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PAC - Primary Adult Care Program
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PAC helps stop
little problems before they become BIG health
problems.
With PAC, you will get to see a health care provider who knows
you and your health concerns. When you get tests and treatment you
need, you can get healthy and stay healthy.
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Beginning
July 2006, there will be a new program in Maryland called the Primary
Adult Care Program or PAC for short. PAC offers health services to
people 19 and over who make limited amounts of money each year.
If you were in the Maryland Pharmacy
Assistance Program (MPAP) or the Maryland PrimaryCare Program, you
will be in PAC. PAC will replace these programs.
Free
visits to a family doctor. Also called a Primary Care Provider or PCP.
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Free
outpatient visits to a counselor or psychiatrist for mental health
services.
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Lower-priced or no-cost prescription drugs. You may need to pay a
co-pay for some prescriptions. Remember that pharmacists can deny
prescriptions if you do not pay the required co-pay.
PAC does
not pay for hospital stays, emergency room visits, or specialty care.
PAC will
cover all of the services that are covered by the Maryland Family
Planning Program except sterilization (tubal ligation).
- You can’t be on Medicare.
- You need to meet the income and assets
conditions.
For individuals:
If you are an individual applying for PAC, call to
see if you meet income guidelines. Your assets can’t be more than
$4,000. You will find out more about what an asset is when you fill out
your application form.
For families:
If you are a household of more than one person,
call to see if you meet income guidelines. Your assets can’t be more
than $6,000. You will learn more about what an asset is when you fill
out your application form.
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How do I apply? |
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Call
toll-free at 1-800-226-2142. Ask for a PAC application form.
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Click on Application
(above) to print off a PAC application.
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Make
sure to put your phone number on your form so someone can contact
you if they have questions.
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Mail
in your completed application form to:
PAC Program Application
P.O.Box 386
Baltimore, MD 21203-0386
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You
will get a letter stating if you qualify for PAC. You have to
apply each year to be in PAC.
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What happens when I qualify for
PAC? |
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First you will receive a member ID card in the mail. You will also
get an enrollment packet. The packet explains how to pick a
Managed Care Organization or MCO.
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You
need to pick an MCO. If you don’t pick one, an MCO will be
assigned to you.
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You
need to pick a Primary Care Provider (PCP) who is part of that MCO.
If you don’t pick one, a PCP will be assigned to you.
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If I don't
qualify for PAC, are there other resources? |
There are low cost
primary care and specialty care services available. Click
Guide to Health
Services for Low Income Adults and
Guide to Specialty Services
for Low Income Adults.
| I have a letter saying that I
was being changed from PAC to Medical Assistance for Families,
but I want to stay in PAC. What should I do? |
Medical Assistance for Families offers more health benefits than
PAC; however, you can remain in the PAC program if you would like.
Please contact the PAC office at 1-800-226-2142 and request to be
put back into the PAC program and have your Medical Assistance for
Families case be closed.
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