- The Medi-Cal Member's beneficiary ID number. or.
- The last 4 digits of the Member's Social Security Number.
- And the Member's date of birth (2 digit month and 4-digit year) i.e. 12/1961.
How to verify my Medi Cal coverage?
Your health insurance company handles:
- Premium payments: When you need to make a premium payment, your health insurance company will accept it online or by phone.
- ID cards: Your insurance company will issue your membership ID card. ...
- Benefits and eligibility: Every insurance plan has unique benefits and eligibility requirements. ...
How do I contact Medi Cal?
The Service Center can help with:
- Learning how to apply for Medi-Cal
- Learning about Medi-Cal services
- Finding a health care provider
- Filing a complaint
Is Medi Cal good insurance?
Medi-Cal is really good health insurance especially for people who are transitioning between jobs or trying to get a new business off the ground. Medi-Cal is not perfect, but neither is private insurance. But for the cost, Medi-Cal beats going without health insurance.
How to check if my Medi-Cal is active?
How to Check If My Medi-Cal Is Active
- Make Sure You're Eligible. The Medi-Cal eligibility requirements have expanded, which means individuals and families that previously didn't qualify, may now be approved.
- Locate Your Nearest Welfare Office. Find the number of your local social services office. ...
- Contact a Case Manager. ...
- Request Your Medi-Cal Status. ...
- Use the Online Portal. ...
How do I check my Medi-Cal benefits online?
You can access your member services online through your plan's website and the Covered California website. Each service manages different aspects of your coverage. Also, your local county office will take care of specific parts of your Medi-Cal membership.
What are my Medi-Cal benefits?
Medi-Cal covers most medically necessary care. This includes doctor and dentist appointments, prescription drugs, vision care, family planning, mental health care, and drug or alcohol treatment. Medi-Cal also covers transportation to these services. Read more in “Covered Benefits” on page 12.
How do I know what plan I have with Medi-Cal?
For a list of Medi-Cal health plans in your county, go to the Compare medical plans and dental plans page. You may also call Health Care Options (HCO) toll free at 1-800-430-4263 (TTY 1-800-430-7077), from 8 a.m. to 6 p.m. PT, Monday through Friday, except holidays.
What is the website for Medi-Cal?
www.CoveredCA.comApply online at www.CoveredCA.com . Applications are securely transferred directly to your local county social services office, since Medi-Cal is provided at the county level.
Does Medi-Cal have an online portal?
The Medi-Cal Learning Portal (MLP) is the new, easy-to-use, one-stop learning center for Medi-Cal billers and providers.
Can I get Kaiser through Medi-Cal?
At Kaiser Permanente, you have a wide network of doctors and specialists to choose from. All of our available doctors accept Kaiser Permanente members with Medi-Cal coverage. Get care from a doctor or specialist – including appointments, exams, and treatment.
What are the two types of Medi-Cal?
This guidebook explains the two kinds of Medi-Cal: Regular Medi-Cal and Medi-Cal Health Plans.
How do I enroll in Kaiser with Medi-Cal?
Apply for Medi-Cal You can go to www.coveredca.com for an application, or contact your county Health and Human Services. Check the status of your application by contacting the county where you applied. Once you are approved by the county, select your health care plan and/or provider through the State.
What are the different Medi-Cal plans?
However, you may also choose to stay in Fee-For-Service Medi-Cal....Los Angeles County.Plan NamePhoneLA Coast PACE800-734-8041 TTY 800-735-2922Pacific PACE800-851-0966 TTY 800-735-2922Positive Healthcare(800) 263-0067 TTY/TDD (800) 735-2929SCAN Health Plan(877) 452-5898 TTY/TDD (800) 735-29295 more rows•May 5, 2022
Is Covered California the same as Medi-Cal?
Medi-Cal offers low-cost or free health coverage to eligible Californian residents with limited income. Covered California is the state's health insurance marketplace where Californians can shop for health plans and access financial assistance if they qualify for it.
Visit the Agency In Person
Social Services agencies throughout California have different names in different counties. For example, in Los Angeles County, it is called the Department of Public Social Services_,_ while Humboldt County calls it the Department of Social Services. DHCS provides a list of locations on its website.
Call Medi-Cal Directly
You can also check on your Medi-Cal status by calling the Medi-Cal hotline at (800) 541-5555. If you're outside of California, call (916) 636-1980. Since you don't have your BIC yet, you can get information on your Medi-Cal status by entering the last four digits of your Social Security number and month and year of birth (Ex.
Send an Inquiry by Mail
Another option is to check your Medi-Cal status by sending a written inquiry to: Medi-Cal Eligibility Division, P.O. Box 997417, MS 4607, Sacramento, CA 95899-7417.
What is the number to call for 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.
How to switch Medi-Cal plan?
To switch your Medi-Cal plan, you can call Medi-Cal Managed Care Health Care Options at 1-800-430-4263. You may also complete a Medi-Cal Choice Form that you can find on the Health Care Options download page. Choose your county from the drop-down menu, then look for the form link under “Choice enrollment forms.”.
How does health insurance handle premium payments?
Your health insurance company handles: Premium payments: When you need to make a premium payment, your health insurance company will accept it online or by phone. ID cards: Your insurance company will issue your membership ID card. They can also send you a replacement card if you lose it.
How to cancel Medi-Cal?
If you need to cancel your Medi-Cal coverage, call your local county office. Once you are released from Medi-Cal, call 1-877-752-4737 option 3 to be enrolled in a Covered California plan. Be aware that there are different income limits for Medicaid/Medi-Cal versus Covered California (the state exchange.)
Does Covered California take care of medical providers?
Covered medical providers: Your plan’s company can help you find a covered medical provider or change your primary care physician. Meanwhile, Covered California takes care of: Enrollment: You can determine if you qualify for a special enrollment period, learn when you can enroll or enroll in a Medi-Cal plan through Covered California.
Can I change my Medi-Cal plan to private?
Changing to a private plan: You can enroll in a private plan through Covered California if you will los e your Medi-Cal coverage soon. When you need to renew your Medi-Cal plan, your county social services office will assist. They will get in contact with you if they need any information or send you a renewal form.
Can you get help through Medi-Cal?
Since Medi-Cal members receive a commercial plan or a public plan, you receive this assistance through your plan. However, many plans have similar member services, and you can get some help through Covered California.
How to contact Medi-Cal?
For questions specific to Medi-Cal Managed Care, please visit the Office of the Ombudsman webpage. For questions specific to Mental Health Services, please email either the Mental Health Ombudsman or the DHCS County Support Office . You can also call 1-800-896-4042. TTY Line: 1-800-896-2512.
What is the number to call for Medi-Cal?
Medi-Cal Member and Provider Helpline. (800) 541-5555. Medi-Cal Members and Providers: If you have a question, need help, or need to report a problem, please call (800) 541-5555 (outside of California, please call (916) 636-1980) for our Telephone Service Center.
What is the TTY number for Medi-Cal?
TTY Line: 1-800-896-2512. Monday through Friday 8 a.m. - 5 p.m. ( Except State Holidays and CA only) As a participant in the Medi-Cal program your feedback is important to us. If you are a member or provider and would like to tell us about a problem with access to care, please email us here. .
Where can I find Medi-Cal?
While Medi-Cal is a statewide program, it is administered at the local level. A list of the county welfare offices can be found on the DHCS website or in your local phone book under Health and Human Services or Social Services.
What happens if you don't have a Medi-Cal account?
If you are not active, your case worker can look into the account to let you know the status of the application and whether any additional steps are needed to have the agency either accept or deny the request.
How many people are in Medi-Cal?
According to the California Department of Health Care Services (DHCS), one-third of the state's population, which includes over 13.2 million Californians, are registered for Medi-Cal, yet some don't realize their status is active.
Can I get Medi-Cal if I am a citizen?
The Medi-Cal eligibility requirements have expanded, which means individuals and families that previously didn't qualify, may now be approved. If you are a citizen or legal resident of the state of California and you earn less than 138 percent of the Federal Poverty Level, you probably qualify.
Medi-Cal Rx Status
If you are submitting NCPDP D.0 transactions for beneficiaries who are not part of a Managed Care Plan (MCP), all transactions regardless of date of service must be sent to Medi-Cal Rx. Refer to the Medi-Cal Rx NCPDP Payer Specification Sheet on the Medi-Cal Rx website for additional information.
Medi-Cal Rx is Live!
All administrative services related to Medi-Cal pharmacy benefits billed on pharmacy claims from existing Medi-Cal Fee-For-Service (FFS) or Managed Care Plan (MCP) intermediaries have transitioned to Medi-Cal Rx. Please go to the Medi-Cal Rx website for information, or call Medi-Cal Rx at 1-800-977-2273.
MCSS Emails and MLP Surveys Temporarily Suspended
Due to technical difficulties, the following Medi-Cal services are temporarily suspended until further notice:
What is the number to call for dental insurance in California?
For assistance on finding dentists who accept new patients for the Medi-Cal Dental Program, you may call toll-free (800) 322-6384, Monday through Friday, 8:00 a.m. to 5:00 p.m. Can I be charged for services? Services that are included in the Medi-Cal Dental Program's scope of benefits are not chargeable to the Medi-Cal dental member.
What is SOC in Medi-Cal?
The amount that you pay is called your Share of Cost (SOC). When you pay or promise to pay that amount, your SOC amount is considered met. Once you have met your SOC, Medi-Cal will pay the rest of your covered medical and dental bills for that month. For example, if your SOC is $50 and your medical bills for services covered by Medi-Cal for ...
Does Medi-Cal cover screening?
You can also get vaccinations to keep you healthy. Medi-Cal covers screening services any time there is a need for them, even if it is not during your regular check-up.
