Piedmont Community Health Plan serves individuals in Georgia and South Carolina who have Medicaid. The plan delivers healthcare coverage and other resources to people who need it. Medicaid is a government program that provides health insurance to people with low incomes and limited resources. Piedmont Community Health Plan works with healthcare providers to ensure that members receive quality care. The plan also offers preventive care, such as checkups and screenings, to help members stay healthy. The plan focuses on improving the health of people in Georgia and South Carolina.
Piedmont Community Health Plan: An Overview
Piedmont Community Health Plan (Piedmont CHP) is a non-profit health maintenance organization (HMO) that provides health insurance coverage to Medicaid and Medicare members in North Carolina. Piedmont CHP is committed to providing high-quality, affordable healthcare to its members, with a focus on preventive care, chronic disease management, and behavioral health. The plan is dedicated to improving the health and well-being of its members by providing access to a wide range of medical, dental, vision, and behavioral health services.
Piedmont Community Health Plan Services
- Medical care, including primary care, specialty care, hospital care, and emergency care
- Dental care, including preventive care, restorative care, and orthodontic care
- Vision care, including eye exams, eyeglasses, and contact lenses
- Behavioral health care, including mental health counseling, substance abuse treatment, and crisis intervention
- Preventive care, including screenings, immunizations, and health education
- Chronic disease management, including diabetes management, heart disease management, and cancer management
Piedmont Community Health Plan Eligibility
To be eligible for Piedmont CHP, you must be a North Carolina resident and meet certain income and citizenship requirements. You may be eligible for Medicaid or Medicare, or you may be able to purchase a Piedmont CHP health insurance plan through the Health Insurance Marketplace.
Piedmont Community Health Plan Costs
The cost of Piedmont CHP health insurance plans varies depending on the plan you choose and your income. Medicaid and Medicare members may be eligible for free or low-cost coverage. If you are purchasing a Piedmont CHP health insurance plan through the Health Insurance Marketplace, you may be eligible for premium subsidies that can help lower your monthly costs.
Piedmont Community Health Plan Provider Network
Piedmont CHP has a large network of providers, including doctors, hospitals, and other healthcare professionals. You can find a list of Piedmont CHP providers on the plan’s website.
| Phone Number | Website |
|---|---|
| 1-800-593-0093 | www.piedmontchp.org |
Eligibility Requirements for Piedmont Community Health Plan
To become a part of the Piedmont Community Health Plan (PCHP), certain eligibility requirements must be met. These requirements are put in place to guarantee that those truly in need are the ones receiving the benefits the PCHP offers.
Criteria for PIedmont Community Health Plan Eligibility
The following criteria are used to determine eligibility for the PCHP:
- Age: Applicants must be 19 years or older to be eligible.
- Residency: Individuals must reside within the service area of the PCHP.
- Income: Income must be at or below the federal poverty level. A table outlining the income limits is provided below.
- Immigration Status: Applicants may be U.S. citizens, legal residents, or qualified non-citizens.
- Health Status: Applicants must meet certain health conditions such as being pregnant, having a disability, or having specific medical conditions.
Additionally, certain groups are automatically eligible for PCHP coverage, including:
- Children in foster care
- Former foster care children up to age 26
- Children adopted from foster care
Income Limits for PCHP Eligibility
The income limits for PCHP eligibility are based on the federal poverty level (FPL). The following table outlines the income limits for different household sizes:
| Household Size | Annual Income Limit |
|---|---|
| 1 | $13,590 |
| 2 | $18,310 |
| 3 | $22,030 |
| 4 | $25,750 |
| 5 | $29,470 |
| 6 | $33,190 |
| 7 | $36,910 |
| 8 | $40,630 |
For households with more than 8 members, add $3,720 for each additional member.
To apply for PCHP coverage, individuals can contact their local PCHP office or visit the PCHP website.
Piedmont Community Health Plan: A Detailed Guide
The Piedmont Community Health Plan is a Medicaid managed care plan that provides comprehensive health coverage to eligible individuals and families in North Carolina. The plan is designed to provide affordable, quality health care to those who need it most, and it offers a wide range of benefits and services to its members.
Benefits and Services Provided by Piedmont Community Health Plan
The Piedmont Community Health Plan offers a wide range of benefits and services to its members, including:
- Medical care, including doctor visits, hospital stays, and prescription drugs
- Mental health and substance abuse treatment
- Dental care
- Vision care
- Preventive care, such as checkups, screenings, and immunizations
- Case management services to help members coordinate their care
- Transportation assistance to help members get to their appointments
The Piedmont Community Health Plan also offers a number of additional benefits to its members, such as:
- A 24-hour nurse hotline
- A website with health information and resources
- Classes and workshops on healthy living
- Support groups for members with chronic conditions
| Benefit | Description |
|---|---|
| Medical care | Doctor visits, hospital stays, prescription drugs |
| Mental health and substance abuse treatment | Inpatient and outpatient treatment, counseling, medication management |
| Dental care | Routine checkups, cleanings, fillings, extractions |
| Vision care | Eye exams, glasses, contacts |
| Preventive care | Checkups, screenings, immunizations |
| Case management services | Help coordinating care, referrals to specialists |
| Transportation assistance | Help getting to appointments |
The Piedmont Community Health Plan is a comprehensive health care plan that offers a wide range of benefits and services to its members. The plan is designed to provide affordable, quality health care to those who need it most, and it offers a number of additional benefits to help members stay healthy and well.
Piedmont Community Health Plan: A Comprehensive Overview
Piedmont Community Health Plan (PCHP) offers qualified individuals and families access to comprehensive Medicaid health coverage in North Carolina. This program aims to provide quality healthcare services to those who may otherwise lack adequate medical assistance.
Eligibility Requirements
To qualify for PCHP, individuals must meet specific eligibility criteria set forth by the North Carolina Medicaid program. These criteria include:
- Income level: Applicants must meet income guidelines established by the state.
- Residency: Applicants must be residents of North Carolina.
- Citizenship or immigration status: Applicants must be U.S. citizens, qualified non-citizens, or legal residents.
- Age: Eligibility is available to individuals of all ages, including children, adults, and seniors.
- Disability: Individuals with disabilities may qualify for PCHP regardless of their income.
Benefits of PCHP
PCHP provides comprehensive Medicaid benefits to eligible individuals, including:
- Medical care: PCHP covers a wide range of medical services, including doctor visits, hospital stays, and prescription drugs.
- Dental care: PCHP provides dental coverage for preventive care, such as cleanings and exams, as well as restorative treatments.
- Vision care: PCHP offers vision coverage for routine eye exams and corrective lenses.
- Mental health care: PCHP includes coverage for mental health services, such as therapy and counseling.
- Substance use disorder treatment: PCHP provides coverage for substance use disorder treatment, including detoxification and rehabilitation.
How to Apply for PCHP
There are multiple ways to apply for PCHP:
- Online: Visit the North Carolina Medicaid website and complete the online application.
- By mail: Download the PCHP application form, complete it, and mail it to the address provided.
- In person: Visit a local Department of Social Services (DSS) office and apply in person.
Additional Resources
For more information about PCHP, you can access the following resources:
- Piedmont Community Health Plan website: Visit the official PCHP website for detailed information about the program.
- North Carolina Medicaid website: Refer to the North Carolina Medicaid website for general information about the Medicaid program.
- Local DSS office: Contact the DSS office in your county for assistance with the application process.
| Phone Number | Website | |
|---|---|---|
| PCHP Customer Service | 1-800-424-0322 | www.piedmontchp.com |
| North Carolina Medicaid | 1-888-245-0033 | www.ncdhhs.gov/divisions/medicaid |
Well folks, that just about wraps up our journey into the world of Piedmont Community Health Plan and Medicaid. I hope you found this article informative and helpful. If you have any more questions, feel free to leave a comment down below and I’ll do my best to answer them. Thanks for reading, and I hope to see you again next time. In the meantime, take care and stay healthy!