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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.
Winter 2022 HealthBeat
Happy Holidays from your friends at Jai Medical Systems
Dear Member,
We hope that you have enjoyed the gifts of the season thus far as we prepare for a healthy and happy New Year! We have some very important information to share with you regarding the dental benefits for adult members — your dental coverage is changing.
On January 1, the Maryland Healthy Smiles Dental Program will cover your dental care. The program covers a wide range of dental services for adults 21+. There are no premiums, deductibles, or copays for covered services. There is no maximum benefit amount each year.
Some of the benefits and services covered include regular checkups, teeth cleaning, fluoride treatments, x-rays, fillings, root canals, crowns, pulling teeth – extractions, and anesthesia.
In the new year, you will get more information in the mail. You will get a member handbook and ID card. They will be in two mailings. The member ID card will have a dental home on it. A dental home is the dentist you can see. But you can see any dentist that takes Maryland Healthy Smiles. To learn more, call Maryland Healthy Smiles Member Services at 1-855-934-9812.
If you have any questions about this benefit change, or other general questions, please feel free to contact a member of our dedicated Customer Service Department at 1-888-JAI-1999. On behalf of Jai Medical
Systems, I want to wish you a safe and happy holiday season.
Sincerely,
TyNeisha Smith
Director of Customer Service
Be on the lookout for the CAHPS survey!
Please be on the lookout for the Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey over the next few weeks. This survey is designed to find out what you think about your health plan, Jai Medical Systems. The CAHPS survey results are compared against other Managed Care Organizations throughout the State and Nation. For the 2022 Adult CAHPS, we received 174 responses and for the Pediatric CAHPS we received 189 responses. The Adult CAHPS results showed that our “Overall Health Plan Rating” is 56.80%. Our highest performing areas for adults included “How Well Doctors Communicate” at 93.90% and “Customer Service” at 93.15%. For the 2022 Pediatric CAHPS, we received an “Overall Health Plan
Rating” of 71.20% and the highest performing area was “How Well Doctors Communicate” at 96.83%.
Thank you for taking the time to provide us with your valuable feedback and for participating in these surveys! If there are any areas where you feel that you cannot rate us highly, please do contact our Customer Service Department at 1-888-524-1999 so that we may address your concerns. Jai Medical Systems also gives you an opportunity to provide feedback on an annual internal survey. For 2021, the overall satisfaction rate was 91% from this survey. This survey was sent out with our Fall 2022 HealthBeat newsletter. If you have not completed our survey yet, please take some time to complete this survey and mail it back in the postage paid envelope.
How to renew your Medicaid Benefits with Jai Medical Systems
At Jai Medical Systems, we want to make sure you aware of how important it is to renew your Medicaid benefits when you are notified. By completing your redetermination application in a timely manner, you can ensure your benefits with Jai Medical Systems continue without interruption. Redetermination notifications will be mailed to Medicaid recipients when it is their time to renew their benefits.
These important mailings will come from both the State of Maryland and Jai Medical Systems. Further, Jai Medical Systems will reach out to you by phone to remind you of this important task. Please ensure that you have the most up-to-date contact information on file with Jai Medical Systems, so that you can receive these important reminders by mail and phone.
To ensure that you maintain your health insurance benefits with Jai Medical Systems, please renew your benefits before your eligibility end date.
To renew your benefits today, please visit the Maryland Health Connection website at www.marylandhealthconnection.gov. 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
5010 York Road
Baltimore, MD 21212
Phone: 410-433-2200
Jai Medical Center
4340 Park Heights Avenue
Baltimore, MD 21215
Phone: 410-542-8130
Jai Medical Center
1235 East Monument St.
Baltimore, MD 21202
Phone: 410-327-5100
If you have any questions regarding this important issue, please contact our Customer Service Department at 1-888-524-1999.
Have you visited our Member Portal?
As a member of Jai Medical Systems, you are eligible to sign up for access to our member portal, which features exclusive content only available for our members. To sign-up or visit our member portal, please visit our website today at jaimedicalsystems.com. If you would prefer any of the information in print that is noted in the chart below, you may contact our Customer Service Department at 1-888-JAI-1999.
Earn your Healthy Reward!
It is not too late to earn your 2022 Healthy Reward! To earn your Healthy Reward for 2022, visit your Primary Care Provider (PCP) for your annual physical. After you have received your physical, please check your mail. You will receive a Healthy Rewards Redemption Certificate. You will need to complete this certificate in order to redeem your reward.
Please see your PCP as soon as possible. Healthy Rewards quantities are limited, so schedule your PCP visit today before rewards run out! If you have questions about the Healthy Rewards program or need to schedule an appointment with your PCP, please call our Customer Service Department today at
1-888-JAI-1999 for assistance.
* Jai Medical Systems Managed Care Organization, Inc. reserves the right to eliminate or reduce incentives/rewards and/or modify or cancel the Healthy Rewards Program at any time without notice. Rewards are not convertible to cash. Limitations and exclusions apply. Offer valid while supplies last. Eligibility to receive a reward is contingent on Jai Medical Systems Managed Care Organization, Inc.’s receipt of confirmation from your PCP that you had your annual visit in 2022.
UPDATES & REMINDERS
Health Alerts
You may receive health alerts by mail, email, or text message from Jai Medical Systems. Health Alerts may include important preventative healthcare reminders for you and your family. To learn more about our Health Alert program, please contact us today at 1-888-JAI-1999.
24 /7 Nurse Advice Line
As a member of Jai Medical Systems, you have access to our 24-Hour Nurse Advice Line. The Nurse Advice Line can assist you with health-related questions. To speak with a Nurse today, please call 1-833-359-0170.
Member Advocacy
Jai Medical Systems does not prohibit, or otherwise restrict, a provider acting within the lawful scope of practice, from advising or advocating on behalf of a member who is his or her patient.
Preventive Care Guidelines for Adults
It is important that adults receive routine preventative healthcare each year. The table below outlines services that are recommended for adults by age as well as how often you should have them done. Please note that if PCP is noted below, it stands for Primary Care Provider.
|
Service: |
For Who: |
How Often: |
|
Routine Check-Up |
Everyone age 19 and older |
Every year |
|
Blood Pressure Test |
Everyone age 19 and older |
During your annual check-up |
|
Pap Smear Test |
Women age 21 and older |
Every 3 years *evaluate risk every year with your PCP |
|
Cholesterol Blood Test |
Everyone age 35 and older |
Evaluate risk every year with your PCP |
|
Breast Cancer Screen |
Women age 50 and older |
Mammogram every 2 years *evaluate risk every year with your PCP |
|
Colon Cancer Screen |
Everyone age 50 or older |
Evaluate risk every year with your PCP |
|
Prostate Cancer Screen |
Men age 40 and older |
Evaluate risk every year with your PCP |
|
Lung Cancer Screen |
Adults age 55 and older with a history of smoking |
Yearly *evaluate risk every year with your PCP |
|
Adult Immunizations: Flu Tdap Tetanus Shingles Pneumococcal (PPSV23) HPV |
Adults 18 and older Adults 18 and older Adults 18 and older Adults 60 and older Anyone Ages 2- 64 Women Ages 11-26 Men Ages 11-21 |
Yearly Once (if didn’t receive at age 11-12), during every pregnancy Every 10 years, more frequently depending on risk Two Shot Series Evaluate risk with your PCP Three Shot Series |
|
Eye Exam for Diabetics (Dilated Funduscopic) Foot Exam for Diabetes |
Everyone with Diabetes Everyone with Diabetes |
Every 2 years or more frequently depending on risk Every year |
|
STD Screening |
Everyone who is sexually active |
Evaluate risk every year with your PCP |
|
HIV Blood Test |
Adults 18 and older |
Once or more frequently depending on risk |
|
Hepatitis C |
Adults 18 and older |
Once for adults born between 1945 and 1965. For others, more frequently depending on risk |
|
Substance Use Screen |
Adults 18 and older |
Yearly or more frequently depending on risk |
|
Depression Screening |
Adults 18 and older |
Yearly or more frequently depending on risk |
Source 1. American Diabetes Association | Source 2. American Cancer Society | Source 3. US Preventive Services Task Force (USPSTF) | Source 4. American Heart Association |Source 5. Center for Disease Control (CDC)
Contact Us
Have a comment, question or concern?
We’re here to help. Call us today at 1.888.524.1999.
Write Us Today:
301 International Circle
Hunt Valley, MD 21030
1-888-JAI-1999
Customer Service Hours:
Monday through Friday
9am to 6pm