How do I switch to Kaiser Medi-Cal?
Asked by: Katrina Yost V | Last update: August 13, 2025Score: 4.3/5 (4 votes)
How do I change my Medi-Cal to Kaiser?
To learn how to enroll in Kaiser Permanente, call Medi-Cal HCO Monday – Friday, 8 a.m. to 6 p.m. at (800) 430-4263 (TTY: (800) 430-7077).
Can I still go to Kaiser with Medi-Cal?
Yes, you can still go to Kaiser Permanente with Medi-Cal. In fact, Kaiser Permanente has a direct contract with the California Department of Health Care Services (DHCS) to provide Medi-Cal coverage across much of the state starting January 1, 2024.
How do I change my Medi-Cal provider?
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 is a disadvantage of choosing Kaiser?
Limited plan types: Kaiser offers mostly HMO plans, so most members must work within Kaiser's network of medical providers. Low member experience ratings: Kaiser's member experience ratings, including customer service and getting needed care, are lower than most major providers.
Kaiser Permanente Colorado makes it easy to switch | Kaiser Permanente
Why do doctors leave Kaiser?
The biggest gripe I've heard as a chief and experienced as a Kaiser physician is the lack of flexibility or the lack of autonomy. Clinic, OR, and call schedules are made 6-months in advance. The clinic template is also preset. If you want to start clinic a little bit later, that's not possible.
What is the best Medi-Cal health plan?
OAKLAND, Calif., Jan. 19, 2023 – Kaiser Permanente Northern California's Medi-Cal health plan is the highest rated in the state for quality care, according to a December 2022 report from the state's Department of Health Care Services (DHCS).
How do I notify Medi-Cal of a change?
You must report changes to Covered California within 30 days. For Medi-Cal, you must report it within 10 days. To report changes, call Covered California at (800) 300-1506 or sign in to your online account.
Can you have both Medi-Cal and Covered California?
You can also call your local county office. Did you know? It is possible for members of the same family to qualify for both Medi-Cal and Covered California.
What is the income limit for Medi-Cal?
You are 19-64 years old and your family's income is at or below 138% of the Federal Poverty Level (FPL) ($21,597 for an individual; $44,367 for a family of four). You are a child 18 or younger and your family's income is at or below 266% of FPL ($85,519 per year for a family of four).
Can you get Kaiser through Covered California?
You can buy health care coverage on California's health benefit exchange, Covered California. Covered California has Kaiser Permanente plans as well as other health plans for purchase.
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.
Can I join Kaiser with Medi-Cal?
After you've been approved for Medi-Cal, you may be able to choose Kaiser Permanente as your Medi-Cal managed care plan.
Does Kaiser use change healthcare?
We are encouraging providers with these clearinghouse options to utilize Relay Health Exchange, iEDI, or another Clearinghouse alternative. Q2: Are there adverse impacts to Kaiser Permanente's ability to issue payments? A: Kaiser Permanente is fully operational and does not use Change Healthcare for issuing payments.
Can I have Medi-Cal and private insurance?
(For Adults Age 19 and above, updated: June 2016) Myth 1: One can not have Medi-Cal and any other insurance at the same time. Fact: There are no restrictions on multiple coverage under Medi-Cal regulations.
What happens if you don't report changes to Medi-Cal?
If you do not report changes to your personal information right away, and then receive Medi-Cal benefits that you do not qualify for, you may have to repay DHCS.
Can I check my Medi-Cal online?
Where Can I Access My Medi-Cal Member Services? You can access your member services online through your plan's website and the Covered California website.
How do I change my Medi-Cal plan?
If you are not happy with your medical plan, you can choose another medical plan, if available. To change your medical plan, call Health Care Options at 1-800-430-4263 (TTY 1-800-430-7077). Or you can complete a Medi-Cal Choice Form. You can find the form on the Download forms page.
What are the two types of Medi-Cal?
Medi-Cal is health coverage for low-income children and adults. There are two kinds of Medi-Cal, the expanded Modified Adjusted Gross Income (MAGI) coverage and classic coverage. Some Medi-Cal programs have a Share of Cost, but most do not.
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.
Can Kaiser bill me my copay?
Copayments, deductibles and other patient cost shares
If you are not able to pay these amounts at the time you receive care or services, you will receive a bill.
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.
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.