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At Jai Medical Systems, keeping our members informed is our top priority. Please review the information below for our newsletters, latest healthcare updates, and special announcements.
A Special Notice for all Jai Medical Systems Members
New Co-payment Requirement
Beginning on May 1, 2024, all Maryland HealthChoice Managed Care Organizations will be required to charge a Pharmacy Prescription Co-payment.
In accordance with directives from the Maryland Department of Health regarding the imposition of pharmacy co-payments for individuals in the Maryland HealthChoice Program and to comply with the Mental Health Parity and Addiction Equity Act, beginning on May 1, 2024, Jai Medical Systems will be required to charge the following pharmacy prescription co-payments:
● $1.00 co-payment on new and refilled preferred brand name and generic drugs, and HIV/AIDS drugs.
● $3.00 co-payment on new and refilled non-preferred brand name drugs.
Please note, in accordance with applicable federal and state statutory requirements, individuals under the age of 21, pregnant women, and Native Americans are not required to pay co-payments. Co-payments also do not apply to family planning drugs.
Additionally, in accordance with Maryland Medicaid regulations (COMAR 10.09.03.03), pharmacy providers are not permitted to deny a prescription based on Medicaid participant’s inability to pay a co-payment.
Exciting News!
Dear Friend,
I have some exciting news to share with you! On an annual basis, the Maryland HealthChoice Program issues a Performance Report Card for Consumers to show how each HealthChoice Managed Care Organization (MCO) compares to one another in important areas of performance, such as Access to Care and Keeping Kids Healthy. I am pleased to share that Jai Medical Systems received the highest ratings of any MCO; receiving a perfect 3 star rating in every rated
category.
Thank you for being a member of Jai Medical Systems, the Highest Rated Medicaid Health Plan in Maryland according to the 2024 HealthChoice Performance Report Card for Consumers. You made a smart choice! For more information about HealthChoice Performance, please visit: https://health.maryland.gov/mmcp/healthchoice/
Sincerely,
Ulysses MacArthur, Jr.
Manager of Customer Service
Your Voice Matters: Complete the CAHPS Survey Today!
In mid-February, you may have received a national survey in the mail called the Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey. As a member of Jai Medical Systems, it is important to complete the CAHPS survey. This is your opportunity to tell us how you feel about the medical care and services that you are receiving as a member of Jai Medical Systems, the highest rated Medicaid Health Plan in Maryland.*
If you have any questions or concerns about our organization that would prevent you from rating us highly, please contact us today at 1-888-JAI-1999, so that we may address your concerns.
*According to the 2024 HealthChoice Performance Report Card for Consumers
Keep your Health Insurance Benefits
with Jai Medical Systems
To ensure that you maintain your health insurance with Jai Medical Systems, please renew your benefits before your eligibility end date. For assistance maintaining your eligibility, please contact our Customer Service Department at 1-888-JAI-1999.
To renew your benefits today, please visit the Maryland Health Connection website at www.marylandhealthconnection.gov/checkin. You may also apply by walking in today to meet with a Certified Application Counselor at one of these independent participating medical centers, Monday through Friday, 9am to 6pm:
Jai Medical Center Jai Medical Center Jai Medical Center Jai Medical Center
5010 York Road 4340 Park Heights Ave. 1235 East Monument St. 301 International Cir.
Baltimore, MD 21212 Baltimore, MD 21215 Baltimore, MD 21202 Hunt Valley, MD 21030
Phone: 410-443-2200 Phone: 410-542-8130 Phone: 410-327-5100 Phone: 410-433-2200
When should I go to the Emergency Room (ER)?
The emergency room is not a place to go for everyday medical issues such as the common cold, medication refills, or chronic pain. You should go to the emergency room only if you are having a medical emergency. An emergency is defined as a health problem that happens suddenly and has symptoms of severity, including extreme pain, that the absence of
immediate medical attention could reasonably be expected to result in placing your health (or in respect to pregnant women, the health of the woman and her unborn child) in serious jeopardy or serious loss of function to some part of your body.
For medical matters that are not emergencies, you should call your primary care provider (PCP). As a reminder, your PCP’s phone number can be found on the front of your Jai Medical Systems Member ID Card. Your PCP may suggest coming in to be seen for a same day or next day appointment, or may suggest a visit to Urgent Care. To find an in-network Urgent Care near you, please visit our online Provider Directory at www.jaimedicalsystems.com, or you may also call our Customer Service Department at 1-888-JAI-1999. As a member of Jai Medical Systems, you also have access to speak with a Nurse about your health-related matters 24 hours a day, 7 days a week access through our Nurse Advice Line. To speak directly with a nurse about health-related matters, please call our Nurse Advice Line at 1-833-359-0170.
Spring into Healthy Habits
With Spring right around the corner, now is a great time to take steps towards living a healthier lifestyle. Please see below for six steps that you can take to improve your health this year:
1. Schedule Preventative Healthcare. On an yearly basis, it is important to schedule a visit with your Primary Care Provider (PCP). During this visit, your PCP will assess your overall health and recommend any additional preventative healthcare screenings that you may need based on your health and your age. If you have not seen your PCP yet this year, please do so! As a reminder, Jai Medical Systems members are eligible for a $25 Healthy Reward after they’ve had an annual visit with their PCP. If you need assistance scheduling an appointment with your PCP, please feel free to contact our Customer Service Department at 1-888-JAI-1999.
2. Prioritize Sleep. Sleep is important, but it is often the last thing on our list. Make it a goal to get 7 to 9 hours of sleep a night. Be sure to keep your bedroom as quiet and dark as possible. If you have difficulty getting your mind to relax before bedtime, try a meditation or reading a book
3. Get Active. It is recommended that adults take 10,000 steps a day. With warmer weather approaching, plan a daily walk outside with friends or try an outdoor sport such as tennis, pickleball, or basketball.
4. Set a Healthy Habit “Alarm”. Set an alarm to remind yourself to form healthier habits. For example, you can set a daily alarm to remind you about your bedtime, drinking more water, eating a healthy meal, or even standing up and stretching.
5. Use Sunscreen. Everyone should wear sunscreen, but not all sunscreens are created equally. When looking for the best protection from the sun, be sure to pick up a lotion or spray with a Sun Protection Factor (SPF) of 30 or higher. Also, be sure that the sunscreen lists that it protects against UVA and UVB rays.
6. Greet the Day. Some mornings may be harder than others to get up, but waking up at a consistent time can improve your health. The sunlight in the morning helps program the body and can actually help regulate your sleep schedule.
Have a comment, question or concern?
We’re here to help. Call us today at 1-888-JAI-1999.
Customer Service Hours: Monday through Friday, 9am to 6 pm
Write Us Today:
301 International Circle
Hunt Valley, MD 21030