News & Notices

At Jai Medical Systems, keeping our members informed is our top priority. Please review the information below for our newsletters, latest healthcare updates, and special announcements.

At Jai Medical Systems, keeping our members informed is our top priority. Please review the information below for our newsletters, latest healthcare updates, and special announcements.

Please review the information below for our newsletters, latest healthcare updates, and special announcements.

Jai Medical Systems Member Newsletter

 

Summer 2022 HealthBeat

Message from the Director of Customer Service

Dear Friend,
With the summer season and warm weather here, most of us will want to spend as much
time outside as possible. In order to keep you and your family healthy and safe this summer,
please be sure to follow these tips:

  1.  Visit your Primary Care Provider (PCP): Annual well visits with your PCP give you
    an opportunity to ask questions about your health as well as review health changes from
    year to year. If you have not seen your PCP within the last year, please make an
    appointment to see them as soon as possible.
  2. Move More, Sit Less: It is important to get at least 150 minutes of physical activity
    every week. This could be as simple as walking 20 to 30 minutes per day. Exercise is an
    important part of a healthy lifestyle. Exercise prevents health problems, builds strength,
    boosts energy, and can help you reduce stress. It can also help you maintain a healthy
    body weight while reducing your appetite.
  3. Wear Sunscreen & Insect Repellent: In order to protect your skin from the sun, it is
    important to wear wide brimmed hats, clothing that covers exposed skin, and sunscreen
    with a Sun Protection Factor (SPF) of least 15. Use insect repellent and wear long
    sleeved shirts and long pants to prevent mosquito bites and ticks. Always apply
    sunscreen before applying insect repellent.
  4. Keep Cool in Extreme Heat: Extreme heat can be dangerous for everyone, but it may
    be especially dangerous for people with chronic medical conditions. People with chronic
    medical conditions must be extremely careful when the temperature rises.
  5. Eat a Healthy Diet: Delicious fruits and vegetables make any summer meal healthier. A
    proper diet including fresh fruits and vegetables, is essential for good health and
    nutrition. Eating a healthy diet will help protect you against many chronic diseases, such
    as heart disease, diabetes and cancer. Eating a variety of nutritious foods while
    consuming less salt, sugar and saturated trans-fats, is an essential strategy for a healthy
    diet.

Thank you for your continued membership with Jai Medical Systems, the highest rated
Managed Care Organization in Maryland! If you need help understanding the benefits and
services we offer or if you need assistance with making an appointment with your PCP,
please call our Customer Service Department at 1-888-JAI-1999.

Sincerely

TyNeisha Smith
Director of Customer Service


ALERT: Don’t Lose Your Medicaid Benefits with Jai Medical Systems

At Jai Medical Systems, we want to make sure you aware of how important it is to renew your Medicaid benefits when you are notified. By completing your redetermination application in a timely manner, you can ensure your benefits with Jai Medical Systems continue without interruption. Redetermination notifications will be mailed to Medicaid recipients when it is their time to renew their benefits. These important mailings will come from both the State of Maryland and Jai Medical Systems. Further, Jai Medical Systems will reach out to you by phone to remind you of this important task. Please ensure that you have the most up-to-date contact information on file with Jai Medical Systems, so that you can receive these important reminders by mail and phone.

To ensure that you maintain your health insurance benefits with Jai Medical Systems, please renew your benefits before your eligibility end date.

To renew your benefits today, please visit the Maryland Health Connection website at www.marylandhealthconnection.gov. You may also apply by walking in today to meet with a Certified Application Counselor at one of these independent participating medical centers, Monday through Friday, 9am to 6pm:

Jai Medical Center
5010 York Road
Baltimore, MD 21212
Phone: 410-433-2200

Jai Medical Center
4340 Park Heights Avenue
Baltimore, MD 21215
Phone: 410-542-8130

Jai Medical Center
1235 East Monument St.
Baltimore, MD 21202
Phone: 410-327-5100

If you have any questions regarding this important issue, please contact our Customer Service Department at 1-888-524-1999.


Have you visited our Member Portal?

As a member of Jai Medical Systems, you are eligible to sign up for access to our member portal, which features exclusive content only available for our members. To sign-up or visit our member portal, please visit our website today at www.jaimedicalsystems.com. If you would prefer any of the information in print that is noted in the chart below, you may contact our Customer Service Department at 1-888-JAI-1999.


Preventing Fraud and Abuse
IT IS AGAINST THE LAW TO COMMIT FRAUD AND/OR ABUSE!
How Do I Stop Fraud and Abuse?
We welcome and encourage you to report anything suspicious
related to fraud you may have seen.

Prescription Fraud

  • Anyone who forges a doctor’s signature on a prescription medication or uses a doctor’s name to call a false prescription in to the pharmacy.
  • Anyone who lies about having lost prescription medication.
  • Anyone who gets prescription medication when they are not ill.

Medicaid Card Fraud

  • Someone who used or is currently using a medical ID card that does not belong to them.
  • Allowing a non-enrolled family member to use your medical ID card.
  • Allowing a family member to use your medical ID card.
  • Repeatedly visiting the emergency room for care that can be received from a primary care physician (PCP).

Physician Fraud

  • Any doctor who bills for a visit that did not happen.

 

Reporting suspected fraud or abuse will not affect your services with us
Individuals suspected of committing fraud and/or abuse by Jai Medical Systems Managed Care Organization,
Inc. will be reported to the Maryland Department of Health – Office of the Inspector General (MDH-OIG) for
further investigation.

To Report Fraud and Abuse

You can call the Fraud and Abuse Compliance Officer: 1-888-JAI-1999
Or write to: Fraud and Abuse Compliance Officer, Jai Medical Systems 301 International Circle Hunt Valley, MD

 


Earn your Healthy Reward Today!

We are happy to announce that Healthy Rewards 2022 is here!

To earn your Healthy Reward this year, spring into action and visit your Primary Care Provider (PCP) for your annual physical. After you have received your physical, please check your mail. You will receive a Healthy Rewards Redemption Certificate.

You will need to complete this certificate in order to redeem your reward. Please see your PCP as soon as possible. Healthy Rewards quantities are limited, so schedule your PCP visit today before rewards run out!

If you have questions about the Healthy Rewards program or need to schedule an appointment with your PCP, please call our Customer Service Department today at 1-888-JAI-1999 for assistance.

* Jai Medical Systems Managed Care Organization, Inc. reserves the right to eliminate or reduce incentives/rewards and/or modify or cancel the Healthy Rewards Program at any time without notice. Rewards are not convertible to cash. Limitation


Preventive Care Guidelines for Adults

It is important that adults receive routine preventative healthcare each year. The table below outlines services that are recommended for adults by age as well as how often you should have them done. Please note that if PCP is noted below, it stands for Primary Care Provider.

 

Service:

For Who:

How Often:

Routine Check-Up

Everyone age 19 and older

Every year

Blood Pressure Test
Source: 3

Everyone age 19 and older

During your annual check-up

Pap Smear Test
Source: 3

Women age 21 and older

Every 3 years

*evaluate risk every year with your PCP

Cholesterol Blood Test
Source: 3

Everyone age 35 and older

Evaluate risk every year with your PCP

Breast Cancer Screen
Source: 3

Women age 50 and older

Mammogram every 2 years

*evaluate risk every year with your PCP

Colon Cancer Screen
Source: 3

Everyone age 50 or older

Evaluate risk every year with your PCP

Prostate Cancer Screen
Source: 2

Men age 40 and older

Evaluate risk every year with your PCP

Lung Cancer Screen
Source: 3

Adults age 55 and older with a history of smoking

Yearly

*evaluate risk every year with your PCP

Adult Immunizations:

Flu

Tdap

Tetanus

Shingles

Pneumococcal (PPSV23)

HPV
Source: 3,5

Adults 18 and older

Adults 18 and older

Adults 18 and older

Adults 60 and older

Anyone Ages 2- 64

Women Ages 11-26

Men Ages 11-21

Yearly

Once (if didn’t receive at age 11-12), during every pregnancy

Every 10 years, more frequently depending on risk

Two Shot Series

Evaluate risk with your PCP

Three Shot Series

Eye Exam for Diabetics (Dilated Funduscopic)

Foot Exam for Diabetes
Source: 1

Everyone with Diabetes

Everyone with Diabetes

Every 2 years or more frequently depending on risk

Every year

STD Screening
Source: 5

Everyone who is sexually active

Evaluate risk every year with your PCP

HIV Blood Test
Source: 3,5

Adults 18 and older

Once or more frequently depending on risk

Hepatitis C
Source: 3

Adults 18 and older

Once for adults born between 1945 and 1965. For others, more frequently depending on risk

Substance Use Screen
Source: 3

Adults 18 and older

Yearly or more frequently depending on risk

Depression Screening
Source: 3

Adults 18 and older

Yearly or more frequently depending on risk

Source 1. American Diabetes Association | Source 2. American Cancer Society | Source 3. US Preventive Services Task Force (USPSTF) | Source 4. American Heart Association |Source 5. Center for Disease Control (CDC)


Participating Provider Patient Advocacy

Jai Medical Systems does not prohibit, or otherwise restrict, a provider acting within the lawful scope of practice, from advising or advocating on behalf of a member who is his or her patient.


Contact Us

Have a comment, question or concern?

We’re here to help. Call us today at 1.888.524.1999.

Write Us Today:

301 International Circle
Hunt Valley, MD 21030
1-888-JAI-1999

Customer Service Hours:

Monday through Friday
9am to 6pm

Visit us 24/7 Online:

www.jaimedicalsystems.com


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