Can you go to any hospital with L.A. Care?

Do hospitals accept all insurance?

Not only do hospitals not accept all insurance companies, some will only accept particular policies from those companies.

How much does an ER visit cost with insurance?

The cost of an ER visit for an insured patient varies according to the insurance plan and the nature and severity of their condition. Some plans cover a percentage of the total cost once you meet your deductible, while others charge an average co-pay of $50 to $500.

What type of coverage is L.A. Care?

L.A. Care Medi-Cal is the largest Medi-Cal plan in California that provides health care coverage to Medi-Cal beneficiaries residing in Los Angeles County.

Is L.A. Care only for low income?

The Local Initiative Health Authority for Los Angeles County (L.A. Care) is a public agency that provides health insurance for low-income individuals in Los Angeles County through four health coverage programs including Medi-Cal.

Does L.A. Care cover hospital stays?

L.A. Care covers medically necessary inpatient hospital care when you are admitted to the hospital.

Can I use L.A. Care in another state?

What happens when I need to travel out of state and need emergency care? As a member of L.A. Care Covered, your service area is Los Angeles County (excluding Catalina Island). Routine care is not covered out of service area, but emergency and urgent care services are covered outside of Los Angeles County.

How much is an ER visit with Medi-Cal?

Emergency hospital services $0 copay for Medicaid- covered services 56. Transportation (State provides emergency and non-emergency medical transportation. Meets federal requirement for assurance of transportation to medically necessary services) $0 copay for Medicaid- covered services .

What happens if I go to the hospital without insurance in California?

Uninsured patients: California law now requires hospitals to provide free or discounted care to uninsured patients who earn up to 400% of the federal poverty level. You may qualify if you earn $4,530 per month for one person or up to $9,250 per month for a family of four in 2022.

Does L.A. Care cover an ambulance?

L.A. Care covers ambulance services to help you get to the nearest place of care in an emergency. This means your condition is serious enough that other ways of getting to a place of care could risk your health or life.

How does L.A. Care work?

L.A. Care is a managed care health plan contracted with DHCS. L.A. Care works with doctors, hospitals, and other health care providers in the L.A. Care service area to give health care to our members. As a member of L.A. Care, you may qualify for some services provided through FFS Medi-Cal.

Can I go to the hospital without going to the ER?

Direct admission to hospital, defined as hospitalization without first receiving care in the hospital's ED, is an alternative approach to hospital admission, and may be a vehicle to both observation and inpatient hospital stays.

How good is a L.A. Care Health Plan?

L.A. Care Health Plan is the highest-rated Medi-Cal managed care plan in Los Angeles County, as shown by the National Committee for Quality Assurance's (NCQA) Medicaid Health Insurance Plan Ratings 2019–2020.

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 L.A. Care cover gym memberships?

SilverSneakers® is a no-cost fitness benefit for L.A. Care Medicare Plus members. This exciting program gives you a free basic gym membership at more than 15,000 fitness center locations across the country.

What is the best Medi-Cal health plan in California?

Kaiser Permanente is also the only Medicare health plan in California to receive a 5-star rating, according to the Centers for Medicare & Medicaid Services' 2023 Medicare Star Ratings.

Does L.A. Care cover surgery?

L.A. Care covers surgery to correct or repair abnormal structures of the body to improve or create a normal appearance to the extent possible.

Does L.A. Care cover over the counter?

L.A. Care Medicare Plus members have a $150 quarterly (every 3 months) allowance to buy over-the-counter (OTC) health items. Choose from thousands of approved products with your Healthy Benefits Plus card. Below are some Frequently Asked Questions (FAQs) to help you.

How do you lower your ER bill?

What happens if I go to the ER without insurance?

Emergency rooms

Emergency room staff cannot deny care or treatment to people without insurance, but they do charge for their services. The fees of emergency rooms are higher than those of urgent care centers. It may be a good idea to research and consider what situations might warrant a visit to each place.

How much does a 3 day stay in the hospital cost?

It's easy to underestimate how much medical care can cost: Fixing a broken leg can cost up to $7,500. The average cost of a 3-day hospital stay is around $30,000.