What type of insurance plan is L.A. Care?
Asked by: Mr. Manuela Boehm II | Last update: August 7, 2025Score: 4.8/5 (59 votes)
What kind of insurance is L.A. Care?
The Local Initiative Health Authority for Los Angeles County (L.A. Care) is a public agency that provides health insurance to Los Angeles County residents, particularly those who are low-income or uninsured, through four health coverage programs including Medi-Cal. Headquarters in Los Angeles, CA.
Is Medi-Cal an 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.
Is L.A. Care public or private?
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.
Is L.A. Care Health Plan an IPA?
L.A. Care Covered is contracted with 28 Independent Physician Associations (IPA) in L.A. County.
L.A. Care Covered
What insurance is IPA?
What Does IPA Mean in Healthcare? In healthcare, IPA stands for "independent physician association," a group of loosely affiliated healthcare practitioners that can share resources to improve services and lower costs.
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.
How good is a L.A. Care Health 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.
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 network is L.A. Care Covered?
The Medi-Cal provider network is the group of doctors, hospitals and other providers that work with L.A. Care to provide Medi-Cal covered services to Medi-Cal members. L.A. Care is a managed care health plan. You must get most of your covered services through L.A. Care in-network providers.
Do doctors prefer HMO or PPO?
HMO plans might involve more bureaucracy and can limit doctors' ability to practice medicine as they see fit due to stricter guidelines on treatment protocols. So just as with patients, providers who prefer a greater degree of flexibility tend to prefer PPO plans.
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.
Which is better, L.A. Care or Health Net?
You'll notice that LA Care is generally one of the lowest 1-2 carriers listed at each benefit level. For many people, it's a function of being able to afford their health insurance at all! Health net is generally a notch or two above LA Care for HMO. But very close.
Is L.A. Care only for low income?
Adult Eligibility
Adults, including both parents and adults without children, with yearly earnings up to 138% of the Federal Poverty Level (FPL) qualify for Medi-Cal. The qualifying income criteria varies by family size. Below are examples of qualifying income limits for adults.
Why is L.A. insurance so expensive?
There are many reasons why car insurance in Los Angeles is expensive, including the high number of cars on the road, population density and car accident and theft rates. Minimum-coverage car insurance in LA costs 49% more than the California average and 33% more than the national average.
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).
What type of plan is L.A. Care?
L.A. Care is a health plan for people who have Medi-Cal in Los Angeles County. L.A. Care works with the State of California to help you get the health care you need.
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.
How do I switch from L.A. Care to Blue Shield?
*L.A. Care Health Plan members: If you are an L.A. Care member or an L.A. Care Plan Partner member (Anthem Blue Cross, Blue Shield of California Promise Health Plan), and would like to transfer from one L.A. Care Plan to another, you should call L.A. Care Health Plan's Member Services Department at (888) 452-2273 (TTY: ...
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.
Does L.A. Care have a copay?
Aside from the monthly premium, you may be responsible for paying a charge when you receive a covered service. This charge is called a copayment and is outlined in the Summary of Benefits. If you review your Summary of Benefits, you'll see that the amount of the copayment depends on the service you receive.
How does L.A. Care work?
L.A. Care is a managed care health plan contracted with DHCS. L.A. Care works with doctors, hospitals, and other health care providers in the L.A. Care service area to give health care to our members. As a member of L.A. Care, you may qualify for some services provided through FFS Medi-Cal.
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 MRI?
Advanced imaging procedures such as CT scans, MRIs, and PET scans, are covered based on medical necessity.
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.