How do I know what Medi-Cal I have?

• 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.

Can I change my Medi-Cal group?

Yes. If you are in a Medi-Cal health plan and want to choose another health plan for any reason, you may leave the health plan and join a different health plan. 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.

What type of insurance is Medi-Cal HMO or PPO?

Almost all Medi-Cal plans are “managed care plans” which means they function similar to an HMO. Medi-Cal Plans can be found in the Medi-Cal Managed Care Health Plan Directory. A managed care plan means you'll have a primary care physician, and they're the one person you'll see if you need medical care.

What is full Medi-Cal benefits?

Medi-Cal provides free or low-cost health care for some people who live in California. Full scope Medi-Cal covers more than just care when you have an emergency. It provides medical, dental, mental health, and vision (eye) care. It also covers alcohol and drug use treatment, drugs your doctor orders, and more.

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.

How much is Medi-Cal monthly?

Medi-Cal monthly premium amounts have been reduced to $0.00 effective July 1, 2022. Monthly billing and collection of premiums for the Medi-Cal for Families program will no longer be required.

What is Medi-Cal Part A and B?

Medicare Part A (Hospital Insurance) covers inpatient hospital stays, care in a skilled nursing facility for a limited period, hospice care, and some home health care. Medicare Part B (Medical Insurance) covers certain doctors' services, outpatient care, medical supplies, and preventive services.

Is Medi-Cal same as Medicare?

No. Medicare and Medi-Cal are two separate programs for health care coverage. Medicare is available nationally to cover seniors and people under the age of 65 with certain disabilities. Medi-Cal is California's Medicaid program, covering low-income individuals and families in California.

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 can I find my Medi-Cal number if I lost my card?

What is Medi-Cal Rx insurance?

What is Medi-Cal Rx? Medi-Cal Rx is the name DHCS has given to the collective pharmacy benefits and services that will be administered through the fee-for-service delivery system by Magellan Medicaid Administration, Inc.

What is the health care options Medi-Cal number?

Call Health Care Options (HCO) Medi-Cal Managed Care at 1-800-430-4263 (TTY 1-800-430-7077). The call is free.

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.

Do you have to apply for 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.

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.

How much can you make to stay on Medi-Cal?

Most single individuals will qualify for Medi-Cal if there income is under $1,676 per month. Most couples will qualify if their income is under $2,267 per month. If you have disabilities, your income can be slightly higher. You can qualify for Medi-Cal even if you have assets.

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.

Who pays for Medi-Cal in California?

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.

How do I know if I have Medi-Cal California?

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.

Is HMO the same as Medi-Cal?

Health insurance, Health Plans (HMOs), and public programs like Medicare and Medi-Cal are all different. They each follow their own set of rules. Different government agencies regulate each one. We have put together this list of healthcare coverage options, descriptions, and the agency that regulates each one.

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.