Learn about Medicaid with Kaiser Permanente in Maryland
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HealthChoice is the name of Maryland’s statewide managed care program for Medicaid. Kaiser Permanente participates in HealthChoice in many counties. This means that if you are a current Kaiser Permanente member and your situation changes, you may be able to keep your same doctor and continue your care with Kaiser Permanente if you qualify for Medicaid. Our Medicaid plan in Maryland is number one in the country1.
Care that puts you first
In our integrated health system—the leading system in the region1—we deliver award-winning care the way you need it. Email a specialist. Get test results online. Have a video visit with your doctor.2 All from your mobile phone, on your lunch break or at home. We help to make being healthy easier, so you have less to worry about.
PHONE
Call for 24/7 care advice from our registered nurses, make phone appointments with your physician, or receive text alerts for appointment and medication reminders.
ONLINE
Use our apps to get certain lab results, schedule appointments, and order your prescriptions online3 for home delivery—often within 48 hours.
VIDEO
Have a $0 video visit2 with your personal physician, your child’s pediatrician, a behavioral health clinician, or emergency medicine doctor by phone, computer, or tablet.
IN PERSON
Make same- or next-day appointments at any of our medical facilities, most offering primary care, lab, X-ray, and pharmacy together under one roof,4 so you get more done in one trip.
Kaiser Permanente treats every patient as an individual with specific needs. Our integrated system of care adapts to you, supporting you along your health journey in the way that fits you best.
Seamless connections
When you come see our doctors, you don’t fill out forms. Each appointment is tracked in your electronic medical record to keep our care team up to date on you. Once the visit is over, you can pick up your prescription before leaving our facility. And then order refills on the KP app for delivery to your home.
You can do this because our physicians, pharmacy, labs, X-ray, health plan, facilities—it’s all one system. All working together to make better health as simple as possible.
When it’s time to make a care decision, you’re not alone. Our award-winning doctors,1 specialists, and pharmacies are all connected to you—and each other—through the electronic medical record. They know your overall health picture. Pre-existing conditions. Medications. Diet.
So, whether you’re seeing your doctor at one of our facilities or a specialist by video visit on your phone,2 they all have your latest info and are consulting with each other to produce the best health results.
When you need to get care, how is up to you. Email a specialist. Call our 24/7 nurse line for advice. See your doctor by video.2 Check test results online. In our integrated system, you choose the delivery method.
These are all core system components, not add-ons, so quality is built into every experience. And unlike many providers, we don’t outsource these services to providers who don’t know our patients’ medical histories. So, whether it’s online, by phone, via video, or in person, our caregivers all share the same information, so they can resolve issues more efficiently to get you healthier faster.
Hundreds of Permanente physicians are recognized annually as Top Doctors1 by magazines across the District of Columbia, Maryland, and Virginia.
Think of it as personalized urgent care, with shorter wait times than hospital emergency rooms, a care team that knows your health history, and an innovative care delivery space.
Our Advanced Urgent Care units treat serious, but non-life-threatening, medical issues at a level that far exceeds standard urgent care clinics. We deliver acute and preventive care services including advanced diagnostics, treatment, observation, and prescriptions, all conveniently available on site, under one roof.4
This includes:
- On-site testing and diagnostics
- 24/7 observation capabilities
- Consults with specialists (neurology, cardiology, orthopedics)
- Emergency Medical Record access for more personalized care
- Access to patient’s personal history and medications
- Easy follow-up scheduling with PCP or specialists
- Coordination with our premier hospitals if continued care is needed
Discover the benefits of Medicaid now available:
- No monthly premiums
- No copays
- Vision coverage (for both adults and children)
- Comprehensive dental coverage for children
- Annual period to change health plans
- Transportation to medical appointments, if needed
- Coverage for substance use disorder and behavioral health services
- Expanded network of community providers
Get care from a healthcare provider such as a nurse, doctor or specialist – including appointments, exams, and treatment.
Your child can get regular check-ups, dental care, vision care and immunizations.
Get prescriptions that are covered by your plan.
If you have to go to a hospital, you can get the services you need, including x-rays and lab tests.
If you need to make an emergency room visit, you can get emergency services.
Maternity
and Newborn care
Regular maternity care appointments, newborn screenings, immunizations, and more are covered.
Get comprehensive mental health care including behavioral health treatment, counseling and substance use disorder services.
Rehabilitative
& Habilitative Services
Services and devices to help you recover from an injury, disability or chronic condition. Examples include physical and occupational therapy.
Preventive
and wellness services
Care you need to stay healthy, such as physical exams, counseling, screening, vaccines and chronic disease management.
Please note: Some services may require preauthorization. All services must be provided by a Kaiser Permanente doctor or medical staff.
Questions about Medicaid with Kaiser Permanente?
Call the Kaiser Permanente Medicaid Assistance Center at
1-800-436-37171-800-436-3717 (toll free) or 711711 (TTY)
11 a.m. to 8 p.m. Eastern time, Monday through Friday.
Español: 1-800-427-54161-800-427-5416
1In the National Committee for Quality Assurance (NCQA) 2019–2020 Health Insurance Plan Ratings, Kaiser Permanente of the Mid-Atlantic States’ private health plan is rated 5 out of 5, among the top 1% in the nation, and our Medicare health plan is rated 4.5 out of 5, the highest rating in DC, MD, and VA. Our Maryland Medicaid plan is rated 5 out of 5 stars, one of two plans in the United States to achieve the highest rating. The 2019 Commission on Cancer, a program of the American College of Surgeons, granted Three-Year Accreditation with Commendation to the Kaiser Permanente cancer care program. The Mid-Atlantic Permanente Medical Group is the largest medical group in the Washington, DC, and Baltimore areas and exclusively treats Kaiser Permanente members. Permanente doctors are recognized as Top Doctors in Washingtonian magazine (2019), Northern Virginia Magazine (2019), Baltimore magazine (2019), and Washington Consumers’ CHECKBOOK magazine (2018). According to NCQA’s Quality Compass® 2019, we lead DC, MD, and VA in the following categories: colorectal screening, breast cancer screening, childhood immunizations combo 9, cervical cancer screening, and timeliness of prenatal and postpartum care for women. Quality Compass is a registered trademark of the NCQA.
2If you have an HSA‐qualified deductible plan, you will need to pay the full charges for scheduled phone and video visits until you reach your deductible. Once you reach your deductible, your copay is $0 for scheduled phone and video visits. Video visits are available to Kaiser Permanente members who have a camera-equipped computer or mobile device and are registered at kp.org. You must be present in Maryland, Virginia, or Washington, DC, for video visits with your primary care physician or behavioral health provider. For urgent video visits with an emergency doctor, you may also be present in West Virginia, Florida, North Carolina, or Pennsylvania. For certain medical or mental health conditions. For video visits with a behavioral health provider, appointments can be scheduled for follow-up care.
3Some medications are not eligible for Mail Order Pharmacy. Mail Order Pharmacy can deliver to addresses in MD, VA, DC, and certain locations outside the service area.
4When receiving care at most Kaiser Permanente facilities.
