What is the healthcare options phone number for Medi-Cal?

Asked by: Mr. Jamaal Boyle  |  Last update: January 9, 2024
Score: 4.7/5 (1 votes)

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 the phone number for Medi-Cal customer service center?

The Telephone Service Center (TSC): 1-800-541-5555

The TSC is staffed by knowledgeable Medi-Cal telephone service agents who can assist providers with the following: Medi-Cal billing policies and procedures.

How do I speak to Medi-Cal?

For general questions about Medi-Cal, members and medical providers can call the official helpline at 1-800-541-5555. Depending on the situation, you may also call Covered California at 1-800-300-1506 or your county's Medi-Cal office.

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 do I access my Medi-Cal benefits?

Your local county office manages most Medi-Cal cases for DHCS. You can reach your local county office online at www.benefitscal.com. You can also call your local county office.

What Is Medi-Cal? (Part 1)

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How do I check my Medi-Cal status in 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.

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.

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.

Is Medi-Cal free?

Medi-Cal offers free or low-cost health coverage for California residents who meet eligibility requirements. Most applicants who apply through Covered California and enroll in Medi-Cal will receive care through managed health plans.

What is Medi-Cal assistance?

Medi-Cal is California's Medicaid program. This is a public health insurance program that provides free or low cost medical services for children and adults with limited income and resources.

How do I get emergency Medi-Cal in California?

1 – Go to the emergency room. If you are experiencing a true medical emergency, where your only choice is to go straight to the nearest hospital, then go. The hospital will provide you with the health care you need. Then, the hospital's billing department will assist you in applying for emergency Medi-Cal benefits.

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 the max age for Medi-Cal?

Beginning May 1, 2022, a new law in California will give full scope Medi-Cal to adults 50 years of age or older and immigration status does not matter. All other Medi-Cal eligibility rules, including income limits, will still apply.

What is changing in Medi-Cal in 2024?

Pending approval from the Centers for Medicare and Medicaid Services, beginning January 1, 2024, the second phase of this new law in California will eliminate the asset limit for all Non-MAGI Medi-Cal programs. Additional information about this change will be posted to this website at a future date.

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 Medi-Cal expire every year?

Local Medi-Cal offices review each member's eligibility once a year or when they report changes to their household. Everyone's renewal date is different.

What is the income limit for Medi-Cal 2024?

Phase I, to be implemented July 1, 2022, will increase the asset limit to $130,000 per individual, and $65,000 for each additional household member. Phase II, to be implemented no sooner than January 1, 2024, will eliminate the asset test entirely.

Is tooth extraction covered by Medi-Cal?

Services covered by Medi‑Cal Dental may include:

Cleanings. Fluoride treatments. Emergency services. Tooth removal.

Do you get dental insurance with Medi-Cal?

Medi-Cal provides dental benefits for adults and children. You can find a Medi-Cal dentist through the Denti-Cal search engine. For information on children's dental services, visit the Denti-Cal website.

Does Medi-Cal count as dental insurance?

Medi-Cal offers comprehensive preventative and restorative dental benefits to both children and adults. You can find a Medi-Cal dentist on the ​ Medi-Cal Dental Provider Referral List, or by calling 1-800-322-6384.

Does Medi-Cal cover emergency room visits?

All hospitals accept Medi-Cal yet are unable to balance bill the patient for any expense greater than their Medi-Cal reimbursement. This means no more emergency room bills for the Medi-Cal patient, and no restrictions on the number of times the patient can present for care.

How does Medi-Cal confirm income?

Proof of Income. Income can be verified by providing various types of documents such as the acceptable list below. One of the most common proofs is a pay stub. If you submit a pay stub, make sure that it is current and within the last 45 days; otherwise, Covered California may not accept it.

How do I change my Medi-Cal plan?

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.