What type of plan is L.A. Care?
Asked by: Alessandra Cremin | Last update: May 6, 2025Score: 4.9/5 (10 votes)
Is L.A. Care Medi-Cal HMO or PPO?
L.A. Care offers one of the largest HMO provider networks in the Covered California marketplace. Each plan provides comprehensive benefits and $0 preventive services to help you achieve your health goals.
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 L.A. Care an Affordable Care Act plan?
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 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.
Why and how L.A. Care Health Plan is tackling social determinants of health
How do I know if my insurance is PPO or HMO?
However, if you've already got a health plan and don't know which plan type you have, you can check your insurance card or contact your insurance provider directly. If you have an online account through your provider that allows you to access plan details, you can also start there.
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 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 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.
What does L.A. Care stand for?
Committed to the promotion of accessible, affordable and high quality health care, L.A. Care Health Plan (Local Initiative Health Authority of Los Angeles County) is an independent local public agency created by the State of California to provide health coverage to low-income Los Angeles County residents.
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 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.
How do I switch from L.A. Care to Medi-Cal?
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.
Is L.A. Care considered Medicare?
L.A. Care Medicare Plus offers complete care that coordinates member's Medicare and Medi-Cal benefits, which includes medical, home and community-based services, medical supplies and medications.
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.
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.
Is L.A. Care a PPO or HMO?
LA Care is an HMO. You can get more information on HMO versus PPO here. Quick synopsis of LA Care HMO Model: You need to stay within LA Care networks for non-emergency.
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.
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 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.
Is L.A. Care Medi-Cal free?
L.A. Care serves people who qualify for Medi-Cal. In most cases, L.A. Care members do not have to pay for covered services, premiums or deductibles. If you are an American Indian, you do not have to pay enrollment fees, premiums, deductibles, co-pays, cost sharing, or other similar charges.
What is the best health plan in USA?
Investopedia's analysis ranks Kaiser Permanente as the best health insurance company for 2025 because of its blend of affordability and low customer complaints. UnitedHealthcare and Aetna also earned top marks. We evaluated nine insurers using dozens of criteria, such as customer satisfaction, plan types, and costs.
Who has the largest PPO network?
Benefits of Multiplan/PHCS Network
The MultiPlan/PHCS network is the largest and most comprehensive independent PPO network in the United States , providing access to over 700,000 healthcare professionals, 4,500 hospitals, and 70,000 ancillary care facilities in all states.
What is the rating of L.A. Care?
L.A. Care's rating jumped from 3.5 to 4 stars for 2019-2020. The Quality Improvement team at L.A. Care attributes the rise to a number of member and provider campaigns designed to increase access to care, utilization of services and member satisfaction. "There is no silver bullet when it comes to improving quality.