Last updated: 3/8/2016 5:25 PM DO YOU HAVE BOTH MEDICARE AND MEDI-CAL? Intrductin If s, yu may be eligible t jin a Cal MediCnnect health plan. WHAT IS CAL MEDICONNECT? Cal MediCnnect is a health plan that cmbines all f the benefits yu nw get frm Medicare and Medi-Cal int a single plan. ONLY ONE CARD TO CARRY AND ONE PHONE NUMBER TO CALL CARE COORDINATION VISION BENEFITS TRANSPORTATION LONG TERM SERVICES AND SUPPORTS The gal f a Cal MediCnnect health plan is t crdinate yur medical care, behaviral health care, and hme and cmmunity-based services t better manage chrnic cnditins and help yu stay in yur hme and the cmmunity yu live in. READY FOR MORE INFORMATION? This tlkit will explain the benefits f a Cal MediCnnect health plan, hw t chse a Cal MediCnnect health plan, and walk yu thrugh the steps f using yur benefits. Mre infrmatin is available at www.calduals.rg. Questins abut yur Optins? Talk t a health insurance cunselr fr free: call Health Insurance Cunseling & Advcacy Prgram (HICAP): 1-800-434-0222. Prblems? T get free help, call Cal MediCnnect s Ombudsman Prgram: 1-855-501-3077. 1
CCI Overview WHAT IS CAL MEDICONNECT? Cal MediCnnect is a health plan that cmbines all yur Medicare and Medi-Cal benefits. This exciting new ptin can help yu better manage chrnic cnditins and keep yu frm unnecessary hspital visits. Cal MediCnnect health plans will fcus n crdinating all yur health care needs, including medical care, behaviral health care, and hme and cmmunity-based services. These health plans als prvide additinal benefits such as transprtatin and visin care. WHO IS ELIGIBLE? Yu must have bth Medicare and Medi-Cal t enrll in a Cal MediCnnect health plan. Cal MediCnnect is currently available in seven cunties: Ls Angeles, Orange, Riverside, San Bernardin, Santa Clara, San Dieg, and San Mate. T enrll in a plan tday, call Health Care Optins at 1-844-580-7272, Mnday Friday frm 8:00 am t 5:00 pm. Fr TTY users, call 1-800-430-7077. A representative in yur language can help yu enrll r change yur health plan. WHAT ARE THE BENEFITS? Cal MediCnnect health plans prvide the same medical services that yu currently receive, but have additinal benefits as well: Only ne phne number t call Only card t carry. When yu have questins r need help, yu nly need t call ne phne number. And yu nly need yur Cal MediCnnect health plan card fr services. Yur health plan will assign yu a persnal care crdinatr (a nurse r ther health care prfessinal) t answer questins and make sure that yu get the right services frm the right prviders. They can even help yu schedule appintments, arrange transprtatin, and check n prescriptins. Yur health plan will make sure that yur dctrs, specialists, pharmacists, caregivers, case managers, and ther prviders all wrk tgether t help yu take care f yur health. Yur health plan will cver and crdinate yur health needs, including: prescriptin drugs, visin care, and sme transprtatin t medical services. 2
CCI Overview Transprtatin: 30 ne-way health-related trips per year, such as medical appintments, picking up prescriptins, physical therapy sessins, and mre. Visin: Free annual eye exam and $100 fr eyeglasses r cntact lenses every tw years. Care Plan Optins: Sme plans may als ffer services t help yu stay healthy in yur wn hme if yu need them, such as in-hme wheelchair ramps r grab bars in shwers. WILL MY PROVIDER CHANGE? Check with yur plan r HICAP t see if yur current dctr is in Cal MediCnnect. If they are nt, yu can still keep seeing yur dctrs fr sme time. Fr mre details n hw t keep yur dctr, see Cntinuity f Care n page X f the tlkit. Yur Cal MediCnnect plan will prvide yur medical equipment, medical supplies, physical therapy, and transprtatin. If yu currently use any f these services, talk t the health plan abut arranging t receive them frm prviders apprved by the Cal MediCnnect plan. Yu can keep yur In-Hme Supprtive Services (IHSS) prvider when r if yu change t Cal MediCnnect. Yu have a right t hire, fire, and manage yur IHSS prviders. If yu are in a nursing hme, yu can stay as lng as quality and safety is nt in questin. Mre infrmatin is available at www.calduals.rg Yu can email inf@calduals.rg with any questins. ARE THERE OTHER OPTIONS? Participatin in Cal MediCnnect is vluntary, s it is yur chice t jin. Medicare + Medi-Cal Managed Lng-term Services and Supprt If yu chse nt t jin Cal MediCnnect, yu will cntinue t receive Medicare services as yu d tday, but will need t jin a Medi-Cal managed care plan t receive Medical Managed Lng-Term Services and Supprts, such as persnal care services. Prgram fr All-Inclusive Care fr the Elderly (PACE) PACE is als available if yu have Medicare and Medi-Cal; are 55 r lder; meet the level f care requirements fr a skilled nursing facility; live in yur hme r in a cmmunity 3
CCI Overview setting safely; need a high level f care fr a disability r chrnic cnditin; and live in a ZIP cde served by a PACE health plan. 4
Care Crdinatin HOW DOES CAL MEDICONNECT HELP YOU GET THE CARE YOU NEED? The First Step HEALTH RISK ASSESMENT Yur Cal MediCnnect health plan will ask questins t understand yur health needs, what yu are eligible fr, and hw t access thse services. Yur Current Needs Yur Health Histry Future Health Needs This can be cmpleted in persn, ver the phne r by mail. It is up t yu! Health Risk Assessment CARE COORDINATOR A care crdinatr is a nurse r ther health care prfessinal wh helps with: Answering questins abut the services yu are receiving r may need Cnnecting yu t cmmunity resurces Helping yu find a dctr, make an appintment, and arranging transprtatin t see yur dctr r pick up prescriptins Referring yu t services t help slve any prblems yu may have with yur health plan, dctr, r care crdinatr Giving yur dctrs the right infrmatin the first time CARE TEAM Yur Care Crdinatr Yu Yur Prviders A grup f dctrs and ther prviders wh share infrmatin abut yur health and make it easier fr yu t get the care yu need. Yur team is put tgether based n yur needs and always includes yur care crdinatr. Yur care team can als include: specialists, family members, care givers, In-Hme Supprtive Services (IHSS) case wrkers and prviders and thers. Yu and yur care team create a CARE PLAN just fr yu. Yur care plan helps yur prviders understand yur health gals, 5 needs, and preferences. It highlights the services yu want and need, and helps yur care team cnnect yu t thse services.
Prviders CAN I KEEP MY DOCTOR? If yu already have dctrs that yu knw and trust, yu can call the Cal MediCnnect health plans in yur cunty t ask if yur dctrs are a part f their netwrk. Yu can als ask yur dctrs if they have jined a Cal MediCnnect health plan netwrk. If yu jin Cal MediCnnect, yu must use dctrs wh are a part f yur Cal MediCnnect health plan s netwrk. Fr help finding ut if yur dctrs are in a Cal MediCnnect health plan s netwrk: call Health Insurance Cunseling & Advcacy Prgram (HICAP) at 1-800-434-0222. If yur dctr is part f a Cal MediCnnect health plan's netwrk If yur dctr is NOT part f a Cal MediCnnect health plan's netwrk Make sure yu enrll int the same Cal MediCnnect health plan that yur dctr is cntracted with. Wrk with a Care Crdinatr t transfer yur care t a differnt dctr in the health plan s netwrk. Ask yur dctr t jin a Cal MediCnnect health plan. In sme cases, yu can cntinue seeing yur dctr fr up t 12 mnths fllwing yur enrllment in a Cal MediCnnect health plan. This is called Cntinuity f Care which is explained, in detail, n page #.? Chsing Yur Dctr Yur health plan can help yu chse dctrs that yu trust and meet yur needs. As a Cal MediCnnect health plan member, yu will have the ptin f chsing a primary care prvider, r yu will have ne assigned t yu wh will wrk with yu t get yu necessary check-ups and screenings, keep yur health recrds, help yu manage chrnic cnditins, and cnnect yu with ther prviders as needed. If yu d nt like yur assigned primary care physician, yu can wrk with yur health plan t find anther ne. Yur primary care prvider will cnnect yur with specialists, such as cardilgists, nclgists, psychlgists, allergists, pdiatrists, and rthpedists t treat specific cnditins. Changing Yur Dctr Yu shuld always have dctrs wh yu can wrk with, trust, and wh meet yur needs. If yu are nt happy with yur first visit, yu can call yur 6 dctr s ffice and share yur cncerns. If yu d nt want t try a secnd appintment with that dctr, yu may ask t see anther dctr in the same ffice, r wrk with yur health plan t find a new dctr.
Cntinuity f Care When yu enrll in a Cal MediCnnect health plan yur care shuld nt be disrupted. Yur Cal MediCnnect health plan will ensure that the transitin is smth and yur health needs are met every step f the way. Call yur new plan t let them knw abut any treatment r services yu have scheduled. HOW TO KEEP YOUR DOCTOR: CONTINUITY OF CARE If yur current dctr is NOT part f yur Cal MediCnnect health plan, yu have the right t: Cntinue receiving care frm yur dctr fr 6 mnths fr Medicare services and 12 mnths fr Medi-Cal services - as lng as yu have an existing relatinship with the dctr. Yu must have an existing relatinship with a primary care dctr. Yu have t have had at least 1 visit in the last 12 mnths with yur specialist and yu have t have had at least 2 visits in the last 12 mnths with yur primary care dctr. Additinally, in rder t receive cntinuity f care, yur dctr must: Be willing t wrk with the plan and accept payment frm the plan. Nt be excluded frm the plan s netwrk fr quality r ther cncerns. Yu must transitin t receiving care frm a prvider in yur Cal MediCnnect plan s netwrk at the end f 12 mnths fr Medi-Cal services and 6 mnths fr Medicare services. Yur Cal MediCnnect plan can help yu with this transitin. YOU HAVE THE RIGHT TO CONTINUE TO RECEIVE MEDICALLY NEEDED SERVICES EVEN IF YOU MAY NO LONGER BE ABLE TO RECEIVE THEM FROM THE SAME PROVIDER. Hw t cntinue seeing a dctr utside f yur Cal MediCnnect Plan s netwrk: Befre chsing a Cal MediCnnect health plan, call the plan r HICAP t see if yur dctrs are cntracted. If they are nt cntracted with a Cal MediCnnect health plan: 1. Call yur Cal MediCnnect health plan and tell them abut yur scheduled care. 2. Tell yur plan that yu want t keep seeing yur dctr. The dctr must agree t wrk with the plan. Yur dctr r authrized representative can als call yur plan t arrange the services yu need. 7
Cntinuity f Care 3. If yu get care frm a dctr utside f yur Cal MediCnnect plan netwrk, let yur plan knw. 8
Other Prviders and Services Cal MediCnnect OTHER PROVIDERS AND SERVICES: Lng Term Services and Supprts Cal MediCnnect cvers all f yur Medi-Cal Managed Care Lng Term Services and Supprts, including In- Hme Supprtive Services (IHSS). IHSS prvides persnal care and ther services fr peple wh need help t live safely at hme. If yu have IHSS, jining Cal MediCnnect des nt change yur services r reduce yur IHSS hurs. If yu jin Cal MediCnnect, yur hurs may even be increased based n the results f yur Health Risk Assessment (HRA). Yu can still hire, fire, and manage yur IHSS prviders. If yu are in a nursing hme, yu will nt have t change nursing hmes - unless yur Cal MediCnnect health plan is cncerned abut the quality f care prvided at the nursing hme. Insert graphic Prescriptin Drugs Cal MediCnnect health plans cver all Medicare Part D drug benefits and any Medi-Cal prescriptin drug benefits. Because f this, yu will n lnger need a separate Part D plan. Yur ld Part D plan will send a cnfirmatin letter t let yu knw that yur drugs will nw be prvided by yur Cal MediCnnect health plan. This des nt mean yu are lsing yur Part D benefits. When yu first enrll in Cal MediCnnect, yur Care Crdinatr will wrk with yu t make sure that yu have at least a 30-day supply f yur current medicatins as yu transitin t receiving yur prescriptins thrugh yur Cal MediCnnect plan. While all Cal MediCnnect plans cver the same drugs, sme cver different generic names f the drugs. Yur plan will wrk with yu t make sure yu get the drugs yu need. 9
Other Prviders and Services Language Services If yu d nt speak English, yur health plan must prvide assistance in yur language. If yu speak American Sign Language (ASL), yu have the right t a sign language interpreter. Language assistance includes: medical interpreters, dctrs and staff wh speak yur language, and printed materials in yur language, such as cnsent frms and directins fr treatment. T ensure that an interpreter is present, either by phne, vide cnference, r in persn, make sure t tell yur plan that yu need ne. Yu shuld als ask fr an interpreter when yu make yur appintment. Interpreters are part f Cal MediCnnect and yu will nt have t pay. Yur plan can give yu a list f prviders that speak yur language. Ask yur plan and dctrs t make a nte in yur medical recrd that yu need an interpreter and dcuments in yur language. Medical Supplies During yur Health Risk Assessment (HRA), yu will be asked abut the supplies and medical equipment yu need and additinal supplies that yu may benefit frm. Each Cal MediCnnect plan has specific suppliers, s nce yu are enrlled, yu will get yur supplies frm yur plan s supplier. Yur plan will wrk with yu t make sure yu receive yur medical supplies withut disruptin. Insert graphic 10
MLTSS Managed Medi-Cal Lng-Term Services and Supprts (MLTSS) If yu chse nt t enrll in a Cal MediCnnect health plan, yu are required t enrll in a Medi-Cal Managed Care plan s that yu can cntinue receiving Medi-Cal services. A Medi-Cal Managed Care plan includes lng-term services and supprts, if yu have them. Will enrlling in a Medi-Cal Managed Care plan change my Medicare benefits? N. Yur Medicare benefits will nt change. Yu will still be able t g t yur Medicare dctrs, hspitals, and prviders. If yu have issues receiving yur Medicare services, call yur Medicare plan r 1-800-MEDICARE, (800) 633-4227, immediately. What will change when I enrll? When yu enrll in a Medi-Cal Managed Care plan, all f yur lng-term services and supprts will be managed by the plan. If yu receive medical supplies and equipment, yur health plan must still prvide these. Hwever, the health plan s vendrs will nw prvide yur supplies and equipment. Yur In Hme Supprtive Services (IHSS), Cmmunity-Based Adult Services (CBAS), Multipurpse Senir Services Prgram (MSSP), inpatient nursing facility, and subacute care facility services will nt change. Yu always have the right t hire, fire, and manage yur IHSS prviders. Hw can I cntinue receiving necessary services? Yur Medi-Cal managed care plan must cntinue t prvide all f yur current Medi-Cal services, including all medical supplies and equipment. Cntact yur plan immediately if yu are nt receiving necessary services. Will I be charged fr my MLTSS r Medicare services? N. Yu shuld nt receive a bill fr yur MLTSS r Medicare services. Yu are nt respnsible fr paying c-pays, c-insurance, r deductibles fr any Medi-Cal r Medicare services yu receive. The nly exceptin is fr Medi-Cal beneficiaries wh have a mnthly share f cst bligatins, wh must pay their share f cst. Otherwise, billing yu wuld be called Balance Billing and is illegal under bth federal and state law. Fr mre infrmatin n Balance Billing see page # X. 11
Health Plan 101 H e a l t h P l a n 1 0 1 A Cal MediCnnect health plan is a type f managed care health plan. This fact sheet will explain what that means, and hw t get the mst ut f it. What is a managed care health plan? Pharmacies Yur health plan pays fr prvider services, medicatins, hspital care, and special equipment t help yu manage yur health. If yu have bth Medicare and Medi-Cal yu shuld nt be billed fr any f these services unless yu have a mnthly share-f-cst. Fr questins abut share-f-cst, cntact Health Care Optins at 1-844-580-7272, Mnday thrugh Friday, 8:00 am t 5:00 pm. TTY users can call 1-800-430-7077. Primary Care Physicians Medical Suppliers Health Plan Netwrk Nursing Facilities Specialists A managed care plan helps yu t manage yur health thrugh a netwrk f prviders. A plan s netwrk is a specific grup f health care prviders, including: primary care dctrs, specialists, pharmacies, nursing facilities, and suppliers f medical equipment, such as wheel chairs. As a member f a managed care health plan, yu must use the prviders in yur health plan s netwrk. Prviders wh are nt in yur health plan s netwrk are called ut-f-netwrk prviders. If yu are a Cal MediCnnect member and have an ut f netwrk prvider, yu may be able t cntinue seeing that prvider fr up t 6 mnths fr Medicare services and 12 mnths fr Medi-Cal services, if yur dctr and the health plan agree. Please see the Cntinuity f Care dcument n page XX fr mre infrmatin. What are the different types f dctrs included in a health plan s netwrk? Primary Care Prvider: This is the persn yu see first fr mst medical services. They wrk with yu t get yur recmmended screenings, keep yur health recrds, help yu manage chrnic cnditins, and cnnect yu with the ther types f prviders yu need. Wh qualifies as a Primary Care Prvider? Family physicians, internists, general practitiners, nurse practitiners, and physician s assistants. 12
Health Plan 101 Specialist: This is a dctr wh fcuses n a specific area f medicine and wh can diagnse, manage, and prevent certain types f symptms and cnditins. Examples f specialists include: Cardilgists, nclgists, psychlgists, allergists, pdiatrists, and rthpedists. Hw can I schedule an appintment with a dctr in my managed care plan? If yu have seen the dctr in the past, call their ffice directly t make an appintment. If yu are new t yur plan, call yur plan t get a list f prviders that are in the plan s netwrk. Yu can als ask yur plan t help yu schedule yur appintment and chse a prvider. If yu are in a Cal MediCnnect plan, yu can ask yur health plan fr help with scheduling and arranging transprtatin t and frm yur appintment. Hw shuld I prepare fr my appintment? 1. Make sure yu have yur benefit identificatin card r cards with yu when yu g t yur appintment. This includes bth yur Medi-Cal and Medicare cards. If yu are in a Cal MediCnnect plan, yu will have ne benefit identificatin card that cvers bth yur Medicare and Medi-Cal benefits. 2. Bring a list f questins and things t discuss with yur dctr and take ntes during yur visit. 3. If yu are taking medicatins, make sure t bring a list f them with yu. If yu are in a Cal MediCnnect plan, yu can tell yur health plan abut yur medicatins and they can infrm yur dctrs. 4. Befre yu leave, make sure t ask yur dctr any questins yu may have. 5. If needed, schedule a fllw-up appintment befre leaving. If yu are in a Cal MediCnnect plan, yu can cntact yur health plan with any questins r cncerns yu may have in between visits. What can I d if my health plan will nt cver a service that I need? Yu can appeal a decisin made by yur dctr and/r health plan t deny: A service, supply, r prescriptin drug that yu think yu shuld be able t get A request fr payment fr health care r a prescriptin drug that yu already have Call yur health plan t ask abut the appeals prcess. What is prir authrizatin? Yur health plan may require a prir authrizatin r prir apprval befre yu can receive a specific health care service, treatment, prescriptin, r piece f medical equipment. Prir authrizatin is a decisin made by yur health plan that the service r supplies are medically necessary. 13
Patient Bill f Rights Yur Rights Patient s Bill f Rights As a member f a Cal MediCnnect r Medi-Cal Managed Care Plan, yu have certain rights and respnsibilities. Be treated with dignity Get timely access t services fr a health prblem r disability Be tld where, when, and hw t get needed services Take part in decisins abut yur care, including the right t refuse treatment Be treated by prviders wh have experience/expertise in yur cnditin Have yur medical recrds and treatment kept private Get a cpy f yur medical recrds Cntinue t have the right t hire, fire, and manage yur IHSS prvider Yur Respnsibilities Use prviders wh wrk with the health plan t get cvered services Wrk with yur prvider and health plan t get apprval fr needed services Tell the health plan abut yur care needs and cncerns Prblems r Cncerns? First, call yur health plan. Yur plan will have a prcedure fr yu t fllw t get mre infrmatin r t appeal a decisin. If yur prblem has nt been slved after talking t yur plan, yu have additinal ptins: Cal MediCnnect s Ombudsman Prgram (855-501-3077) Mnday-Friday, 9:00am- 5:00pm: The Cal MediCnnect Ombudsman can help yu with yur ptins, help yu file an appeal r grievance, and help yu set up a fair hearing. Medi-Cal Managed Care Ombudsman (888-425-8609) Mnday-Friday, 8:00am-5:00pm: If yu nly have a Medi-Cal plan, the Medi-Cal Managed Care Ombudsman can tell yu abut yur ptins, help yu with appeals, grievances, and setting up a fair hearing. 1-800-Medicare (800-633-4227) 24-hurs-a-day / 7-days-a-week: Yu can call this number fr questins abut yur Medicare benefits. 14
Balance Billing GET THE FACTS BALANCE BILLING What shuld I knw abut balance billing? If yu have bth Medicare and Medi-Cal cverage (meaning yu are a dual eligible beneficiary), health care prviders (like a dctr r hspital) cannt charge yu fr any part f yur health care csts. This is called balance billing and is illegal under bth federal and state law. Under the law, yu cannt be charged fr c-pays, c-insurance r deductibles. The nly exceptin is that prviders may bill Medi-Cal beneficiaries wh have a mnthly share f cst bligatin, but nly until that bligatin is met. Fr questins abut share-f-cst, call Health Care Optins at 1-844-580-7272, Mnday Friday, frm 8:00 am t 5:00 pm. Why wuld a prvider bill me fr services? As yu and ther dual eligible beneficiaries mve t managed care health plans, prviders may bill beneficiaries incrrectly. The state is wrking n educating prviders t avid incrrectly billing beneficiaries. What shuld I d if I am billed by ne f my health care prviders? If yu have been billed by a health care prvider: 1. D nt pay the bill. 2. Cntact yur health plan immediately t reslve the issue. Phne numbers fr Cal MediCnnect and Medi-Cal plans can be fund n page # X. 3. Cntact yur health care prvider and tell them that yu shuld nt have been billed because yu receive Medi-Cal. What shuld my dctr d if I am billed in errr? Once yu alert yur prviders abut the bill and tell them yu have Medi-Cal, they must take immediate actins t fix the issue. They must stp the bill cllectin prcess and wrk with credit reprting agencies t crrect any issues caused by billing yu. If yu r yur health care prvider wuld like t learn mre abut balance billing r have questins abut 15 what actins t take, yu can als call the Cal MediCnnect Ombudsman at (855) 501-3077.
Checklist Recap: What t cnsider befre jining a Cal MediCnnect health plan: Nw that yu knw mre abut Cal MediCnnect health plans, it is time t decide what ptin is best fr yu. Belw are sme key questins t cnsider when chsing a Cal MediCnnect health plan. Each cunty has different ptins fr Cal MediCnnect health plans, which might have different dctrs in their netwrks. It is imprtant t call the Cal MediCnnect health plans in yur cunty and ask them fr mre infrmatin befre making yur chice. A full list f cntact infrmatin is available n the back side f this page. Can I cntinue t see my current dctrs? If yu have a dctr yu want t keep seeing, it is imprtant that yu first check t see if yur dctr is part f the Cal MediCnnect health plan that yu are thinking abut jining. Call the health plans in yur cunty t find ut - cntact infrmatin is n the back f this page. Yu may be able t cntinue t see yur dctr fr a limited amunt f time, even if they are nt part f yur Cal MediCnnect health plan. See the Prviders fact sheet fr mre infrmatin. Will I have t change my nn-medical prviders? Yur medical equipment, medical supplies, physical therapy, and transprtatin will be prvided thrugh yur Cal MediCnnect plan's netwrk. If yu currently use any f these services, talk t yur plan abut switching t yur Cal MediCnnect health plan's prviders. Yur In-Hme Supprtive Services (IHSS) prvider will nt change with Cal MediCnnect. Yu still have the right t hire, fire, and manage yur IHSS prviders. See the Other Prviders and Services fact sheet fr mre infrmatin. Can I cntinue t get my current prescriptin drugs? Cal MediCnnect health plans cver all Medicare Part D and Medi-Cal prescriptin drug benefits. While all Cal MediCnnect plans cver the same drugs, sme cver different generic versins f the drugs. Call the Cal MediCnnect health plan yu are thinking abut jining t learn abut the plan s list f cvered drugs. See the Other Prviders and Services fact sheet fr mre infrmatin. What added benefits will I receive? In additin t yur regular Medicare and Medi-Cal benefits, yu will receive additinal benefits including: care crdinatin, visin, and transprtatin services. See the CCI Overview and Care Crdinatin fact sheets fr mre infrmatin. Will it cst me mney t jin a plan? Yu will nt have t pay fr yur Cal MediCnnect health plan r any f the benefits yu receive thrugh the plan. If yu currently have a share f cst fr yur Medi-Cal benefits, that will stay the same. See the Balance Billing fact sheet in the tl kit fr mre infrmatin. What are my ptins if I decide nt t jin a Cal MediCnnect health plan? Yu can keep yur Medicare the way it is nw, but yu will have t jin a Medi-Cal managed care health plan t receive yur Medi-Cal benefits, including yur lng-term services and supprts. See the MLTSS fact sheet fr mre infrmatin. Need help? Call the Health Insurance Cunseling & Advcacy Prgram # 1-800-434-0222 16
Health Plan Cntact Infrmatin Cal MediCnnect Health Plans Ls Angeles Cunty Plan Name Phne Number TTY Online Care1st Cal MediCnnect 1-855-905-3825 711 https://www.care1st.cm/ca/calmedicnnect/ CareMre Cal MediCnnect 1-888-350-3447 711 http://duals.caremre.cm/ Health Net Cal MediCnnect 1-888-788-5395 711 https://www.healthnet.cm/prtal/shpping/cntent/iwc/shpping/ medicare/duals/duals_intrductin.actin L.A. Care Cal MediCnnect 1-888-522-1298 1-888-212-4460 http://www.calmedicnnectla.rg/ Mlina Dual Optins 1-855-665-4627 711 http://www.mlinahealthcare.cm/members/ca/en-us/hp/duals Orange Cunty Plan Name Phne Number TTY OneCare Cnnect 1-855-705-8823 1-800-735-2929 Riverside Cunty Plan Name Phne Number TTY Online IEHP DualChice 1-877-273-4347 1-800-718-4347 https://ww3.iehp.rg/en/members/plans/cal-medicnnect/ Mlina Dual Optins 1-855-665-4627 711 http://www.mlinahealthcare.cm/members/ca/en-us/hp/duals San Bernardin Cunty Plan Name Phne Number TTY Online IEHP DualChice 1-877-273-4347 1-800-718-4347 https://ww3.iehp.rg/en/members/plans/cal-medicnnect/ Mlina Dual Optins 1-855-665-4627 711 San Dieg Cunty Plan Name Phne Number TTY Online Care1st Cal MediCnnect CmmuniCare Advantage Health Net Cal MediCnnect Mlina Dual Optins 1-855-905-3825 1-800-224-7766 1-888-788-5805 1-855-665-4627 http://www.mlinahealthcare.cm/members/ca/en- US/hp/duals 711 https://www.care1st.cm/ca/calmedicnnect/ 1-800-735-2929 711 711 http://chgsd.cm/medicnnect.aspx https://www.healthnet.cm/prtal/shpping/cntent/iwc/shpping/ medicare/duals/duals_intrductin.actin http://www.mlinahealthcare.cm/members/cmmn/enus/pages/duals.aspx Santa Clara Cunty Plan Name Phne Number TTY Online Anthem Blue Crss 1-855-817-5785 711 http://64.60.187.54/ Santa Clara Family Health Plan 1-877-723-4795 1-800-735-2929 http://www.scfhp.cm/ San Mate Cunty Plan Name Phne Number TTY CareAdvantage CMC 1-866-880-0606 711 17