Does L.A. Care have a copay?
Asked by: Russel Kassulke | Last update: November 14, 2025Score: 4.1/5 (33 votes)
Do you have to pay for L.A. Care?
L.A. Care serves people who qualify for Medi-Cal. In most cases, L.A. Care members do not have to pay for covered services, premiums or deductibles. If you are an American Indian, you do not have to pay enrollment fees, premiums, deductibles, co-pays, cost sharing, or other similar charges.
Do you have a copay with Medi-Cal?
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 ...
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.
Is L.A. Care considered Covered California?
L.A. Care offers one of the largest HMO provider networks in the Covered California marketplace. Each plan provides comprehensive benefits and $0 preventive services to help you achieve your health goals.
Updates for 2023 - L.A. Care Covered and Covered CA
Is L.A. Care a good 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 is the cheapest health insurance in California?
Affordable health insurance in California for 2025
L.A. Care has the cheapest rates in California, and it's the cheapest health insurance company for about a quarter of the people in California. But you can only get L.A. Care if you live in Los Angeles County.
What is the difference between Medi-Cal and L.A. Care?
L.A. Care is the health plan for Medi-Cal members in Los Angeles County. The California Department of Health Care Services (DHCS) works with L.A. Care to provide your Medi-Cal health care.
What disqualifies you from Medi-Cal?
To qualify, you must: Meet the medical requirements of Social Security's definition of disability. Be working and earning income (this can be part-time work). Have countable income less than 250% of the federal poverty level (in 2024, this equates to $3,158/mo.
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.
Can my doctor bill me my copay?
Provider Policy: The healthcare provider's policy may vary. They may allow you to receive the necessary medical treatment or prescription medication, even if you can't pay the copayment immediately. In such cases, they might bill you later for the copayment amount.
What does a $0 copay mean?
Copays cover your cost of a doctor's visit or medication. You may not always have a copay, however. Your plan may have a $0 copay for seeing your doctor, for example, in which case you would not have to pay a copay each time you visit your doctor.
Does L.A. Care cover ER visits?
Emergency care is covered at all times and in all places. If you're not sure if you should visit the Emergency Room and need advice, you can: Call the Nurse Advice Line 1-800-249-3619 (TTY 711) Call Member Services at 1-888-839-9909 (TTY 711)
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.
Is Blue Cross part of L.A. Care?
Medi-Cal Managed Care (Medi-Cal)
are independent licensees of the Blue Cross Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc. Blue Cross of California is contracted with L.A. Care Health Plan to provide Medi-Cal Managed Care services in Los Angeles County.
What is the disadvantage of Medi-Cal?
The perception that Medi-Cal offered poorer coverage or less respectful treatment than other types of insurance. Concerns among noncitizen respondents that applying for Medi-Cal might affect their immigration status.
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.
Is L.A. Care free?
You can also view Medi-Cal qualifying income information for children from the Los Angeles County Department of Public Social Services. Medi-Cal with L.A. Care is free for families who qualify. There are no monthly premiums or co-pays.
What kind of insurance is L.A. Care?
L.A. Care offers a Medi-Cal plan built with our community in mind. Medi-Cal is a public health care program for those with limited income. This free or low-cost public health insurance program pays for medical services for eligible California residents.
Is Kaiser part of L.A. 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.
Is hmo or ppo better?
HMO plans typically have lower monthly premiums. You can also expect to pay less out of pocket. PPOs tend to have higher monthly premiums in exchange for the flexibility to use providers both in and out of network without a referral. Out-of-pocket medical costs can also run higher with a PPO plan.
What is the most expensive health insurance in California?
The most expensive health insurance in California is a platinum plan for an elderly adult, with an average monthly rate of $1982.