Prince George's County Health Department and Department of Social Services are working together to educate and enroll uninsured residents in health coverage.
By law, under the Affordable Care Act, most people over age 18 must have health coverage beginning in 2014 or pay a fine. The new health care law offers individuals and families access to affordable health coverage, including private insurance and Medicaid.
Enrollment Starts Here!
The Prince George’s County Health Department and Department of Social Services are leading the effort to ensure all residents are educated on the enrollment process, including the requirements and locations to sign up. To enroll in health coverage online, go to www.marylandhealthconnection.gov or call 1-855-642-8572.
Prince George’s and Montgomery Counties represent the Capital Region in Maryland. For in-person assistance, a list of locations and community partners available in Prince George’s County, visit Capital Health Connection or call 240-773-8250.
Making the Most of Your Health Coverage
You can enroll in health insurance through the Maryland Health Connection. For qualified health plans, enrollment occurs during open enrollment periods; or during a special enrollment period (SEP) (link to SEP). For Medicaid and the Maryland Children’s Health Program, enrollment is on-going, year-round.
Quality Health Plans or (QHPs)
If you have enrolled in a health insurance plan, you will receive information by mail or email about your plan; and how to pay your monthly bill (premium). It is important to pay the first bill promptly. Your member ID card will be mailed after you pay the first bill. To find a doctor who accepts your plan, call your insurance carrier; or look online under provider search of the carrier; or search online at providersearch.crisphealth.org. Call the insurance carrier directly if you have questions about your plan.
Medicaid or Maryland Children’s Health Program (MCHP)
Once enrolled, you will receive a red and white card in the mail within 14 days. Keep the card. Upon verification of your application, you will receive an enrollment packet with a list of Managed Care Organizations (MCOs) to provide your care. MCOs are health care organizations that provide services to Medicaid recipients. Health Choice provides oversight over the MCOs in Maryland. Currently, there are 8 MCOs that provide service. If you do not choose an MCO, the state will pick one for you. To compare, get information, or to enroll in an MCO, call Health Choice, 1-800-977-7388.
Finding The Right Doctor
Ask your doctors which health plan or MCO plan they accept. You may also search online at providersearch.crisphealth.org online to find doctors.
Frequently Asked Questions (FAQs)
Q: What if I do not want to enroll in health insurance?
A. Adults 18 to 64 years of age must be enrolled in health coverage. It is the law. Individuals without health coverage may face a penalty. Penalties for 2016 are applicable to all months of non-coverage.
Q. I cannot afford to purchase health insurance.
A. You may qualify for financial assistance which include tax credits, such as Advance Premium Tax Credits (APTC); or cost sharing reductions. For more information on tax credits and other assistance, visit www.marylandhealthconnection.gov/financial-help/
Q. How can I determine if I am eligible for medical assistance?
A. Eligible Marylanders can apply for Medicaid at any time and can enroll year-round. Coverage begins immediately. To determine if you are eligible, go to www.MarylandHealthConnection.gov.
Q. Can I still enroll if I have experienced a life change or special circumstances?
A. If you have had a major life event or have experienced special circumstances, such as having a baby, getting married or losing other health coverage, you can enroll in health coverage outside of the enrollment period.
For a complete listing of frequently asked questions, go to: https://www.marylandhealthconnection.gov/faqs/