Benefits

All services must come from MAP providers. Always show your MAP card when you check in for an appointment or want services.

Download the full MAP Enrollee Handbook here. It explains all of the benefits in more detail.

You do not need pre-approval for the following services:

provider services

Provider Services

  • Primary and preventive care (Primary Care Provider, PCP)
  • Specialty doctors
  • Urgent Care
prescriptions

Prescription drug services

  • Prescriptions and disposable supplies (like insulin syringes, chemstrips, etc.) that you get at the pharmacy.
emergency services

Emergency care

Transportation Services
  • Call 911 for emergencies that threaten life or limb
  • Local emergency ambulance transportation only
dental services

Dental services

  • General dental services include preventive care, x-ray, exam, filling and tooth removal.

You need pre-approval for the following services:

emergency services You will need pre-approval before you receive some services. If you already have an appointment scheduled to see a specialist (or need testing) please check with your Primary Care Provider (PCP). You need to make sure that the provider has approved the appointment or the test.
inpatient

Hospital in-patient services

  • Hospital room
  • Operating room/recovery room
  • X-ray, laboratory, diagnostic, and therapeutic services
  • Medications
  • Intensive care/heart care
  • Physician hospital visits and care
  • Surgery services
outpatient

Outpatient services

  • Surgery services (including Day Surgery)
  • Occupational therapy
  • Physical therapy
  • Speech therapy
medical supplies

Home health services, limited medical equipment and medical supplies.

dental services

Specialty Dental Services

  • Partial dentures
  • Full dentures
  • Oral surgery