What network is L.A. Care Covered?
Asked by: Kirk Jerde Jr. | Last update: February 7, 2025Score: 4.4/5 (2 votes)
What is the L.A. Care Network?
L.A. Care Health Plan is the nation's largest publicly operated health plan. Its mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income residents and to support the safety net required to achieve that purpose.
What type of coverage is L.A. Care?
L.A. Care Medi-Cal is the largest Medi-Cal plan in California that provides health care coverage to Medi-Cal beneficiaries residing in Los Angeles County.
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.
Are Medi-Cal and L.A. Care the same?
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.
LA Care vs Health Net! Covered Ca and Medicare Market's EXPLAINED!
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 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.
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 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.
How do I switch from Medi-Cal to L.A. Care?
You can leave L.A. Care and join another health plan in your county of residence at any time. To choose a new plan, call Health Care Options at 1-800-430-4263 (TTY: 1-800-430-7077 or 711). You can call between 8:00 a.m. and 6:00 p.m. Monday through Friday. You may also visit the Health Care Options website.
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)
Which Medi-Cal plan is best?
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).
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.
What type 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.
Can I go to any doctor with L.A. Care?
The doctor you choose must be an in-network provider. To get a copy of the L.A. Care Provider Directory, download it from the Medi-Cal Member Materials page or call Member Services at 1-888-839-9909 (TTY: 711) to have one sent to you.
Is L.A. Care Medicare or Medicaid?
L.A. Care Medicare Plus coordinates all Medicare and Medi-Cal benefits as one health plan. Just a few of the benefits include access to gyms through Silver Sneakers, an over-the-counter allowance, mental health services, telehealth and worldwide emergency coverage.
Is Anthem Blue Cross under L.A. Care?
When you select L.A. Care Health Plan for Medi-Cal, you get the added benefit of choosing from the L.A. Care Medi-Cal Family of Plan Partners to be your health plan. This includes L.A. Care, Blue Shield Promise and Anthem.
What is L.A. Care Direct Network?
The L.A. Care Direct Network is our directly contracted network. Physicians can see L.A. Care members without being affiliated with an IPA. Are you either an individual or group practice? Individual. Group Practice.
Does L.A. have Kaiser?
Kaiser Permanente Los Angeles Medical Center. This is an exciting time! As you prepare to welcome your new baby, the care team at Kaiser Permanente Los Angeles looks forward to taking this journey with you.
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.
What is the difference between Medi-Cal and 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 L.A. Care Obamacare?
L.A. Care has been a publicly operated health plan since 1997, serving Medi-Cal members in Los Angeles County. Then in 2014, when it decided to participate in Covered California™, the state's Affordable Care Act (ACA) exchange, it became the first true public option in the marketplace… and guess what? It's thriving.
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.
Who is not eligible for Obamacare?
Must live in the United States. Must be a U.S. citizen or national (or be lawfully present). Learn about eligible immigration statuses. Cannot be incarcerated in prison or jail.
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).