Can I change my Medi-Cal plan?

Asked by: Tina Quigley  |  Last update: September 27, 2023
Score: 4.6/5 (66 votes)

If you are in a Medi-Cal health plan and want to choose another health plan for any reason, you may leave the health plan and join a different health plan. You can call Health Care Options (HCO), toll free, at 1-800-430-4263 (TTY 1-800-430-7077), 8 a.m. to 6 p.m. PT, Monday through Friday, except holidays.

What are the different types of Medi-Cal?

​​​Find Out More About Medi-Cal Programs​​​
  • Medi-Cal Dental Program. Dental services are currently provided as one of the many benefits under the Medi-Cal program.
  • Fair Hearing. ...
  • Health Insurance Premium Payments. ...
  • Medi-Cal. ...
  • Medi-Cal Eligibility. ...
  • Medi-Cal Estate Recovery. ...
  • Medi-Cal Managed Care.

How do I change my Medi-Cal income in California?

For Medi-Cal, you must report it within 10 days. To report changes, call Covered California at (800) 300-1506 or sign in to your online account.

Can I go to Kaiser with Medi-Cal?

At Kaiser Permanente, you have a wide network of doctors and specialists to choose from. All of our available doctors accept Kaiser Permanente members with Medi-Cal coverage. Get care from a doctor or specialist – including appointments, exams, and treatment.

What type of insurance is Medi-Cal HMO or PPO?

Almost all Medi-Cal plans are “managed care plans” which means they function similar to an HMO. Medi-Cal Plans can be found in the Medi-Cal Managed Care Health Plan Directory. A managed care plan means you'll have a primary care physician, and they're the one person you'll see if you need medical care.

Medi-Cal Changes in January 2023

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Is HMO the same as Medi-Cal?

Health insurance, Health Plans (HMOs), and public programs like Medicare and Medi-Cal are all different. They each follow their own set of rules. Different government agencies regulate each one. We have put together this list of healthcare coverage options, descriptions, and the agency that regulates each one.

What health insurance is Medi-Cal?

Medi-Cal is California's Medicaid health care program. This program pays for a variety of medical services for children and adults with limited income and resources.

What counties does Kaiser take Medi-Cal?

To see a list of counties where Kaiser Permanente participates in Medi-Cal managed care, click here.
  • Alameda County. 888 999-4772.
  • *Alpine County. 530 694-2235 ext 231.
  • Amador County. 209 223-6550.
  • *Butte County. 877 410-8803.
  • *Calaveras County. 209 754-6644.
  • *Colusa County. 530 458-0250.
  • Contra Costa County. ...
  • *Del Norte County.

Does Kaiser Medi-Cal cover vision?

All Medi-Cal members are eligible for a routine eye exam, which checks the health of the eyes and tests for an eyeglass prescription. Only members under 21 years old and residents of a nursing home receive coverage for eyeglasses (frames and lenses).

What percentage of Californians use Kaiser?

Kaiser holds 40% market share in California | Fierce Healthcare.

How much can you make to stay on Medi-Cal in California?

Most single individuals will qualify for Medi-Cal if there income is under $1,676 per month. Most couples will qualify if their income is under $2,267 per month. If you have disabilities, your income can be slightly higher. You can qualify for Medi-Cal even if you have assets.

What happens if I don't report income change to Medi-Cal?

If you do not report changes to your personal information right away, and then receive Medi-Cal benefits that you do not qualify for, you may have to repay DHCS.

How does Medi-Cal check income?

The Modified Adjusted Gross Income (MAGI) Medi-Cal method uses Federal tax rules to decide if you qualify based on how you file your taxes and your countable income. Property rules: No property limits. Non-MAGI Medi-Cal includes many special programs.

What is full Medi-Cal benefits?

Medi-Cal provides free or low-cost health care for some people who live in California. Full scope Medi-Cal covers more than just care when you have an emergency. It provides medical, dental, mental health, and vision (eye) care. It also covers alcohol and drug use treatment, drugs your doctor orders, and more.

What are full benefits under Medi-Cal?

​​​​What are the Medi-Cal Benefits? ​​Medi-Cal currently provides a core set of health benefits, including doctor visits, hospital care, immunization, pregnancy-related services and nursing home care. The Affordable Care Act ensures all Medi-Cal health plans offer what are known as Essential Health Benefits (EHB).

Is Medi-Cal only good in California?

You will not get Medi-Cal if you move out of California. You may apply for Medicaid in the state you move to. If you are moving to a new county in California, you also need to tell the county you live in or the county you are moving to.

Does Medi-Cal cover braces?

Does Medi-Cal or Denti-Cal Cover Braces? Yes. But, not everyone with Medi-Cal/Denti-Cal qualifies for these benefits. A patient must first be evaluated to rate the degree of the malocclusion, which is a problem in the way the upper and lower teeth fit together in biting or chewing, such as an overbite or under bite.

How long does it take to get glasses from Kaiser?

How long will it take to get my glasses? Our average turnaround time for most prescriptions is within six business days. More complex prescriptions may take longer to manufacture as each individual's prescription is a custom order.

Can I bring my own frames to eyeglass world?

Can I get new lenses for my existing frames? Yes! Bring in a pair of existing frames to your local store and we'll send your frames to our lab to replace the lenses. Please ask an Eyeglass World associate for more information about replacing lenses in existing frames.

Is Kaiser Medi-Cal only in California?

Kaiser Permanente service areas include all or parts of: • California • Colorado • Georgia • Hawaii • Maryland • Oregon • Virginia • Washington • Washington, D.C. As a Kaiser Permanente member, you're covered for emergency and urgent care anywhere in the world.

What areas in California does Kaiser cover?

Central Valley: Serving communities in San Joaquin and Stanislaus counties. Diablo: Serving communities in Contra Costa and Alameda counties. East Bay: Serving communities in Alameda and Contra Costa counties. Fresno: Serving communities in Fresno, Madera, Kings, and Tulare counties.

Why did I get a BIC card?

BENEFITS IDENTIFICATION CARD

This BIC is used to verify your eligibility for Medi-Cal benefits, allowing your Medi-Cal providers to bill for your medical and/or dental care.

How do I change my Medi-Cal provider?

If you are in a Medi-Cal health plan and want to choose another health plan for any reason, you may leave the health plan and join a different health plan. You can call Health Care Options (HCO), toll free, at 1-800-430-4263 (TTY 1-800-430-7077), 8 a.m. to 6 p.m. PT, Monday through Friday, except holidays.

What is the new name for Medi-Cal?

On January 1, 2023, Cal MediConnect plans transitioned to Medicare Medi-Cal plans (MMPs or Medi-Medi plans) provided by the same companies that provided Cal MediConnect plans.

Does California Medi-Cal cover dental implants?

Medi – Cal generally does not cover implants.

However, check out Dental for Everyone they have plans that will cover implants! Remember though, there is no free lunch. Insurance Companies have to take in more money in premiums than the pay in claims…