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Medi-Cal Managed Health Care Options in San Diego County

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Medi-Cal Managed Health Care Options in San Diego County Medi-Cal Managed Health Care Your Medi-Cal Managed Care Health Plan Choices Options in San Diego County This material is being provided to help you better understand your choices. It is not an endorsement of any specific Medi-Cal Health Plan. Standard Medi-Cal Covered Services Welcome to Medi-Cal Managed Care Benefits Alvarado Hospital & Medical Center Scripps Mercy Hospital Chula Your Medi-Cal benefits can now be provided by a Medi-Cal Managed Care Health Plan. A Palomar Medical Center Vista Managed Care Health Plan gives you access to a network of doctors, clinics, specialists, Plan Network Paradise Valley Hospital Sharp Chula Vista Medical Center pharmacies and hospitals. Hospitals* Pomerado Hospital Sharp Coronado Hospital How Does Managed Care Work? Rady Children’s Hospital San Diego Sharp Grossmont Hospital Each Medi-Cal Managed Care Health Plan has a list of primary care providers you can choose *Call your Scripps Green Hospital Sharp Mary Birch Hospital for from. If you have a doctor now, you will need to find out if that doctor belongs to a Medi-Cal provider about Scripps Memorial Hospital Women & Newborns Managed Care Health Plan. Your primary care provider will be responsible for managing your using other Encinitas Sharp Memorial Hospital overall health care and referring you to other doctors if needed. locations in an Scripps Memorial Hospital La Jolla Sharp Mesa Vista Hospital Who Can Join a Medi-Cal Managed Care Health Plan? emergency. Scripps Mercy Hospital San Diego Tri-City Medical Center Anyone who is on Medi-Cal, lives in San Diego County, and has a qualifying aid code may UCSD Medical Center – Hillcrest choose a Medi-Cal Managed Care Health Plan. This chart and an enrollment packet are UCSD Medical Center – Thornton provided to all persons who, like you, qualify based on their current aid code(s). Use the Doctors you Call Member Services at (855) 772-9076 information in this comparison chart and the enrollment packet to examine your health plan can choose or visit www.AetnaBetterHealth.com/California choices. To order an enrollment packet or for assistance in completing a Choice Form, please Urgent Care Call your provider during business hours. call (800) 430-4263. Translators are available. The TDD Line for the hearing impaired is (800) Centers After hours, call (855) 772-9076. 430-7077. There is no charge to join a health plan. Pharmacies Network with 435 pharmacies; call Member Services at (855) 772-9076. Vision Plan Yes, partners with VSP. Call Member Services at (855) 772-9076. Assistance Transportation provided by Access2Care. Call Member Services at with Public (855) 772-9076. Transportation Health education courses covering topics such as weight management, Health Benefits Identification Card (BIC) diabetes, and other wellness topics. News bulletins, letters, and Education Choosing a Medi-Cal Managed Care Health Plan information available. Call Member Services at (855) 772-9076. Contact Member Services at (855) 772-9076 for interpreter services. If you already have a doctor, check the provider directory to see if he/she works with a Interpreter TTY 711 services for hearing and speech impaired, and alternative print Managed Care Health Plan. Then ask these questions when you compare the health plans: Services Can I keep the same doctor if I already have one? formats available for members. 24 Hour Nurse Will it be easy to get to the doctor? (855) 772-9076 The answers to these questions can help you decide which Managed Advice Line Care Health Plan is best for you. If you do not find the answers, call the Behavioral Health Mild to moderate conditions health plan member services to get the information you need. Services (855) 772-9076 Healthy San Diego Page 2 Your Medi-Cal Managed Care Health Plan Choices Your Medi-Cal Managed Care Health Plan Choices Standard Standard Medi-Cal Covered Services Medi-Cal Covered Services Benefits Benefits Alvarado Hospital & Medical Scripps Mercy Hospital Chula Vista Alvarado Hospital & Medical Scripps Mercy Hospital Chula Center Scripps Mercy Hospital San Diego Center Vista Plan Network Palomar Medical Center Sharp Chula Vista Medical Center Palomar Medical Center Scripps Mercy Hospital San Diego Plan Network Hospitals* Paradise Valley Hospital Sharp Coronado Hospital Paradise Valley Hospital Sharp Chula Vista Medical Center Hospitals* Pomerado Hospital Sharp Grossmont Hospital Pomerado Hospital Sharp Coronado Hospital *Call your Rady Children’s Hospital San Sharp Mary Birch Hospital for Rady Children’s Hospital San Sharp Grossmont Hospital *Call your provider about Diego Women & Newborns Diego Sharp Mary Birch Hospital for provider about using other Scripps Green Hospital Sharp Memorial Hospital Scripps Green Hospital Women & Newborns using other locations in an Scripps Memorial Hospital Tri-City Medical Center Scripps Memorial Hospital Sharp Memorial Hospital locations in an emergency. Encinitas UCSD Medical Center – Hillcrest Encinitas Tri-City Medical Center emergency. Scripps Memorial Hospital La Jolla UCSD Medical Center – Thornton Scripps Memorial Hospital La UCSD Medical Center – Hillcrest Jolla UCSD Medical Center – Thornton Doctors you Call Member Services at (855) 699-5557 Vibra Hospital of San Diego can choose or go to www.care1st.com Doctors you Call Member Services at (800) 224-7766 Urgent Care Call your provider during business hours. can choose or go to www.chgsd.com Centers After hours, call (855) 699-5557. Urgent Care Call your provider during business hours. Over 335 pharmacies countywide; call Member Services at (855) 699- Pharmacies Centers After hours, call (800) 647-6966. 5557. Pharmacies More than 430 locations; call Member Services at (800) 244-7766. Vision Plan Yes, call Member Services at (855) 699-5557. Vision Plan Yes, Vision Service Plan at (800) 877-7195. Assistance Call Member Services at (855) 699-5557 for free door to door Assistance Call Member Services at (800) 224-7766 for bus and trolley tokens to with Public transportation to medical appointments. with Public medical appointments. Transportation Transportation Health education classes offered on many subjects and multilingual Health Health Over 20 topics offered in English, Spanish and Vietnamese. Call brochures on over 17 topics. Call Member Services at (855) 699-5557. Education Education Member Services at (800) 224-7766. Interpreter Multiple languages available, including through language line services. Multiple dual language staff and other languages and help line for Interpreter Services Call Member Services at (855) 699-5557. the hearing impaired available through Member Services at (800) Services 24 Hour Nurse 224-7766. (855) 699-5557 Advice Line 24 Hour Nurse (800) 647-6966 Behavioral Health Mild to moderate conditions Advice Line Services (855) 321-2211 Behavioral Health Mild to moderate conditions Page 3 Services (800) 404-3332 Page 4 Your Medi-Cal Managed Care Health Plan Choices Your Medi-Cal Managed Care Health Plan Choices Standard Standard Medi-Cal Covered Services Medi-Cal Covered Services Benefits Benefits Alvarado Hospital & Medical Scripps Memorial Hospital Kaiser Permanente San Diego Kaiser Permanente Zion Medical Plan Network Center Encinitas Plan Network Medical Center Center Hospitals* Promise Hospital of San Diego Scripps Memorial Hospital La Jolla Hospitals* Palomar Medical Center Rady Children’s Hospital San Scripps Mercy Hospital Chula Vista Escondido *Call your Diego Scripps Mercy Hospital San Diego *Call your provider about Scripps Green Hospital Tri-City Medical Center provider about using other using other locations in an locations in an emergency. emergency. Doctors you Call Member Services at (800) 675-6110 Doctors you Call Member Services at (800) 464-4000 can choose or go to www.healthnet.com can choose or go to www.kp.org Urgent Care Call your provider during business hours. Urgent Care Call your provider during business hours. Centers After hours, call (800) 675-6110. Centers After hours, call (800) 290-5000. Over 375 pharmacies; call Member Services at (800) 675-6110. There is a pharmacy at every Kaiser Permanente location; call Pharmacies Pharmacies Member Services at (800) 464-4000. Vision Plan Yes, call Member Services at (800) 675-6110. Vision Plan Yes, call Member Services at (800) 464-4000. Assistance Please call Member Services (800) 675-6110 for assistance. Assistance Call Member Services for written directions to Kaiser sites by car with Public with Public and bus at (800) 464-4000. Transportation Transportation Health education classes, community events, weight management, Yes, at Kaiser provider locations. Call Health Education at (619) Health Health member newsletter, and written materials are available. Please call 641-4194. Education Education (800) 804-6074. Multiple languages available through Member Services at (800) 675- Contact (800) 464-4000 for Interpreter Services. TTY information Interpreter Interpreter 6110. Help line for the hearing and speech impaired at (800) 431— for hearing impaired. Call (619) 528-5138. Services Services 0964. 24 Hour Nurse 24 Hour Nurse (800) 675-6110 (800) 290-5000 Advice Line Advice Line Behavioral Health Mild to moderate conditions Behavioral Health Mild to moderate conditions Services (888) 426-0030 Services (877) 496-0450 Page 5 Page 6 Your Medi-Cal Managed Care Health Plan Choices Your Medi-Cal Managed Care Health Plan Choices Standard Standard Medi-Cal Covered Services Medi-Cal Covered Services Benefits Benefits Palomar Medical Center Scripps Mercy Hospital San Diego Alvarado Hospital
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