• Mental health
• Asthma and Allergies
• Prediabetes
• Screening Tests & Vaccines
• Women’s Health

• Rapid breathing and heartbeat
• Not peeing or dark-colored urine
• Not sweating when you should be

• If you feel dizzy or have blurry vision, rest in a cool place.
• Take a cool bath or shower if you can.

Care Management Overview

MPC’s Care Management Program is here to help.

You might have questions about a health problem or illness. Maybe you were recently in the hospital or are expecting a baby. Your child might have been diagnosed with a condition, and you have questions. MPC is here to help with these questions and concerns about your health.

The Care Management Program is FREE for members.

It’s a team effort to help MPC members and their families take care of health problems. The nurses, health teachers, community helpers, and social workers in the program are very well-trained. They are happy to work with you and your family!

• Care Managers can help you understand your health benefits. They can help you find doctors or change your primary care doctor. They also help you manage your illness and medications.
•  Our programs teach you about your health conditions. This helps you understand health issues like high blood pressure, COPD, asthma, diabetes, or cancer.
• If needed, the team can help with transportation to and from appointments. They can also help you find resources in your community that might be useful.

Pharmacy Benefit Coverage

Maryland Physicians Care ensures that the preferred drug list (PDL) is readily available on our member website here: MPC Approved Medication Benefits. Members are able to search for their drugs using our search tool here: MPC Formulary Search Tool to find out if the drug is available on the formulary drug list. Maryland Physicians Care also provides a full list of the covered Over-the-Counter (OTC) medications and medical supplies here: MPC OTC Covered Medications.

Members can also see if their medication(s) requires prior authorization before their pharmacy can fill the prescription. If the medication is not on the formulary and is needed in an emergency, your doctor or pharmacy can call MPC 24 hours a day at 1-800-953-8854 to obtain a limited supply of the drug.

Doula and
Home Visiting Services

Studies show that Home Visiting Services offer many benefits for pregnant and new moms, such as better health outcomes for the mom and baby, help with child development, and assistance with social needs. Children in Home Visiting programs often show improved language, cognitive, and social skills, preparing them for school readiness.

Home Visiting Services are provided by trained professionals with the goal of improving outcomes by addressing various needs, such as prenatal care, breastfeeding support, and access to resources.

Examples of Home Visiting Services include:

• Providing prenatal care leading to lower maternal health complications, improved infant birth outcomes, and reduced emergency department visits.
• Offering support for breastfeeding.
• Assisting families to improve their financial situations, reduce reliance on food assistance, and increase overall family well-being.
• Providing parents with knowledge and support to create safe home environments and establish secure bonds with their infants.
• Providing guidance on stress management and connecting families with mental health and/or substance use resources, particularly relevant during the perinatal period.
• Referring families to needed resources such as WIC, employment support, housing assistance, and parenting classes.

Supporting Your Prostate

Did you know one in eight men are diagnosed with prostate cancer? As men get older, they experience issues with their prostate; it can become enlarged, causing issues and concerns. Taking care of your prostate is important for men’s health. Eating the right foods and exercising helps keep your prostate healthy.

Eating healthy with foods like fruits, vegetables, and healthy fats is good for your prostate. Foods having vitamins and minerals help the body function properly. These foods are also good for heart health. Here are some food choices that are really good for your prostate:

• Broccoli, cabbage, and Brussels sprouts: These vegetables have compounds that protect your cells.
• Blueberries, nuts, and seeds: These foods have antioxidants that help your body.
• Fish, such as salmon, tuna, trout, mackerel, and herring: These fish have omega-3, which are good fats your body needs.

Regular exercise will also help maintain a healthy weight and supports prostate health. Walking is a great way to stay active. Moving your body helps improve your blood flow, which benefits your prostate health. A healthy diet and being active can boost your prostate health and overall well-being. Feel free to check out the Healthy Living section of the MPC website where you can learn more for men and for women.

Quality Management Program

MPC’s Quality Management Program monitors members’ quality of care and services. Goals are set, data is collected, and with input from members, providers, staff, and others, MPC takes action to make the program better. We measure all parts of the Quality Program, including clinical and service activities such as:

• Promoting healthcare safety with member and provider education.
• Establishing preventive health and clinical practice guidelines. These help members understand what kind of services they need and how often they are needed.
• Making sure members have access to qualified healthcare professionals.
• Ensuring members receive appropriate preventive care. Examples of preventive care are:
  • Annual flu shots
  • Child immunizations (shots)
  • Eye tests
  • Cholesterol tests
  • Breast cancer screenings
  • Care for women before and after the baby is born
• Evaluating members’ quality of care concerns and taking action when needed.
• Conducting surveys to see if members are satisfied with the services they receive from their doctors.
• Promoting health equity across all programs so that all members have a fair and just opportunity to attain their highest level of health.

Managing Stress

Stress is a part of everyday life. It is how your body responds to the way situations occur. This can happen when you are having issues at home, work, daily responsibilities, or other things you are managing. Over time, stress can affect your physical and mental health.

Ongoing or chronic stress can lead to:

• High blood pressure
• Trouble sleeping
• Weight loss or gain
• Stomach issues
• Headaches or muscle tension
• Anxiety or depression

Try to learn to identify the things causing stress. Then learn to manage it in ways that support you, such as:

• Taking a break and going for a walk
• Reading a book
• Writing down your thoughts in a journal
• Talking with a friend or family member
• Staying connected with others
• Being kind to yourself and giving yourself credit for managing everything

Stress is unavoidable. Pay attention to the signs your body and mind are giving you. Seek support when needed. Contact your primary care provider to discuss options if stress is impacting your health.

You Can Make a Difference in the Services We Provide

Apply for a position on our Consumer Advisory Board (CAB) if you are an MPC Member, can attend every two months (bi-monthly) meetings, and are at least age 21.

We are looking for young moms, a member with a chronic illness, and members with multiple health concerns. Meetings are conducted virtually.

HELP PREVENT
FRAUD AND ABUSE

PLEASE REPORT FRAUD AND ABUSE by calling MPC’s Compliance Hotline at 1-866-781-6403 or online by clicking below: