What type of plan is a L.A. Care Health Plan?
Asked by: Chase Wolff | Last update: June 6, 2025Score: 4.7/5 (54 votes)
What type of insurance plan is L.A. Care?
L.A. Care offers a Medi-Cal plan built with our community in mind.
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 Medi-Cal or Medicare?
It's a Medicare Advantage health plan, which provides specialized care and wrap-around services for dual eligible beneficiaries (eligible for both Medicare and Medi-Cal). L.A. Care Medicare Plus is here to deliver coordinated and seamless healthcare that supports your health and independence.
Is L.A. Care Health Plan an IPA?
L.A. Care Covered is contracted with 28 Independent Physician Associations (IPA) in L.A. County.
MEET L.A. CARE MEDICARE PLUS — THE ALL-IN-ONE MEDICARE PLAN (:30)
What is an IPA health plan?
An independent physician association (IPA) is a business entity organized and owned by a network of independent physician practices for the purpose of reducing overhead or pursuing business ventures such as contracts with employers, accountable care organizations (ACO) and/or managed care organizations (MCOs).
Is Medicaid the same as 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 L.A. Care different from Covered California?
L.A. Care is one of 12 carriers offered on California's State Exchange - Covered California. Coverage is provided in the Southwest and Northeast Los Angeles county pricing regions. Members can get assistance or receive information in their preferred language other than English.
Is L.A. Care Health Plan a government agency?
L.A. Care Health Plan is an independent local public agency created by the State of California to provide health coverage to low-income Los Angeles County residents. With more than 2.2 million members, we are the nation's largest publicly operated health plan.
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.
How do I tell what insurance plan I have?
Plan Type Your card might have a label like HMO or PPO to describe the type of plan you have. These labels tell you what type of network your plan has, so you can see which providers are “in-network” for you.
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.
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.
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.
What is the best Medi-Cal health plan in California?
Kaiser Permanente is also the only Medicare health plan in California to receive a 5-star rating, according to the Centers for Medicare & Medicaid Services' 2023 Medicare Star Ratings.
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.
Why is California health care so expensive?
California pays significantly more for common health care services than the rest of the country, and the gap has been widening. A critical factor in the fast growth of prices is market concentration — including hospital consolidation and physician integration — which has been proliferating in the state.
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.
Is L.A. Care Medicare or Medicaid?
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.
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.
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 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.
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.
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.