MAP and MAP Basic Covered Services
A covered service is a healthcare visit or medication offered by Central Health or its network of clinics, like primary care, specialists, pharmacies, behavioral health specialists, and more.
- Primary Care
- Adult primary and preventive health care
- Pediatric primary and preventive health care
- Gynecology services and women’s health services, excluding obstetrics and prenatal (OB) services
- Cancer screenings
- Physical Therapy
- Hospice or end-of-life care
- Skilled Nursing*
- Home Health
- Durable Medical Equipment and medical supplies
- Inpatient Hospital Services**
*Not available for MAP Basic members.
** For hospital services, MAP Basic members should present their membership card and request financial assistance.
Specialists are doctors who focus on a particular area of medicine, a type of patient, or a part of the body. Your primary care provider (PCP) might refer you to a specialist to help diagnose or treat you.
- If you have diabetes, you could be referred to an endocrinologist.
- If you have a cold that doesn’t go away, you could be referred to an ENT for more testing.
- If you have foot pain, you could be referred to a podiatrist.
Types of Specialists:
- Ear, Nose and Throat (ENT)
- Ophthalmologist (This does not include glasses or contacts)
- Physical Therapist
Behavioral Health Services
Behavioral health specialists, social workers, therapists, psychologists, and psychiatrists treat mental health conditions, alcohol, or substance abuse.
Central Health offers a variety of behavioral health services:
- Therapy, counseling, and medical treatment
- Inpatient care
- Outpatient services
- Crisis residential services
- Emergency mental health services (reorganize list-put most serious first)
- Medication-assisted treatment for addiction to opioid, alcohol, and other drugs.
- Help quitting tobacco, smoking, and vaping.
MAP and MAP Basic cover many surgeries. Your primary care provider (PCP) or specialist will help you understand the process.
Day surgeries, also known as outpatient surgeries, are surgeries that can be done in a few hours, and you can go home to recover. Inpatient surgeries require you to stay the night, or longer, in a hospital.
MAP and MAP Basic cover surgeries at ambulatory surgery centers (ASCs). Some examples include general surgery, ear, nose, and throat procedures, bowel procedures, dermatology or skin procedures, ophthalmology or eye procedures, podiatry or foot procedures, gynecology, or women’s health procedures.