Can someone with Medi-Cal go to Kaiser?

Asked by: Miss Evalyn Hansen  |  Last update: October 17, 2025
Score: 4.9/5 (49 votes)

At Kaiser Permanente, you have a wide network of doctors and specialists to choose from. All of our doctors accept Kaiser Permanente Medi-Cal members. Get care from a doctor or specialist – including appointments, exams, and treatment. Your child can get regular check-ups – including shots and vaccines.

Can you go to Kaiser with Medi-Cal?

Kaiser Permanente is an active participant in Medi-Cal managed care and our Fee-for-Service program provides care to Medi-Cal beneficiaries who are not Kaiser Permanente members but who may find it necessary to receive emergency care at one of our facilities.

Can I go to any hospital with Medi-Cal?

Emergency Rooms: As stated above, if you have an emergency and you cannot find a doctor right away, you can go to the emergency room at any hospital. If you show your BIC to staff at the emergency room, Medi-Cal will pay for the services you receive.

Can non members go to Kaiser?

If you're not a member:

No problem. We accept a variety of non–Kaiser Permanente health coverage. You'll typically pay a copay, coinsurance, or deductible payment, depending on your plan. Learn more about coverage that's accepted.

Does Kaiser Permanente accept Medicare and Medicaid in California?

If you have both Medicare and Medicaid (Medi-Cal in California), you could be eligible for extra benefits. Kaiser Permanente Dual Special Needs (D-SNP) plans let you keep your Medicaid (Medi-Cal) benefits and get more benefits than Original Medicare.

What Health Insurance Does Kaiser Accept? - InsuranceGuide360.com

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What does Medi-Cal not cover?

Restricted scope Medi-Cal covers limited services. It does not cover medicine or primary care. If you have pregnancy-related limited scope Medi-Cal, you will have the full scope of Medi-Cal benefits, if the service is medically necessary.

Does Kaiser Medi-Cal cover dental in California?

Outside of Sacramento and San Mateo Counties, Medi-Cal dental services are covered by Medi- Cal Dental Fee-for-Service. For more information, you may call 1-800-322-6384 (TTY 1-800-735- 2922) or visit smilecalifornia.org. Kaiser Permanente is an HMO plan with a Medicare contract.

Is Kaiser with Covered California?

Welcome to Kaiser Permanente and Covered California. There's new money available that could lower your monthly bill. See how much you can save on the same plan you have now, but with exclusive financial help through Covered California.

Can undocumented people get Kaiser?

You don't need to be U.S. citizens to qualify for the Community Health Access Program.

What state does not have Kaiser Permanente?

As of 2024, Kaiser Permanente serves eight states (California, Colorado, Georgia, Hawaii, Maryland, Oregon, Virginia, and Washington) as well as the District of Columbia and is the largest managed care organization in the United States. Consortium of for-profit and not-for-profit entities.

Why does no one accept Medi-Cal?

The most frequent reasons physicians limit Medi-Cal patients in their practices are payment rates and administrative hassles.

What are the limitations of Medi-Cal?

eligibility for Medi-Cal. For new Medi-Cal applications only, current asset limits are $130,000 for one person and $65,000 for each additional household member, up to 10. Starting on January 1, 2024, Medi-Cal applications will no longer ask for asset information.

Does Medi-Cal fully cover ER visits?

Restricted Medi-Cal only covers emergency services. It does not cover things like medicine and primary care.

Do you have to pay back Medi-Cal in California?

Do you have to pay back California Medicaid? The Medi-Cal program is required to seek repayment from the estates of certain deceased Medi-Cal members. The rules state that repayment only applies to the benefits received by members on or after their 55th birthday and who owned assets at the time of death.

How to check Kaiser coverage?

To view your eligibility and the status of your coverage, you must be signed on to kp.org. Once you're signed on: Select “Benefits” from the dashboard. Under “Plan Ahead,” select “Eligibility and benefits.”

Is Kaiser part of LA Care?

In addition to offering a direct Medi-Cal line of business, L.A. Care contracts with three Plan Partners to provide coverage to Medi-Cal members. These Partners are Anthem Blue Cross, Care 1st Health Plan, and Kaiser Permanente.

Can I get Kaiser with Medi-Cal?

Individuals who qualify for Medi-Cal will have no or low monthly premiums, no copays, and no out-of-pocket costs for most covered services. At Kaiser Permanente, you have a wide network of doctors and specialists to choose from. All of our doctors accept Kaiser Permanente Medi-Cal members.

Does Kaiser require SSN?

Kaiser Permanente has been required to report to the Internal Revenue Service (IRS) your enrollment in certain Kaiser Permanente health plans. * For this we need your Social Security number (SSN) or other Tax Identification Number (TIN) — and those of your family members covered under your plan.

Does Medi-Cal affect immigration status?

Applying for or using Medi-Cal will not affect your immigration status. As always, everyone is welcome to apply.

Can I go to Kaiser without insurance in California?

The Medical Financial Assistance program helps low-income, uninsured, or underinsured patients who need help paying for all or part of their medical care received from Kaiser Permanente. Patients are eligible for financial assistance when their family income is at or below 400% of the Federal Poverty Guidelines (FPG).

Is Kaiser a Medi-Cal or Medicare?

Kaiser Permanente Medicare health plans are examples of Medicare Advantage plans. Keep in mind that you need to be enrolled in Part B and eligible for Part A before you can sign up for a Medicare Advantage plan.

How to change Medi-Cal to Kaiser?

To learn how to enroll in Kaiser Permanente, call Medi-Cal HCO Monday – Friday, 8 a.m. to 6 p.m. at (800) 430-4263 (TTY: (800) 430-7077).

Can I go to the dentist if I have Medi-Cal?

Members can access dental services through Medi-Cal Dental enrolled providers, who will advise members on the best course of treatment, and under the specific conditions for which some of these services are allowable.

How can I fix my teeth if I don't have money?

Free Dental Clinics
  1. Nonprofit clinics. Some cities have dental clinics that specifically serve people with low incomes, no insurance, or who otherwise can't afford care.
  2. Donated services. Some state or national charities use donated labor and materials to give free care. ...
  3. Private dentists.