Can you go to Kaiser with Medi-Cal?

Asked by: Felton Parisian  |  Last update: December 22, 2023
Score: 4.9/5 (65 votes)

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. Your child can get regular check-ups – including shots and vaccines. Get prescriptions that fit within our list of covered drugs.

Can I go to any hospital with Medi-Cal insurance?

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.

Does Medi-Cal cover surgery?

medications. Inpatient hospital services • Anesthesiologist services • Surgical services (bariatric, reconstructive surgery, etc.) Organ & tissue transplantation • Outpatient laboratory and X-ray services o Various advanced imaging procedures are covered based on medical necessity.

Can I go to any Kaiser in California?

If you're enrolled in one of these plans in either the Northern California or Southern California region, you may receive visiting member services in the other California region. When you visit any Kaiser Permanente region, your coverage is the same as it is in your home region. The 90-day limit does not apply.

How do I switch to straight Medi-Cal?

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. Or visit a HCO presentation site for help changing your health plan. You may also complete and mail an Enrollment Choice Form to Health Care Options.

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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.

Do I have to re enroll in Medi-Cal every year?

Medi-Cal members must renew their coverage each year to keep their health care benefits. For most members, coverage is renewed automatically. Sometimes the county will send you a renewal form that you must review and return, along with any additional required information. Want to get started with Covered California?

Does Kaiser cover all of 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.

Is Covered California part of Kaiser?

Network. Covered California Kaiser plans are offered in all of California's 19 pricing regions. Kaiser is an “in-house” network which means medical services are provided by a Kaiser medical group, a Kaiser laboratory, a Kaiser pharmacy and a Kaiser hospital.

Who pays for 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. Medi-Cal is supported by federal and state taxes.

Does Medi-Cal cover copays?

Medi- Cal may pay for any co-pays or deductibles you accrue under your private health insurance coverage, Medicare Part A (in-patient hospital), Medicare Part B (out-patient services, including specialty care and lab tests), Veterans Insurance, Tricare or any other public or private insurance plan that allows for such ...

What type of insurance is Medi-Cal considered?

Medi-Cal, California's Medicaid program, is a public insurance health care program which provides health care services for low-income individuals and families who meet defined eligibility requirements.

What's the difference between Covered California and Medi-Cal?

What is the difference in coverage between Medi-Cal and Covered California?​​​​ Medi-Cal is health coverage, just like the coverage offered through Covered California. Medi-Cal provides benefits similar to the coverage options available through Covered California, but often at lower or no cost to you or your family.

What other benefits can I get with Medi-Cal?

​​​​What are the Medi-Cal Benefits?
  • Outpatient (Ambulatory) services.
  • Emergency services.
  • Hospitalization.
  • Maternity and Newborn care.
  • Mental Health and Substance Use Disorder Services​
  • Prescription Drugs.
  • Programs such as physical and occupational therapy (known as Rehabilitative & Habilitative Services) and devices.

Can you have a car on Medi-Cal?

We tell them that this may not be necessary, in that Medi-Cal allows you to have more than one car. The first car is exempt if it is used for the benefit of the applicant/beneficiary, or if it is needed for medical reasons. You can declare the most expensive car as the exempt car.

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.

What percentage of Californians use Kaiser?

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

Is Kaiser a California thing?

Founded in 1945, Kaiser Permanente headquartered in Oakland, California, comprises: Kaiser Foundation Health Plan, Inc. Kaiser Foundation Hospitals and its subsidiaries. The Permanente Medical Groups.

What is the downside to Kaiser Permanente?

The downside of Kaiser health insurance is that most plans have no out-of-network coverage except for urgent care or emergencies. If you prefer an insurance plan with more flexibility, then we suggest choosing Anthem or Blue Cross Blue Shield, which is accepted by 90% of doctors across the country.

Is there a difference between Kaiser and Kaiser Permanente?

The medical group chose to keep the Permanente name, in part to clarify that they were not employees of Henry J. Kaiser. Thus, the organization currently known as Kaiser Permanente was born. We are still based on the close cooperation between 3 entities: the nonprofits Kaiser Foundation Health Plan, Inc.

Why choose Kaiser Permanente?

Kaiser Permanente combines care and coverage — which makes us different than your other health care options. Your doctors, hospitals, and health plan work together to make exceptional health care easy to get.

Will I lose my Medi-Cal if I get a job?

If you get Medi-Cal coverage and then get a job, you have a couple of options for keeping your Medi-Cal benefits. If you got Supplemental Security Income (SSI) cash benefits before you got your job, Social Security's 1619(b) program lets you earn up to $56,758 annually and still keep Medi-Cal coverage at no cost.

What age does Medi-Cal stop?

All California residents under the age of 26 who meet the eligibility requirements can qualify to receive Medi-Cal, regardless of U.S. citizenship or immigration status.

What is California Medi-Cal changing to in 2023?

Starting January 2023, Medi-Cal health coverage for most remaining dually eligible beneficiaries changed from Fee-For-Service (FFS) Medi-Cal to Medi-Cal Managed Care.