Is Carefirst Bluechoice Medicaid

Carefirst Bluechoice Medicaid is a managed care organization that provides health insurance to low-income individuals and families in Maryland. It is a subsidiary of Carefirst BlueCross BlueShield, one of the largest health insurers in the United States. Carefirst Bluechoice Medicaid offers a wide range of health benefits, including doctor visits, hospital stays, prescription drugs, and mental health services. It also provides case management and other support services to help members stay healthy and manage their care. Carefirst Bluechoice Medicaid is committed to providing quality, affordable health care to its members.

Carefirst Bluechoice Medicaid Eligibility

Carefirst BlueChoice Medicaid is a health insurance program that provides coverage to low-income individuals and families in Maryland, the District of Columbia, and Northern Virginia. The program is administered by Carefirst BlueCross BlueShield, a non-profit health insurance company.

Who is eligible for Carefirst BlueChoice Medicaid?

To be eligible for Carefirst BlueChoice Medicaid, you must meet the following requirements:

  • Be a resident of Maryland, the District of Columbia, or Northern Virginia.
  • Be a U.S. citizen or a qualified immigrant.
  • Meet the income and asset limits set by the state.
  • Not be eligible for Medicare.

Income Limits:

Household SizeAnnual Income Limit
1$18,375
2$24,600
3$30,825
4$37,050
5$43,275
6$49,500
7$55,725
8$61,950

Asset Limits:

Household SizeAsset Limit
1$2,000
2$3,000
3$4,000
4$5,000
5$6,000
6$7,000
7$8,000
8$9,000

How to Apply for Carefirst BlueChoice Medicaid

You can apply for Carefirst BlueChoice Medicaid online, by phone, or by mail. You can find more information about how to apply on the Carefirst BlueCross BlueShield website.

Carefirst BlueChoice Medicaid: A Comprehensive Guide

Carefirst BlueChoice Medicaid is a health insurance program for Maryland residents who qualify for Medicaid. It provides comprehensive coverage for a wide range of medical services, including doctor’s visits, hospital care, and prescription drugs.

Covered Services by Carefirst BlueChoice Medicaid

  • Medical Care:
    • Doctor’s visits
    • Hospital stays
    • Emergency care
    • Outpatient surgery
    • Physical therapy
    • Occupational therapy
    • Speech therapy
  • Prescription Drugs:
    • Generic and brand-name medications
    • Over-the-counter medications (with a doctor’s prescription)
  • Mental Health Services:
    • Inpatient and outpatient treatment
    • Individual and group therapy
    • Medication management
  • Substance Abuse Treatment:
    • Inpatient and outpatient treatment
    • Individual and group therapy
    • Medication management
  • Dental Services:
    • Regular checkups and cleanings
    • Fillings
    • Extractions
    • Root canals
    • Dentures
  • Vision Services:
    • Eye exams
    • Glasses or contacts
  • Transportation:
    • Non-emergency medical transportation

Note: This is not an exhaustive list of all covered services. For more information, please refer to the Carefirst BlueChoice Medicaid Member Handbook.

Carefirst Bluechoice Medicaid

Carefirst Bluechoice Medicaid is a health insurance program that provides coverage to low-income individuals and families in Maryland. The program is administered by the Maryland Department of Health and is available to people who meet certain income and eligibility requirements.

Carefirst Bluechoice Medicaid offers a wide range of benefits, including:

  • Medical care
  • Hospital care
  • Maternity care
  • Mental health services
  • Substance abuse treatment
  • Prescription drug coverage
  • Dental care
  • Vision care

Carefirst Bluechoice Medicaid Enrollment Process

To enroll in Carefirst Bluechoice Medicaid, you must meet the following eligibility requirements:

  • Be a Maryland resident
  • Be a U.S. citizen or legal resident
  • Meet income and asset limits

You can apply for Carefirst Bluechoice Medicaid online, by mail, or in person at a local social services office.

The application process typically takes 30 days, but it may take longer if you need to provide additional information or documentation.

Once you are approved for Carefirst Bluechoice Medicaid, you will receive a membership card in the mail. You can use your membership card to access health care services from any provider that accepts Carefirst Bluechoice Medicaid.

Carefirst Bluechoice Medicaid Benefits

Carefirst Bluechoice Medicaid offers a wide range of benefits, including:

  • Medical care: This includes doctor’s visits, hospital care, emergency room care, and surgery.
  • Hospital care: This includes room and board, nursing care, and other hospital services.
  • Maternity care: This includes prenatal care, labor and delivery, and postpartum care.
  • Mental health services: This includes counseling, therapy, and medication management.
  • Substance abuse treatment: This includes detoxification, counseling, and therapy.
  • Prescription drug coverage: This includes coverage for a wide range of prescription drugs.
  • Dental care: This includes routine dental care, such as cleanings, exams, and fillings.
  • Vision care: This includes eye exams and eyeglasses.

Carefirst Bluechoice Medicaid Costs

The cost of Carefirst Bluechoice Medicaid is based on your income and family size. In general, the lower your income, the lower your premium will be. You may also have to pay a copay or deductible for some services.

The following table shows the monthly premiums for Carefirst Bluechoice Medicaid in Maryland:

Income levelMonthly premium
0-100% of the federal poverty level$0
101-133% of the federal poverty level$1
134-150% of the federal poverty level$2
151-200% of the federal poverty level$3

If you have questions about Carefirst Bluechoice Medicaid, you can call the Maryland Department of Health at 1-800-334-7689.

Carefirst Bluechoice Medicaid Provider Network

Carefirst Bluechoice Medicaid is a health insurance program that provides coverage to low-income individuals and families in Maryland. The program is administered by the Maryland Department of Health and Mental Hygiene (DHMH) and is funded by a combination of state and federal funds.

Eligibility

  • To be eligible for Carefirst Bluechoice Medicaid, you must meet certain income and residency requirements.
  • Income limits vary depending on your family size and composition.
  • You must also be a Maryland resident.

Benefits

Carefirst Bluechoice Medicaid provides a wide range of benefits, including:

  • Doctor visits
  • Hospital care
  • Prescription drugs
  • Mental health services
  • Substance abuse treatment
  • Dental care
  • Vision care

Provider Network

Carefirst Bluechoice Medicaid has a large provider network that includes:

  • Doctors
  • Hospitals
  • Clinics
  • Pharmacies
  • Mental health providers
  • Substance abuse treatment providers
  • Dental providers
  • Vision care providers

How to Find a Provider

To find a provider that accepts Carefirst Bluechoice Medicaid, you can do the following:

  • Visit the Carefirst Bluechoice Medicaid website.
  • Call the Carefirst Bluechoice Medicaid customer service number.
  • Ask your doctor or other health care provider for a referral.

Provider Reimbursement Rates

Carefirst Bluechoice Medicaid reimburses providers at a variety of rates. The rates are based on a number of factors, including the type of service provided, the provider’s experience, and the geographic location of the provider.

Provider Complaints

If you have a complaint about a provider that accepts Carefirst Bluechoice Medicaid, you can do the following:

  • File a complaint with the Carefirst Bluechoice Medicaid customer service department.
  • File a complaint with the Maryland Department of Health and Mental Hygiene (DHMH).
Provider TypeAverage Reimbursement Rate
Primary Care Physician$100 per visit
Specialist$150 per visit
Hospital$1,000 per day
Pharmacy$10 per prescription
Mental Health Provider$50 per session

Hey folks, thanks so much for sticking with me through this deep dive into Carefirst Bluechoice Medicaid. I know it’s not the most thrilling topic, but it’s an important one. If you have any questions or comments, feel free to drop them in the section below, and I’ll do my best to answer them. And be sure to visit again soon for more need-to-know info, served up in a way that won’t put you to sleep!