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Medicaid health plans in Caroline service area, MD

Counties served

Caroline, Carroll, Dorchester, Frederick, Howard, Kent, Queen Anne's, Talbot, Wicomico

Maryland Department of Health Retrieved 2026-07-17

Plans are listed alphabetically. Plainly does not rank plans.

Aetna Better Health of Maryland

Aetna Better Health

More about this plan

Member services: 1-866-827-2710

No rating available. See NCQA ratings

  • Monthly over the counter allowance

    Members get $25 a month in over the counter health supplies from CVS Health, mailed at no extra cost.

  • Rewards for healthy visits

    Members can earn rewards for healthy choices, including money for prenatal and postpartum visits and for dental visits.

enrollment.portal_url, enrollment.portal_name, and enrollment.phone are quote-gate verified against a captured Maryland Department of Health HealthChoice MCO Comparison Chart (health.maryland.gov/mmcp/healthchoice, dated 2/1/26). The same chart is the tier-1 roster source for three of the state's four service areas (areas.anne-arundel.plans, areas.caroline.plans, areas.cecil.plans): the chart's own 'Open Areas' row states each MCO's open counties (five MCOs are marked STATEWIDE; three MCOs -- Jai Medical Systems, MedStar Family Choice, United Healthcare Community Plan -- list a specific subset of counties each; Kaiser Permanente is marked CLOSED TO NEW ENROLLMENTS with no open counties). Cross-referencing those three explicit county lists against Maryland's 24 jurisdictions produces four roster-distinct combinations, which is why geography is 'regions' and not 'statewide' -- the source itself shows real county-level variation, so the file models the real regions per the frozen spec rather than forcing a statewide frame. The areas.allegany.plans fact (Allegany and Garrett counties, the only two jurisdictions absent from all three limited-county MCOs' lists) is marked not_found: the chart never names either county anywhere in its text (only 'STATEWIDE' or an explicit list of OTHER counties), so while the honest inference is that only the five statewide MCOs serve Allegany and Garrett, that inference cannot be quote-anchored to this source and the area is intentionally left unpublished rather than asserted. Kaiser Permanente is included as a plan record (it is a currently contracted, accredited HealthChoice MCO with existing enrollees) but is not listed in any service area's plan_ids, because the same chart shows it closed to new enrollments statewide and not accepting out-of-area enrollment -- a new HealthChoice member cannot currently choose it in any county per this source. enrollment.choice_window_days is null with an honest not_found fact: Maryland Health Connection's own FAQ page describing the plan-change window (a one-time change within 90 days of initial enrollment or auto-assignment, and a 28-day window before auto-assignment) returned HTTP 403 on both a plain fetch and a headless Chromium fetch via pnpm plans:fetch-snapshots, so it could not be captured as a snapshot; the choice_window_note prose below reflects that same publicly stated rule as background context, but the gated choice_window_days field is left unverified rather than asserted from an uncaptured page. Per-plan member_phone numbers come from the same MCO comparison chart (informal citation, not a separate quote-gated fact, consistent with TX.json/CA.json/NY.json's existing convention that only load-bearing enrollment and roster fields carry facts[] entries). Provider directory URLs, formulary/pharmacy URLs, and extra benefits for all 9 plans were gathered from each plan's own official Medicaid page but are not yet cited by a quote-gated fact, so the state as a whole stays unverified, the same standing as TX.json/CA.json/NY.json today. Maryland does not carve its Medicaid pharmacy benefit out to a single statewide formulary the way New York's NYRx does; the state publishes a statewide Preferred Drug List (PDL) that sets prior-authorization rules across HealthChoice, but each MCO still runs its own pharmacy network and covered-drug list, so each plan's formulary_url points to that plan's own page, noted in each plan's quality.note.

CareFirst BlueCross BlueShield Community Health Plan Maryland, Inc.

CareFirst BlueCross BlueShield Community Health Plan Maryland

More about this plan

Member services: 1-800-730-8530

No rating available. See NCQA ratings

  • Rides to medical visits

    Members get 6 free one way rides for non emergency medical visits.

  • Yearly vision allowance

    Adults 21 and older get a routine eye exam every 2 years and a $150 yearly allowance for glasses or contact lenses.

  • Meals after a hospital stay

    Eligible members can get up to 18 meals delivered after leaving the hospital.

enrollment.portal_url, enrollment.portal_name, and enrollment.phone are quote-gate verified against a captured Maryland Department of Health HealthChoice MCO Comparison Chart (health.maryland.gov/mmcp/healthchoice, dated 2/1/26). The same chart is the tier-1 roster source for three of the state's four service areas (areas.anne-arundel.plans, areas.caroline.plans, areas.cecil.plans): the chart's own 'Open Areas' row states each MCO's open counties (five MCOs are marked STATEWIDE; three MCOs -- Jai Medical Systems, MedStar Family Choice, United Healthcare Community Plan -- list a specific subset of counties each; Kaiser Permanente is marked CLOSED TO NEW ENROLLMENTS with no open counties). Cross-referencing those three explicit county lists against Maryland's 24 jurisdictions produces four roster-distinct combinations, which is why geography is 'regions' and not 'statewide' -- the source itself shows real county-level variation, so the file models the real regions per the frozen spec rather than forcing a statewide frame. The areas.allegany.plans fact (Allegany and Garrett counties, the only two jurisdictions absent from all three limited-county MCOs' lists) is marked not_found: the chart never names either county anywhere in its text (only 'STATEWIDE' or an explicit list of OTHER counties), so while the honest inference is that only the five statewide MCOs serve Allegany and Garrett, that inference cannot be quote-anchored to this source and the area is intentionally left unpublished rather than asserted. Kaiser Permanente is included as a plan record (it is a currently contracted, accredited HealthChoice MCO with existing enrollees) but is not listed in any service area's plan_ids, because the same chart shows it closed to new enrollments statewide and not accepting out-of-area enrollment -- a new HealthChoice member cannot currently choose it in any county per this source. enrollment.choice_window_days is null with an honest not_found fact: Maryland Health Connection's own FAQ page describing the plan-change window (a one-time change within 90 days of initial enrollment or auto-assignment, and a 28-day window before auto-assignment) returned HTTP 403 on both a plain fetch and a headless Chromium fetch via pnpm plans:fetch-snapshots, so it could not be captured as a snapshot; the choice_window_note prose below reflects that same publicly stated rule as background context, but the gated choice_window_days field is left unverified rather than asserted from an uncaptured page. Per-plan member_phone numbers come from the same MCO comparison chart (informal citation, not a separate quote-gated fact, consistent with TX.json/CA.json/NY.json's existing convention that only load-bearing enrollment and roster fields carry facts[] entries). Provider directory URLs, formulary/pharmacy URLs, and extra benefits for all 9 plans were gathered from each plan's own official Medicaid page but are not yet cited by a quote-gated fact, so the state as a whole stays unverified, the same standing as TX.json/CA.json/NY.json today. Maryland does not carve its Medicaid pharmacy benefit out to a single statewide formulary the way New York's NYRx does; the state publishes a statewide Preferred Drug List (PDL) that sets prior-authorization rules across HealthChoice, but each MCO still runs its own pharmacy network and covered-drug list, so each plan's formulary_url points to that plan's own page, noted in each plan's quality.note.

Jai Medical Systems Managed Care Organization, Inc.

Jai Medical Systems

More about this plan

Member services: 1-888-524-1999

No rating available. See NCQA ratings

  • Free rides to primary care visits

    Members get free transportation to primary care appointments.

  • Health education

    The plan offers health education resources for members.

  • Yearly eye exam

    Members get an eye exam every year as an added benefit.

enrollment.portal_url, enrollment.portal_name, and enrollment.phone are quote-gate verified against a captured Maryland Department of Health HealthChoice MCO Comparison Chart (health.maryland.gov/mmcp/healthchoice, dated 2/1/26). The same chart is the tier-1 roster source for three of the state's four service areas (areas.anne-arundel.plans, areas.caroline.plans, areas.cecil.plans): the chart's own 'Open Areas' row states each MCO's open counties (five MCOs are marked STATEWIDE; three MCOs -- Jai Medical Systems, MedStar Family Choice, United Healthcare Community Plan -- list a specific subset of counties each; Kaiser Permanente is marked CLOSED TO NEW ENROLLMENTS with no open counties). Cross-referencing those three explicit county lists against Maryland's 24 jurisdictions produces four roster-distinct combinations, which is why geography is 'regions' and not 'statewide' -- the source itself shows real county-level variation, so the file models the real regions per the frozen spec rather than forcing a statewide frame. The areas.allegany.plans fact (Allegany and Garrett counties, the only two jurisdictions absent from all three limited-county MCOs' lists) is marked not_found: the chart never names either county anywhere in its text (only 'STATEWIDE' or an explicit list of OTHER counties), so while the honest inference is that only the five statewide MCOs serve Allegany and Garrett, that inference cannot be quote-anchored to this source and the area is intentionally left unpublished rather than asserted. Kaiser Permanente is included as a plan record (it is a currently contracted, accredited HealthChoice MCO with existing enrollees) but is not listed in any service area's plan_ids, because the same chart shows it closed to new enrollments statewide and not accepting out-of-area enrollment -- a new HealthChoice member cannot currently choose it in any county per this source. enrollment.choice_window_days is null with an honest not_found fact: Maryland Health Connection's own FAQ page describing the plan-change window (a one-time change within 90 days of initial enrollment or auto-assignment, and a 28-day window before auto-assignment) returned HTTP 403 on both a plain fetch and a headless Chromium fetch via pnpm plans:fetch-snapshots, so it could not be captured as a snapshot; the choice_window_note prose below reflects that same publicly stated rule as background context, but the gated choice_window_days field is left unverified rather than asserted from an uncaptured page. Per-plan member_phone numbers come from the same MCO comparison chart (informal citation, not a separate quote-gated fact, consistent with TX.json/CA.json/NY.json's existing convention that only load-bearing enrollment and roster fields carry facts[] entries). Provider directory URLs, formulary/pharmacy URLs, and extra benefits for all 9 plans were gathered from each plan's own official Medicaid page but are not yet cited by a quote-gated fact, so the state as a whole stays unverified, the same standing as TX.json/CA.json/NY.json today. Maryland does not carve its Medicaid pharmacy benefit out to a single statewide formulary the way New York's NYRx does; the state publishes a statewide Preferred Drug List (PDL) that sets prior-authorization rules across HealthChoice, but each MCO still runs its own pharmacy network and covered-drug list, so each plan's formulary_url points to that plan's own page, noted in each plan's quality.note.

Maryland Physicians Care

Maryland Physicians Care

More about this plan

Member services: 1-800-953-8854

No rating available. See NCQA ratings

  • Free virtual doctor visits

    Members can text or video chat with a doctor for free through the MyVirtualMPC app, any time of day.

  • Belong rewards program

    Members can join Belong to earn monthly prizes for healthy activities.

enrollment.portal_url, enrollment.portal_name, and enrollment.phone are quote-gate verified against a captured Maryland Department of Health HealthChoice MCO Comparison Chart (health.maryland.gov/mmcp/healthchoice, dated 2/1/26). The same chart is the tier-1 roster source for three of the state's four service areas (areas.anne-arundel.plans, areas.caroline.plans, areas.cecil.plans): the chart's own 'Open Areas' row states each MCO's open counties (five MCOs are marked STATEWIDE; three MCOs -- Jai Medical Systems, MedStar Family Choice, United Healthcare Community Plan -- list a specific subset of counties each; Kaiser Permanente is marked CLOSED TO NEW ENROLLMENTS with no open counties). Cross-referencing those three explicit county lists against Maryland's 24 jurisdictions produces four roster-distinct combinations, which is why geography is 'regions' and not 'statewide' -- the source itself shows real county-level variation, so the file models the real regions per the frozen spec rather than forcing a statewide frame. The areas.allegany.plans fact (Allegany and Garrett counties, the only two jurisdictions absent from all three limited-county MCOs' lists) is marked not_found: the chart never names either county anywhere in its text (only 'STATEWIDE' or an explicit list of OTHER counties), so while the honest inference is that only the five statewide MCOs serve Allegany and Garrett, that inference cannot be quote-anchored to this source and the area is intentionally left unpublished rather than asserted. Kaiser Permanente is included as a plan record (it is a currently contracted, accredited HealthChoice MCO with existing enrollees) but is not listed in any service area's plan_ids, because the same chart shows it closed to new enrollments statewide and not accepting out-of-area enrollment -- a new HealthChoice member cannot currently choose it in any county per this source. enrollment.choice_window_days is null with an honest not_found fact: Maryland Health Connection's own FAQ page describing the plan-change window (a one-time change within 90 days of initial enrollment or auto-assignment, and a 28-day window before auto-assignment) returned HTTP 403 on both a plain fetch and a headless Chromium fetch via pnpm plans:fetch-snapshots, so it could not be captured as a snapshot; the choice_window_note prose below reflects that same publicly stated rule as background context, but the gated choice_window_days field is left unverified rather than asserted from an uncaptured page. Per-plan member_phone numbers come from the same MCO comparison chart (informal citation, not a separate quote-gated fact, consistent with TX.json/CA.json/NY.json's existing convention that only load-bearing enrollment and roster fields carry facts[] entries). Provider directory URLs, formulary/pharmacy URLs, and extra benefits for all 9 plans were gathered from each plan's own official Medicaid page but are not yet cited by a quote-gated fact, so the state as a whole stays unverified, the same standing as TX.json/CA.json/NY.json today. Maryland does not carve its Medicaid pharmacy benefit out to a single statewide formulary the way New York's NYRx does; the state publishes a statewide Preferred Drug List (PDL) that sets prior-authorization rules across HealthChoice, but each MCO still runs its own pharmacy network and covered-drug list, so each plan's formulary_url points to that plan's own page, noted in each plan's quality.note.

Priority Partners MCO

Priority Partners

More about this plan

Member services: 1-800-654-9728

No rating available. See NCQA ratings

  • Rides to medical visits

    The plan can help with rides to certain medical appointments when no other transportation is available.

  • Free health and wellness classes

    Members can join free online classes on topics like diabetes and stress management.

  • Pregnancy support program

    The plan offers a dedicated support program for members during pregnancy.

enrollment.portal_url, enrollment.portal_name, and enrollment.phone are quote-gate verified against a captured Maryland Department of Health HealthChoice MCO Comparison Chart (health.maryland.gov/mmcp/healthchoice, dated 2/1/26). The same chart is the tier-1 roster source for three of the state's four service areas (areas.anne-arundel.plans, areas.caroline.plans, areas.cecil.plans): the chart's own 'Open Areas' row states each MCO's open counties (five MCOs are marked STATEWIDE; three MCOs -- Jai Medical Systems, MedStar Family Choice, United Healthcare Community Plan -- list a specific subset of counties each; Kaiser Permanente is marked CLOSED TO NEW ENROLLMENTS with no open counties). Cross-referencing those three explicit county lists against Maryland's 24 jurisdictions produces four roster-distinct combinations, which is why geography is 'regions' and not 'statewide' -- the source itself shows real county-level variation, so the file models the real regions per the frozen spec rather than forcing a statewide frame. The areas.allegany.plans fact (Allegany and Garrett counties, the only two jurisdictions absent from all three limited-county MCOs' lists) is marked not_found: the chart never names either county anywhere in its text (only 'STATEWIDE' or an explicit list of OTHER counties), so while the honest inference is that only the five statewide MCOs serve Allegany and Garrett, that inference cannot be quote-anchored to this source and the area is intentionally left unpublished rather than asserted. Kaiser Permanente is included as a plan record (it is a currently contracted, accredited HealthChoice MCO with existing enrollees) but is not listed in any service area's plan_ids, because the same chart shows it closed to new enrollments statewide and not accepting out-of-area enrollment -- a new HealthChoice member cannot currently choose it in any county per this source. enrollment.choice_window_days is null with an honest not_found fact: Maryland Health Connection's own FAQ page describing the plan-change window (a one-time change within 90 days of initial enrollment or auto-assignment, and a 28-day window before auto-assignment) returned HTTP 403 on both a plain fetch and a headless Chromium fetch via pnpm plans:fetch-snapshots, so it could not be captured as a snapshot; the choice_window_note prose below reflects that same publicly stated rule as background context, but the gated choice_window_days field is left unverified rather than asserted from an uncaptured page. Per-plan member_phone numbers come from the same MCO comparison chart (informal citation, not a separate quote-gated fact, consistent with TX.json/CA.json/NY.json's existing convention that only load-bearing enrollment and roster fields carry facts[] entries). Provider directory URLs, formulary/pharmacy URLs, and extra benefits for all 9 plans were gathered from each plan's own official Medicaid page but are not yet cited by a quote-gated fact, so the state as a whole stays unverified, the same standing as TX.json/CA.json/NY.json today. Maryland does not carve its Medicaid pharmacy benefit out to a single statewide formulary the way New York's NYRx does; the state publishes a statewide Preferred Drug List (PDL) that sets prior-authorization rules across HealthChoice, but each MCO still runs its own pharmacy network and covered-drug list, so each plan's formulary_url points to that plan's own page, noted in each plan's quality.note.

UnitedHealthcare Community Plan of Maryland

United Healthcare Community Plan

More about this plan

Member services: 1-800-318-8821

No rating available. See NCQA ratings

  • Healthy First Steps pregnancy rewards

    Members can earn rewards for checkups during and after pregnancy, starting with a gift card or gear for the baby at enrollment.

enrollment.portal_url, enrollment.portal_name, and enrollment.phone are quote-gate verified against a captured Maryland Department of Health HealthChoice MCO Comparison Chart (health.maryland.gov/mmcp/healthchoice, dated 2/1/26). The same chart is the tier-1 roster source for three of the state's four service areas (areas.anne-arundel.plans, areas.caroline.plans, areas.cecil.plans): the chart's own 'Open Areas' row states each MCO's open counties (five MCOs are marked STATEWIDE; three MCOs -- Jai Medical Systems, MedStar Family Choice, United Healthcare Community Plan -- list a specific subset of counties each; Kaiser Permanente is marked CLOSED TO NEW ENROLLMENTS with no open counties). Cross-referencing those three explicit county lists against Maryland's 24 jurisdictions produces four roster-distinct combinations, which is why geography is 'regions' and not 'statewide' -- the source itself shows real county-level variation, so the file models the real regions per the frozen spec rather than forcing a statewide frame. The areas.allegany.plans fact (Allegany and Garrett counties, the only two jurisdictions absent from all three limited-county MCOs' lists) is marked not_found: the chart never names either county anywhere in its text (only 'STATEWIDE' or an explicit list of OTHER counties), so while the honest inference is that only the five statewide MCOs serve Allegany and Garrett, that inference cannot be quote-anchored to this source and the area is intentionally left unpublished rather than asserted. Kaiser Permanente is included as a plan record (it is a currently contracted, accredited HealthChoice MCO with existing enrollees) but is not listed in any service area's plan_ids, because the same chart shows it closed to new enrollments statewide and not accepting out-of-area enrollment -- a new HealthChoice member cannot currently choose it in any county per this source. enrollment.choice_window_days is null with an honest not_found fact: Maryland Health Connection's own FAQ page describing the plan-change window (a one-time change within 90 days of initial enrollment or auto-assignment, and a 28-day window before auto-assignment) returned HTTP 403 on both a plain fetch and a headless Chromium fetch via pnpm plans:fetch-snapshots, so it could not be captured as a snapshot; the choice_window_note prose below reflects that same publicly stated rule as background context, but the gated choice_window_days field is left unverified rather than asserted from an uncaptured page. Per-plan member_phone numbers come from the same MCO comparison chart (informal citation, not a separate quote-gated fact, consistent with TX.json/CA.json/NY.json's existing convention that only load-bearing enrollment and roster fields carry facts[] entries). Provider directory URLs, formulary/pharmacy URLs, and extra benefits for all 9 plans were gathered from each plan's own official Medicaid page but are not yet cited by a quote-gated fact, so the state as a whole stays unverified, the same standing as TX.json/CA.json/NY.json today. Maryland does not carve its Medicaid pharmacy benefit out to a single statewide formulary the way New York's NYRx does; the state publishes a statewide Preferred Drug List (PDL) that sets prior-authorization rules across HealthChoice, but each MCO still runs its own pharmacy network and covered-drug list, so each plan's formulary_url points to that plan's own page, noted in each plan's quality.note.

Wellpoint Maryland, Inc.

Wellpoint Maryland

More about this plan

Member services: 1-833-707-0867

No rating available. See NCQA ratings

  • Extra dental allowance

    Adults 21 and older get a 20 percent discount on most dental services, up to $750 a year, on top of the state dental program.

  • Help getting to appointments

    Certain members get up to $25 for medically necessary public transportation to appointments.

enrollment.portal_url, enrollment.portal_name, and enrollment.phone are quote-gate verified against a captured Maryland Department of Health HealthChoice MCO Comparison Chart (health.maryland.gov/mmcp/healthchoice, dated 2/1/26). The same chart is the tier-1 roster source for three of the state's four service areas (areas.anne-arundel.plans, areas.caroline.plans, areas.cecil.plans): the chart's own 'Open Areas' row states each MCO's open counties (five MCOs are marked STATEWIDE; three MCOs -- Jai Medical Systems, MedStar Family Choice, United Healthcare Community Plan -- list a specific subset of counties each; Kaiser Permanente is marked CLOSED TO NEW ENROLLMENTS with no open counties). Cross-referencing those three explicit county lists against Maryland's 24 jurisdictions produces four roster-distinct combinations, which is why geography is 'regions' and not 'statewide' -- the source itself shows real county-level variation, so the file models the real regions per the frozen spec rather than forcing a statewide frame. The areas.allegany.plans fact (Allegany and Garrett counties, the only two jurisdictions absent from all three limited-county MCOs' lists) is marked not_found: the chart never names either county anywhere in its text (only 'STATEWIDE' or an explicit list of OTHER counties), so while the honest inference is that only the five statewide MCOs serve Allegany and Garrett, that inference cannot be quote-anchored to this source and the area is intentionally left unpublished rather than asserted. Kaiser Permanente is included as a plan record (it is a currently contracted, accredited HealthChoice MCO with existing enrollees) but is not listed in any service area's plan_ids, because the same chart shows it closed to new enrollments statewide and not accepting out-of-area enrollment -- a new HealthChoice member cannot currently choose it in any county per this source. enrollment.choice_window_days is null with an honest not_found fact: Maryland Health Connection's own FAQ page describing the plan-change window (a one-time change within 90 days of initial enrollment or auto-assignment, and a 28-day window before auto-assignment) returned HTTP 403 on both a plain fetch and a headless Chromium fetch via pnpm plans:fetch-snapshots, so it could not be captured as a snapshot; the choice_window_note prose below reflects that same publicly stated rule as background context, but the gated choice_window_days field is left unverified rather than asserted from an uncaptured page. Per-plan member_phone numbers come from the same MCO comparison chart (informal citation, not a separate quote-gated fact, consistent with TX.json/CA.json/NY.json's existing convention that only load-bearing enrollment and roster fields carry facts[] entries). Provider directory URLs, formulary/pharmacy URLs, and extra benefits for all 9 plans were gathered from each plan's own official Medicaid page but are not yet cited by a quote-gated fact, so the state as a whole stays unverified, the same standing as TX.json/CA.json/NY.json today. Maryland does not carve its Medicaid pharmacy benefit out to a single statewide formulary the way New York's NYRx does; the state publishes a statewide Preferred Drug List (PDL) that sets prior-authorization rules across HealthChoice, but each MCO still runs its own pharmacy network and covered-drug list, so each plan's formulary_url points to that plan's own page, noted in each plan's quality.note.

How to enroll

Source: Maryland Department of Health, retrieved 2026-07-17

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Last verified 2026-07-17