Once a Medicaid member with Preferred Medical Plan (PMP), your Primary Care Doctor will provide or arrange for all of your medical care from the network of contracted providers. PMP's goal is to arrange the Covered Services you and your family need to help you stay healthy. You play a key role by taking care of yourself and following the advice of your Primary Care Doctor and other health care providers.
PMP covers the same covered health care services as Medicaid and this includes medical care for illness, injury, preventive health care and wellness. There are no co-payments for services covered by PMP, including your extra benefits.
Physician Services
Physician Services includes the care and treatment you get from Physicians, Advanced Registered Nurse Practitioners (ARNP), Physician Assistants (PA), podiatrists (foot doctor), chiropractors (back doctor), dermatologists (skin doctor), OB/GYNs (obstetrician/gynecologists), county public health departments (CPHD), midwives, certified nurse midwives, doctors at birthing center services, doctors at ambulatory surgical centers and hospitals.
Inpatient Hospital Services
Inpatient Hospital Services are the medical supplies and equipment, therapy services, diagnosing services, medicines, room, board, and nursing care you get while in the hospital. This also includes medical care or treatment for your mental health.
Outpatient Hospital Services
Outpatient Hospital Services includes the emergency room, dressings, supplies, any treatment ordered by the doctor, and medical procedures done as an outpatient at a hospital. Services like outpatient dental surgery is also covered by PMP.
Child Health Check-Up Services
Child Health Check-Up Services are regular and scheduled preventive physical exams to find and treat medical conditions in children and young people under 21 years of age. Doctors keep track of this health screening physical exam for you and your children. A letter will be mailed to you when it is time to schedule a visit.
Durable Medical Equipment
Durable Medical Equipment like wheelchairs, walkers, and special beds are covered for PMP members. If you are in need of home health services and/or durable medical equipment, you must talk to your doctor for a referral.
Family Planning Services
Family Planning Services includes planning, referral and counseling services, doctor visits, lab testing, birth control medicine (including implants), and supplies.
Hearing Services
Hearing Services include hearing tests and hearing aid services.
Home Health Services
Home Health Services are nursing services that you get at home from a registered nurse (RN), licensed practical nurse (LPN), or licensed home health aide (HHA) and includes medical supplies, appliances, physical, speech, and occupational therapy.
Independent Lab Tests and Portable X-Ray Services
Independent Lab Tests and Portable X-Ray Services are testing services used to help diagnose medical problems that you may get at a doctor's office, a hospital or lab.
Physical Speech Occupational and Respiratory Therapy Services
Physical Speech Occupational and Respiratory Therapy Services
Prescribed Drug Services
Prescribed Drug Services to provide prescribed drugs (medicines) including food supplements from any pharmacy (drug store) in the network. All you need is a written prescription from your doctor.
Transportation (Rides)
Transportation (Rides) is provided by PMP for non-emergency visits to your doctor in Miami-Dade county, at no cost.
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| Medicaid Member Handbook(08-10) | Preferred Medical Plan PDL 2011 | Medicaid Provider Directory |
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- 4950 SW 8th Street
Coral Gables, FL 33134 - Office: (305) 447-8373
Fax: (305) 445-8453 - info@pmphmo.com
