PHF Member Handbook - Parkland Community Health Plan, Inc.
PHF Member Handbook - Parkland Community Health Plan, Inc.
PHF Member Handbook - Parkland Community Health Plan, Inc.
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What Medicaid services do I get with <strong>Parkland</strong> HEALTHfirst<br />
Here is a list of some of the services you can get. Please follow your PCP’s advice. Your PCP is responsible for<br />
coordinating all of your care.<br />
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Needed medical care for adults and children<br />
Shots to prevent illness (immunizations)<br />
Care from specialists, when needed<br />
Chiropractic services<br />
Podiatrist (foot doctor) services<br />
Laboratory and x-ray services<br />
Surgery as an outpatient (no hospital stay)<br />
Hospital care and outpatient care<br />
Prenatal care, maternity care and newborn care<br />
24-hour nurse help line<br />
24-hour emergency care from an emergency room<br />
Eye doctor services (vision exams, eye glasses and contact lenses if medically necessary)<br />
Hearing services and hearing aids<br />
Home health agency services<br />
Ambulances (for emergencies only)<br />
Dialysis for kidney problems<br />
Major organ transplants<br />
Texas <strong>Health</strong> Steps services (for members under age 21) – Oral evaluation and fluoride varnish in the medical<br />
home in conjunction with THSteps medical checkup for children 6 months through 35 months of age (under<br />
age 3)<br />
Annual physical exam for adults<br />
Physical, occupational and speech therapy<br />
Family planning services and supplies<br />
Behavioral <strong>Health</strong> services – (such as counseling and treatment)<br />
Substance abuse assistance (such as alcohol or drug abuse)<br />
Diabetic supplies<br />
Durable medical equipment and supplies<br />
<strong>Health</strong> education classes<br />
Some dental services for adult members – tooth pulling (requires a referral from the PCP to a <strong>Parkland</strong><br />
HEALTHfirst network dental provider).<br />
Transportation to medical, dental and behavioral health appointments through the Medical Transportation<br />
Program<br />
Services covered for members under 21 years of age may be different than those covered for members over 21<br />
years of age.<br />
How do I get these services How can I get a second opinion<br />
You should see your Primary Care Provider (PCP) to ask about medical services. You can get a second opinion<br />
regarding the use of any health care service. You can get a second opinion from a network provider or out-ofnetwork<br />
provider if a network provider is not available. There is no cost to you for getting a second opinion. For<br />
093-MH-050509<br />
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