Does Anthem Blue Cross accept Medi-Cal?

Asked by: Leone Erdman  |  Last update: September 19, 2023
Score: 4.9/5 (40 votes)

Anthem has a contract with both CMS and DHCS to integrate Medicare and Medi-Cal benefits into one managed care plan called Anthem Blue Cross Cal MediConnect Plan. Some dually eligible beneficiaries (those with no share of cost for Medi-Cal or Medicare Parts A and B) may be eligible for Cal MediConnect.

Does Blue Cross have Medi-Cal?

Anthem Blue Cross is a Plan Partner that serves Medi-Cal members.

Can you have other insurance with Medi-Cal?

Even if you have other health coverage such as health insurance from your work, you may still qualify for Medi-Cal. If you qualify, Medi-Cal will cover allowable costs not paid by your primary insurance. Under federal law, Medi-Cal beneficiaries' private health insurance must be billed first before billing Medi-Cal.

What all does Medi-Cal cover?

Medi-Cal covers primary care, specialty care, prescription drugs, and dental if it is considered "medically necessary." Most people who have Medi-Cal do not pay co-pays or out-of-pocket costs.

Is Anthem Blue Cross part of Covered California?

Welcome to Anthem Blue Cross 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.

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28 related questions found

Is Anthem the same as Blue Cross of California?

In California Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association.

What is the difference between Anthem Blue Cross and Blue Shield of California?

In most other states, they are the same company and formed an association, the Blue Cross Blue Shield Association. Anthem Blue Cross is a for profit company in California, and Blue Shield is a non-profit.

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.

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.

How do I know if I'm covered by Medi-Cal?

You can visit your local county human services office. You can use your information to confirm your Medi-Cal eligibility and get a temporary identification card.

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 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.

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.

Does Blue Shield have a Medi-Cal plan?

Blue Shield of California Promise Health Plan currently serves Medi-Cal members in Los Angeles and San Diego counties. In Los Angeles County, we are contracted with L.A. Care Health Plan. In San Diego County, we are contracted with the Department of Health Care Services.

Do all pharmacies take Medi-Cal?

Almost all pharmacies in California are part of the RX network. This means you probably do not need to find a new pharmacy. But if you would like to see all RX pharmacies near you, please use the pharmacy locator on Medi-CalRx.dhcs.ca.gov.

What type of insurance is a Medi Medi?

Medicaid is a joint federal and state program that helps pay medical costs if you have limited income and resources and meet other requirements. Some people qualify for both Medicare and Medicaid and are called “dual eligible.” This is also referred to as “Medi-Medi.”

Is Covered California part of Medi-Cal?

What is Covered California? Covered California is the new marketplace that makes it possible for individuals and families to get free or low- cost health insurance through Medi-Cal, or to get help paying for private health insurance. Our goal is to make it simple and affordable for Californians to get health insurance.

Can you have Medi-Cal and Covered California at the same time?

Medi-Cal and Covered California use the same application. This means that once you apply using CoveredCA.com, you'll find out which program you qualify for. Some households qualify for both.

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…

What changes to Medi-Cal 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. Medi-Cal managed care enrollment does ​​NOT affect a beneficiary's Medicare providers or Medicare Advantage plan.

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.

Is Medi-Cal better than Medicaid?

Medi-Cal is what we call the joint Federal-State Medicaid program in California (just like Covered California is what we call Obamacare in California). Medi-Cal and Medicaid are essentially the same thing.

Does Anthem have a good reputation?

Anthem is a good insurance company for most people. The policies are usually popular in states where they're available, and the company has a large network of medical providers.

What is the difference between Kaiser and Anthem Blue Cross?

If you have non-Kaiser doctors that you want to keep, that may be the deciding factor. With Kaiser, you have to use Kaiser doctors and facilities. Anthem Blue Cross contracts with independent doctors and hospitals. If you want access to the non-Kaiser hospitals, Kaiser's not going to work for you.

Is Blue Cross Blue Shield only in California?

The 34 independent and locally operated Blue Cross Blue Shield companies deliver health insurance coverage to one in three Americans across all 50 states, the District of Columbia and Puerto Rico.