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.
A Message from the Manager of Customer Service
This holiday season we would like to thank you for your continued membership with Jai Medical Systems, the Highest Rated Medicaid Health Insurance Plan in Maryland.*
As always, at Jai Medical Systems we want to help you live life well. Please feel free to contact us today at 1-888-JAI-1999 and we will be happy to assist you with any questions that you may have about our covered benefits, our provider network, how to access care, or how to renew your health insurance benefits with Jai Medical Systems.
On behalf of Jai Medical Systems, I want to wish you a Merry Christmas and Happy New Year!
Ulysses MacArthur, Jr.
Manager of Customer Service
*Based on 2021 VBPI scores.
Earn your Healthy Reward today!
It’s not too late to earn your 2023 Healthy Reward! To earn your Healthy Reward for 2023, please call our Customer Service Department today at 1-888-JAI-1999 to schedule your Primary Care Provider (PCP) appointment.
After your visit, fill out the Healthy Rewards form online at www.jaimedicalsystems.com/member/healthyrewards/ or, call 1-888-JAI-1999 for assistance.
After visiting your PCP and submitting a completed Healthy Rewards form online, a $25 Target gift card will be mailed to the address indicated on your online form. Healthy Rewards quantities are limited. Please don’t wait. Earn your Healthy Reward Today!
*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 2023.
Healthy Holiday To-Do: Keep your coverage with Jai Medical Systems
Thank you for being a member of Jai Medical Systems! We value your membership and want to ensure that you do not have a lapse in coverage, especially during the holiday season.
To ensure that you maintain your health insurance benefits 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 at www.marylandhealthconnection.gov. You may also apply by walking in today to meet with a Certified Application Counselor at one of our independent participating medical centers, Monday through Friday, 9am to 6 pm:
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
If you have any questions regarding this important matter, please contact our Customer Service Department at 1-888-JAI-1999.
Tips for a Happy, Healthy Holiday Season
It’s the most wonderful time of the year and your friends at Jai Medical Systems want to ensure that you have a happy, healthy, holiday season. Below are some ways that you can stay happy and healthy this holiday season:
- Wash hands often to help prevent the spread of germs. It’s cold and flu season. Wash your hands with soap and water for at least 20 seconds to prevent the spread of germs.
- Bundle up to stay dry and warm. Wear appropriate outdoor clothing: light, warm layers, gloves, hats, scarves, and waterproof boots.
- Manage stress. Give yourself a break if you feel stressed out or overwhelmed. Some of the best ways to manage stress are to find support, connect socially, and to get plenty of sleep.
- Practice fire safety. Most residential fires occur during the cold, winter months. Do not leave fireplaces, space heaters, food cooking on stoves, or candle unattended. Have an emergency plan in place and practice it regularly.
- Prepare food safely. Remember these simple steps: Wash hands and surfaces often, avoid cross-contamination, cook foods to proper temperatures, and refrigerate foods promptly.
- Eat healthy. Eat fruits and vegetables, which pack nutrients. Limit your portion sizes and foods high in fat, salt, and sugar.
- Stay active. It is recommended that adults spend at least 30 minutes a day being active and children spend at least an hour a day being active. Some fun fitness activities include walking, running, yoga, or playing sports.
Cervical Health Awareness Month
January is National Cervical Health Awareness Month. You can lower your risk for cervical cancer by getting screened regularly, starting at age 21.
There are two tests that help to screen and detect cervical cancer.
- The Pap test (or Pap smear) looks for precancers, which are cell changes on the cervix that might become cervical cancer if they are not treated appropriately. You should get your first Pap test at age 21. If your test result is normal, you can wait three years for your next test.
- The human papillomavirus (HPV) test looks for the HPV virus that can cause these cell changes. HPV vaccination prevents new HPV infections but does not treat existing infections or diseases. This is why the HPV vaccine works best when given before any exposure to HPV. It is recommended that adult women get screened for cervical cancer regularly, even if they have received the HPV vaccine.
For assistance scheduling your cervical cancer screening, please contact our Customer Service Department today at 1-888-JAI-1999.
Source: Division of Cancer Prevention and Control, Centers for Disease Control and Prevention.
Well Child Visits: What to Expect
It is important that your baby receive regular “Well Child” check-ups with your Pediatric Primary Care Provider (PCP). The American Academy of Pediatrics recommends that all parents take their children to at least 12 check ups during the first three years of life.
During a well child visit, your child’s PCP will review your child’s health, aspects of their development, and provide any necessary vaccines. Your PCP may also screen your child for health problems; either through blood work or by asking health-related questions. These visits are also a good opportunity for you to ask any questions that you may have related to your child’s development.
Your child’s PCP will develop and recommend a schedule for your child’s healthcare. Well Child visits are recommended at the following ages:
- 3 to 5 days old
- By 1 month
- 2 months
- 4 months
- 6 months
- 9 months
- 1 year
- 15 months
- 18 months
- 2 years
- 30 months
- 3 years
After age 3, Well Child visits are usually scheduled once a year. If you are in need of an appointment for your child, or transportation assistance for your child’s appointment, please contact our Customer Service Department today at 1-888-JAI-1999.
Updates and Reminders
Get your Flu Shot!
The CDC recommends everyone 6 months of age and older should get a flu vaccine. This year, the flu vaccine is more important than ever before. Please contact your Primary Care Provider today to schedule your appointment to get the Flu vaccine. If you need assistance with getting your family vaccinated against the flu today, please contact our Customer Service Department at 1-888-JAI-1999.
Reminder: Formulary and PA information
A link to our formulary (as well a searchable formulary including generic preference information), a copy of all recent Formulary Change Notices, a link to our Prior Authorization Request Forms, as well as other important pharmacy information can be found on our website at https://jaimedicalsystems.com/providers/pharmacy/.
Any request for a medication that is not on the drug list needs to include a completed signed PA Form as well as why medications on the drug list are not appropriate and, if applicable, any information that would be needed for similar medications on the drug list to be approved.
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 Hour Nurse Advice Line
As a member of Jai Medical Systems, you have access to our 24 Hours Nurse Advice Line. The Nurse Advice Line can assist you with health-related questions. To speak with a Nurse today, please call 1-844-259-8613.
Jai Medical Systems does not prohibit, or otherwise restrict, a provider acting within their lawful scope of practice, from advising or advocating on behalf of a member who is his or her patient.
Word Find Fun
There are 10 words listed below. Can you find them all?
REWARD, FLU, SHOT, HAPPY, NEW, YEAR, RENEW, SNOWMAN, JAI
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