency or urgent care needs. In an emergency, call 911 or go to the nearest emergency room. The information provided through this service is for informational purposes only. The nurses cannot diagnose problems or recommend treatment and are not a substitute for your provider's care. Your health information is kept confidential in accordance with the law. The service is not an insurance program and may be discontinued at any time.Nurse Hotline not for use in emergencies, for informational purposes only.

UnitedHealthcare Connected® for MyCare Ohio (Medicare-Medicaid plan)

UnitedHealthcare Connected® for MyCare Ohio (Medicare-Medicaid plan) is a health plan that contracts with both Medicare and Ohio Medicaid to provide benefits of both programs to enrollees.

UnitedHealthcare Connected® (Medicare-Medicaid plan)

UnitedHealthcare Connected® (Medicare-Medicaid plan) is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees.

UnitedHealthcare Connected® for One Care (Medicare-Medicaid plan)

UnitedHealthcare Connected® for One Care (Medicare-Medicaid plan) is a health plan that contracts withboth Medicare and MassHealth (Medicaid) to provide benefits of both programs to enrollees.

UnitedHealthcare Connected® general benefit disclaimer

This is not a complete list. The benefit information is a brief summary, not a complete description of benefits. For more information contact the plan or read the member handbook. Limitations, copays and restrictions may apply. For more information, call UnitedHealthcare Connected® Member Services or read the UnitedHealthcare Connected® member handbook.

UnitedHealthcare Senior Care Options (HMO SNP) plan

UnitedHealthcare Senior Care Options (SCO) is a Coordinated Care plan with a Medicare contract and a contract with the Commonwealth of Massachusetts Medicaid program. Enrollment in the plan depends on the plan’s contract renewal with Medicare. This plan is a voluntary program that is available to anyone 65 and older who qualifies for MassHealth Standard and Original Medicare and does not have any other comprehensive health Insurance, except Medicare. If you have MassHealth Standard, but you do not qualify for Original Medicare, you may still be eligible to enroll in our MassHealth Senior Care Option plan and receive all of your MassHealth benefits through our Senior Care Options (SCO) program.

Star ratings disclaimer

Every year, Medicare evaluates plans based on a 5-Star rating system.The 5-Star rating applies to plan year 2024.

Important provider information

The choice is yours

We will provide you with information to help you make informed choices, such as physicians' and health care professionals' credentials. This information, however, is not an endorsem*nt of a particular physician or health care professional's suitability for your needs.

The providers available through this application may not necessarily reflect the full extent of UnitedHealthcare's network of contracted providers. There may be providers or certain specialties that are not included in this application that are part of our network. If you don't find the provider you are searching for, you may contact the provider directly to verify participation status with UnitedHealthcare's network, or contact Customer Care at the toll-free number shown on your UnitedHealthcare ID card. We also recommend that, prior to seeing any physician, including any specialists, you call the physician's office to verify their participation status and availability.

Some network providers may have been added or removed from our network after this directory was updated. We do not guarantee that each provider is still accepting new members.

Out-of-network/non-contracted providers are under no obligation to treat UnitedHealthcare plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost- sharing that applies to out-of-network services.

American Disabilities Act notice

In accordance with the requirements of the federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973 ("ADA"), UnitedHealthcare Insurance Company provides full and equal access to covered services and does not discriminate against qualified individuals with disabilities on the basis of disability in its services, programs, or activities.

Referrals

Network providers help you and your covered family members get the care needed. Access to specialists may be coordinated by your primary care physician.

Paper directory requests

Paper copies of the network provider directory are available at no cost to members by calling the customer service number on the back of your ID card. Non-members may download and print search results from the online directory.

Inaccurate information

To report incorrect information, emailprovider_directory_invalid_issues@uhc.com. This email box is for members to report potential inaccuracies for demographic (address, phone, etc.) information in the online or paper directories. Reporting issues via this mail box will result in an outreach to the provider’s office to verify all directory demographic data, which can take approximately 30 days. Individuals can also report potential inaccuracies via phone. UnitedHealthcare Members should call the number on the back of their ID card, and non-UnitedHealthcare members can call1-888-638-6613/ TTY 711, or use your preferred relay service.

Declaration of disaster or emergency

If you’re affected by a disaster or emergency declaration by the President or a governor, or an announcement of a public health emergency by the Secretary of Health and Human Services, there is certain additional support available to you.

  • Part A, Part B, and supplemental Part C plan benefits are to be provided at specified non-contracted facilities (note that Part A and Part B benefits must be obtained at Medicare certified facilities);
  • Where applicable, requirements for gatekeeper referrals are waived in full;
  • Plan-approved out-of-network cost-sharing to network cost-sharing amounts are temporarily reduced; and
  • The 30-day notification requirement to members is waived, as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the member.

If CMS hasn’t provided an end date for the disaster or emergency, plans will resume normal operation 30 days after the initial declaration.

Maryland HealthChoice (2024)

FAQs

What is the Maryland HealthChoice program? ›

HealthChoice is the State of Maryland's managed health care system for Medicaid. Participants obtain care from a variety of Managed Care Organizations (MCOs) through Maryland HealthChoice. The program gives full health benefits for adults and children up to age 19 who meet the income guidelines.

What is considered income for a Maryland health connection? ›

Include these sources of income: Wages, salaries, and tips. Net income from any self-employment or business (generally the amount of money you take in from your business minus your business expenses) Unemployment compensation.

What are the qualifications for medical assistance in Maryland? ›

To be eligible for Maryland Medicaid, you must:
  • Be a resident of Maryland​​
  • Be a U.S. Citizen or non-citizen who meets immigr​ation status requirements​​
  • Provide​​ a Social Security Number (SSN) (if you have one and are applying for coverage for yourself).
  • Meet financial requirements​
  • ​Meet income limits.

How long does it take to get Medicaid in MD? ›

You will receive a red and white medical assistance card in the mail within 14 days of enrolling. Do not throw away this card. Even if you haven't received your card yet, you can still get medical services. Your managed care organization (MCO) provides your care.

Does Maryland Medicaid cover hospital bills? ›

What does my managed care organization (MCO) cover? Your MCO through Medicaid covers doctor visits, pregnancy care, prescription drugs, hospital and emergency services, and more, at no cost.

What is the deductible for HealthChoice OK? ›

Individual deductible: $1,000 Family deductible: $2,750 Deductible and coinsurance amount are the same as non-tobacco users. Decreases your frst-dollar coverage to $250. HealthChoice pays the frst $250 of covered medical expenses.

What is low income for Maryland? ›

125% of the Federal Poverty Income Guidelines
Family SizeWeekly IncomeYearly Income
1$350$18,225
2$474$24,650
3$597$31,075
4$721$37,500
4 more rows

What is the highest income to qualify for Medicaid in Maryland? ›

Who is eligible for Maryland Medical Assistance Program?
Household Size*Maximum Income Level (Per Year)
5$48,652
6$55,807
7$62,963
8$70,118
4 more rows

What is the monthly income limit for Medicaid in Maryland in 2024? ›

Income Limits
Monthly Income Limit Effective February 1, 2024
Household SizeAdultsPregnant
1$1,732N/A
2$2,352$4,499
3$2,970$5,681
5 more rows

What is the income limit for food stamps in Maryland? ›

Income Requirements
Household SizeGross monthly income (130% of poverty)Net monthly income (200% of poverty)
1$1,580$2,430
2$2,137$3,287
3$2,694$4,143
4$3,250$5,000
5 more rows

Who is eligible for cash assistance in Maryland? ›

Who is eligible for Maryland Temporary Cash Assistance? To be eligible for Maryland Family Assistance, you must be a resident of Maryland, and a U.S. citizen, legal alien or qualified alien. You must be unemployed or underemployed and have low or very low income.

Can you have both Medicare and Medicaid in Maryland? ›

l Depending on your income, you may qualify for both Medicaid and Medicare. asset limits, you may be able to apply for a Medicaid program. You can apply for these programs at a local Department of Social Services office.

How do I check my Medicaid eligibility in Maryland? ›

Click here to check on a patient's eligibility for Maryland Medicaid benefits. Or, call the State's Eligibility Verification System (EVS) at 866-710-1447.

What documents are needed for a Maryland health connection? ›

What documents do I need to apply?
  • Birthdates.
  • Social Security Numbers (or document numbers for legal immigrants)
  • Citizenship or immigration status.
  • Tax returns for previous years.
  • Employer and income info (pay stubs, W-2 forms)

What is considered a household in Maryland Medicaid? ›

Who to Include in Your Household. Generally, your household includes the people you put on your tax form: you, your spouse, and any children or relatives you financially support.

What is Maryland's Medicaid program called? ›

Medicaid. Medicaid is a joint federal-state program that provides free health care for low-income individuals. In Maryland, Medicaid is also called Medical Assistance.

Is Maryland Health Connection the same as Medicaid? ›

You or members of your family may qualify for Medicaid through Maryland Health Connection to receive free health care. Enrollment in Medicaid and the Maryland Children's Health Program (MCHP) is available any time of year.

What are four types of health plans offered by carriers through Maryland Health Connection? ›

There are several different types of plans, including HMO, PPO, POS and EPO. Some types allow you to see almost any doctor or health care facility; others limit your choices to a network of doctors and facilities or require you to pay more if you use providers outside the network.

Does Maryland have free healthcare? ›

Welcome to Maryland Medicaid

​​What is Medicaid? Medicaid is a public health insurance program. It is free or low-cost health insurance for eligible low-income adults, children, pregnant women, elderly adults, and people with disabilities.

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