Can I Change My Medi-Cal Health Plans?

Yes. If you are in a Medi-Cal health plan and want to choose another health plan for any reason,

you may leave the health plan and join a different health plan

. You can call Health Care Options (HCO), toll free, at 1-800-430-4263 (TTY 1-800-430-7077), 8 a.m. to 6 p.m. PT, Monday through Friday, except holidays.

How do I update my Medi-Cal?

1. Online through MyBenefits CalWIN or Covered California.
2. By phone at (415) 558-4700.
3. Other ways to submit your renewal form: Email:
   
   [email protected]
   
   Fax: (415) 355-2432. Mail: Human Services Agency, P.O. Box 7988, San Francisco, CA 94120.

Do I have to choose a plan for Medi-Cal?

Most people who have Medi-Cal must enroll in a medical plan

. You or a member of your family must choose a medical plan if: You get CalWorks benefits (cash aid, food stamps)

How do I change my primary Medi-Cal?

To change your PCP,

call L.A. Care Member Services at 1-888-839-9909 (TTY: 711)

.

Can I change my Medi-Cal plan online?

Yes. If you are in a Medi-Cal health plan and want to choose another health plan for any reason,

you may leave the health plan and join a different health plan

. You can call Health Care Options (HCO), toll free, at 1-800-430-4263 (TTY 1-800-430-7077), 8 a.m. to 6 p.m. PT, Monday through Friday, except holidays.

Can I change my health insurance plan after enrollment?

Changing health insurance after open enrollment: Can I switch anytime? In most cases,

you can only sign up for or update your health insurance during the annual Open Enrollment Period

. However, if you experience certain qualifying life events, you may also become eligible for a Special Enrollment Period.

What are the different Medi-Cal plans?

Can you opt out of Medi-Cal?

Coverage cancellation: If you want to cancel your Medi-Cal plan,

you can request this cancellation through Covered California

. Changing to a private plan: You can enroll in a private plan through Covered California if you will lose your Medi-Cal coverage soon.

Is Medi-Cal PPO or HMO?

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.

How do I change my Covered California plan?

To report changes,

call Covered California at (800) 300-1506 or log in to your online account

. You can also find a Licensed Insurance Agent, Certified Enrollment Counselor or county eligibility worker who can provide free assistance in your area.

Does Medi-Cal automatically renew?

Medi-Cal members must renew their coverage each year to keep their health care benefits.

For most members, coverage is renewed automatically

. Sometimes the county will send you a renewal form that you must review and return, along with any additional required information.

Can I renew Medi-Cal online?

You can renew your Medi-Cal online

. You must fill out a Medi-Cal renewal form. This step is known as Medi-Cal redetermination. Be sure to look over your health plan during the Medi-Cal renewal process.

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

.

Does Kaiser accept Medi-Cal?

Kaiser Permanente participates in Medi-Cal in many counties

. This means that, if you are a current Kaiser Permanente member and your situation changes, you may be able to keep your same doctor and continue your care with Kaiser Permanente if you qualify for Medi-Cal.

What is Medi Medi plan?

Medicaid is

a joint federal and state program that helps pay medical costs if you have limited income and resources and meet other requirements

. Some people qualify for both Medicare and Medicaid and are called “dual eligibles.” This is also referred to as “Medi-Medi.”

What is a Cal MediConnect plan?

Cal MediConnect

combines Medicare and Medi-Cal benefits into one health plan, with additional care coordination benefits

. Cal MediConnect is part of California's larger Coordinated Care Initiative (CCI).

Does Cedars Sinai accept Medi-Cal?

At Cedars-Sinai Health System, we believe world-class healthcare should be accessible to everyone. That's why

we accept most insurance plans, including private insurance, HMOs, Medicare and Medi-Cal

.

Is CalOptima the same as Medi-Cal?

CalOptima provides health care coverage for Orange County residents who are eligible for full Medi-Cal

. Once enrolled, we will work with you to find the right health care providers to meet your needs.

Can I change my health insurance plan mid year?

In general, health insurance policies are 12-month contracts. If you switch insurer or plan and later want to switch back,

you may do so at your next renewal date

. In some cases, insurers allow policyholders to switch plans during the 12-month term.

Can I cancel medical insurance at any time?

Cancel your health plan: Any time

You can cancel your Marketplace coverage any time

. You may need to do this if you get other health coverage, or for another reason. You can end coverage for: Everyone on the application after your coverage has started.

Can I be denied health insurance because of a pre existing condition?

Health insurance companies cannot refuse coverage or charge you more just because you have a “pre-existing condition”

— that is, a health problem you had before the date that new health coverage starts.

Which Medi-Cal plan is best?

• Best for Medicare Advantage: Aetna.
• Best for Nationwide Coverage: Blue Cross Blue Shield.
• Best for Global Coverage: Cigna.
• Best for Umbrella Coverage: Humana.
• Best for HMOs: Kaiser Foundation Health Plan.
• Best for the Tech Savvy: United Healthcare.
• Best for the Midwest: HealthPartners.

What's the difference between Medi-Cal and Covered California?

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.

Is Health Plan of San Joaquin the same as Medi-Cal?

Good news,

if you live in San Joaquin County and you qualify for Medi-Cal you can now choose Health Plan of San Joaquin

. Our Medi-Cal product provides a full range of medical benefits and services for people that work and live in San Joaquin county.

Does Medi-Cal check your bank account?

Because of this look back period,

the agency that governs the state's Medicaid program will ask for financial statements (checking, savings, IRA, etc.) for 60-months immediately preceeding to one's application date

.

Do you have to pay Medi-Cal back?

Many of these people fear they will have to repay Medi-Cal for the months they were really ineligible for the no cost health insurance. Do you have to repay Medi-Cal after your income increases and you were no longer eligible? The short answer is

usually not

.