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how to check my medi cal benefits

by Ellen Block Published 2 years ago Updated 1 year ago
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  • Visit the Agency In Person. Social Services agencies throughout California have different names in different counties. ...
  • 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.
  • 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.

​(800) 541-5555
  1. The Medi-Cal Member's beneficiary ID number. or.
  2. The last 4 digits of the Member's Social Security Number.
  3. And the Member's date of birth (2 digit month and 4-digit year) i.e. 12/1961.
Nov 19, 2021

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. ...

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How do I contact Medi Cal?

The Service Center can help with:

  1. Learning how to apply for Medi-Cal
  2. Learning about Medi-Cal services
  3. Finding a health care provider
  4. 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. ...

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Can I check my Medi-Cal status online?

How can I check my Medi-cal status 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.

How do I see my Medi-Cal benefits?

Call your local county office. You can find the phone number on the web at http://dhcs.ca.gov/mymedi-cal or call Covered California at 1-800-300-1506. In person: Find your local county office at http://dhcs.ca.gov/mymedi-cal.

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.

How much is Medi-Cal per month?

How much are the premiums? The premiums for Medi-Cal for Families are $13 for each child and no more than $39 per family per month.

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 find my Medi-Cal number?

Where Can I Find My Card Number and Member Number? After you enroll in Medi-Cal, you will get an enrollment package in the mail from your insurance company. This package will include a membership card and information about your health insurance account.

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.

How long does it take to get a Medi-Cal plan?

Remember, if you do not choose a plan within 30 days of receiving your health plan information mailer, Medi-Cal will choose a plan for you. If you live in San Benito County, there is only one health plan available and you may enroll in this health plan. However, you may choose to stay with Fee-for-Service Medi-Cal.

What is Medi-Cal in California?

Medi-Cal is California's Medicaid program . This is a public health insurance program that provides free or low cost medical services for children and adults with limited income and resources. Visit each topic​ below to learn more about the Medi-Cal process:

What is the number to call for dental services?

**Dental and vision services are available with some limitation. Learn more about dental benefits, and get further clarification by calling 1-800-322-6384 or visiting the. Medi-Cal Dental website.

What happens when you receive your BIC?

Receive your BIC – when you receive your BIC in the mail, you are able to use the many Medi-Cal benefits available to you.

How long does it take to choose a health plan?

However, you must choose a health plan within 30 days of receiving your health plan information mailer. If you do not choose a plan within 30 days , Medi-Cal will choose a plan for you. The health plans available to you depend on what county you live in. Go to the Medi-Cal managed Care Health Plan Directory to find your county.

How long does it take to receive a BIC?

When you first qualify for Medi-Cal and receive your BIC, you are covered under Fee-for-Service (also called Regular Medi-Cal). Within 45 days of receiving your BIC, you will be mailed information explaining your health plan options.

How to apply for a stipend in California?

Apply – complete the application, and submit either in person, by mail, by phone, or online. Receive a Notification of Likely Eligibility by mail. Your county's social services office may contact you by mail or by phone to request paper verification if income, citizenship, and other criteria cannot be verified electronically. ...

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.

Medi-Cal Learning Portal

The Medi-Cal Learning Portal (MLP) is the new, easy-to-use, one-stop learning center for Medi-Cal billers and providers.

Medi-Cal Subscription Service

The Medi-Cal Subscription Service (MCSS) is a free service that keeps you up-to-date on the latest Medi-Cal news. Subscribers receive subject-specific emails for urgent announcements and other updates shortly after they post to the Medi-Cal website.

How many people have Medi-Cal?

As a result of the Affordable Care Act (ACA) that began in 2014, Medi-Cal has provided health coverage to approximately 2.7 million new people.

Where can I apply for health insurance?

for Health Insurance. You can apply in person at your local county office, on the phone, or download, fill out, and. submit your application to your local county social services office. Locate your local county office.

What is covered California?

Covered California is a “one-stop shop” for your health insurance needs. Through Covered California, you are able to apply for Medi-Cal benefits electronically and receive real-time eligibility results. You can also report changes online and receive real-time customer support 24 hours a day.

Can I qualify for Medi-Cal?

Yes. Qualifying for Medi-Cal is now simpler than ever. For most individuals, Medi- Cal eligi bility is based on your household size and your income. Medi-Cal also attempts to verify your information electronically so you may be found eligible for benefits without ever having to provide paper verifications.

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. ​​ ​​.

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.

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