New Medi-Cal Rules For People with Disabilities and Seniors In Los Angeles County
Most people with disabilities and seniors must enroll in a Medi-Cal Health Plan. You must enroll by the end of your birthday month, between June 2011- May 2012. This information can help you decide which Medi-Cal Health Plan is best for you. If you are already in a Plan, you do not have to do anything. If you live in Los Angeles County, you must choose Health Net or L.A. Care Health Plan. These are Medi-Cal Health Plans. You will still have Medi-Cal in both of these Plans.
To learn about these Plans, call Health Net: 1-800-675-6110 L.A. Care Health Plan: 1-888-839-9909 To enroll in either Plan, call Health Care Options: 1-800-430-4263
If you do not enroll in Health Net or L.A. Care Health Plan by the end of your birthday month, we will enroll you in one of them.
Please look inside for details and phone numbers. Choosing a Medi-Cal Health Plan in Los Angeles County:
• Use the chart below to compare Medi-Cal Health Plans. • Choose the Plan that includes the doctors that are most important to you. • Ask your doctors which Plans they take. Or call the Plan and ask. • If a doctor you use is not in the Plan, you may still be able to see him or her. Ask your doctor. • If you get care through a special program (like CCS, GHPP, or Waiver), your care for those conditions will not change. But, you will get other care through a Medi-Cal Health Plan. • To enroll in a Plan, call Health Care Options at 1-800-430-4263 and enroll on the phone. Or use the enrollment form that came in this envelope. • 15 - 45 days after you enroll, your new Plan will send you a membership card. While you are waiting for it, keep using the doctors and hospitals you use now.
Medi-Cal Health Plans Health Net L.A. Care Health Plan 1-800-675-6110 1-888-839-9909 www.healthnet.com www.lacare.org Basic Services Basic Medi-Cal Benefits Same Same 24-Hour Advice Nurse Yes Yes Interpreter Services Yes Yes To Get a List of Preferred Drugs 1-800-675-6110 1-888-839-9909 Costs to You Cost for Doctor Visits $0 $0 Cost for Drugs $0 $0
Kaiser Medi-Cal Health Plan is available to a limited number of people with Medi-Cal. To be eligible, you must have had coverage through Kaiser in the past 6 months, must have it currently, or you must have an immediate family member currently enrolled in Kaiser. To get Kaiser, you must first enroll in L.A. Care Health Plan. Hospitals you can go to for medical care are listed below. You will usually go to the hospitals that your doctor works with. For hospitals where you can go for mental health care, call 1-800-854-7771.
Health Net
• Alhambra Hospital Medical Center • Lancaster Community Hospital • Bellflower Medical Center • Long Beach Memorial Medical Center • Beverly Hospital • Los Alamitos Medical Center • Brotman Medical Center • Memorial Hospital of Gardena • California Hospital Medical Center • Methodist Hospital of Southern California • Children’s Hospital of Los Angeles • Miller Children’s Hospital • Citrus Valley Medical Center– • Mission Community Hospital Inter-Community Campus • Monterey Park Hospital • Citrus Valley Medical Center– • Olive View–UCLA Medical Center Queen of the Valley Campus • Orthopedic Hospital • City of Hope National Medical Center • Pacific Alliance Medical Center • Community & Mission Hospital • Pacific Hospital of Long Beach • Doctors Hospital of West Covina • Pacifica Hospital of the Valley • Downey Regional Medical Center • Ponoma Valley Hospital Medical Center • East Los Angeles Doctors Hospital • Providence Holy Cross Medical Center • East Valley Hospital Medical Center • Providence St. Joseph Medical Center • Encino Tarzana Regional Medical Center • Providence Tarzana Medical Center • Foothill Presbyterian Hospital • Rancho Los Amigos Medical Center • Garfield Medical Center • St. Francis Medical Center • Glendale Memorial Hospital • St. Vincent Medical Center • Good Samaritan Hospital • Suburban Medical Center • Greater El Monte Community Hospital • Temple Community Hospital • Harbor–UCLA Medical Center • Tri City Regional Medical Center • Hollywood Presbyterian Medical Center • Valley Presbyterian Hospital • Ingleside Hospital • Verdugo Hills Hospital • LAC - Martin Luther King Jr. Multi-Service Ambulatory Care Center (MLK-MACC) • Washington Medical Center • LAC + USC Medical Center • White Memorial Medical Center • Lakewood Regional Medical Center • Whittier Hospital Medical Center L.A. Care Health Plan
• Alhambra Hospital Medical Center • Hollywood Community Hospital • Antelope Valley Hospital • Hollywood Presbyterian Medical Center • Barlow Respiratory Hospital • Huntington Memorial Hospital • Bellflower Medical Center • LAC - Martin Luther King Jr. Multi-Service Ambulatory Care Center (MLK-MACC) • Beverly Hospital • LAC + USC Medical Center • Brotman Medical Center • Lakewood Regional Medical Center • California Hospital Medical Center • Lancaster Community Hospital • Casa Colina Rehabilitation Hospital • Long Beach Memorial Medical Center • Centinela Hospital Medical Center • Los Angeles Community Hospital • Children’s Hospital of Los Angeles • Los Angeles Metropolitan Medical Center • Citrus Valley Medical Center– Inter-Community Campus • Marina Del Rey Hospital • Citrus Valley Medical Center– • Memorial Hospital of Gardena Queen of the Valley Campus • Methodist Hospital of Southern California • City of Angels Medical Center • Miller Children’s Hospital • Community Hospital of Huntington Park • Mission Community Hospital • Community Hospital of Long Beach • Mission Community Hospital Panorama • Doctors Hospital of West Covina • Mission Hospital of Huntington Park • East Los Angeles Doctors Hospital • Monterey Park Hospital • East Valley Hospital Medical Center • Northridge Hospital Medical Center • Encino-Tarzana Regional Medical Center • Norwalk Community Hospital • Foothill Presbyterian Hospital • Olive View–UCLA Medical Center • Garfield Medical Center • Olympia Medical Center • Glendale Adventist Medical Center • Orthopedic Hospital • Glendale Memorial Hospital & • Pacific Alliance Medical Center Health Center • Pacific Hospital of the Valley • Good Samaritan Hospital • Pacifica Hospital of Long Beach • Greater El Monte Community Hospital • Pomona Valley Hospital Medical Center • Harbor–UCLA Medical Center
(Continued on next page) L.A. Care Health Plan (Continued)
• Providence Holy Cross Medical Center • St. Mary Medical Center–Long Beach • Providence St. Joseph Center • St. Vincent Medical Center • Rancho Los Amigos National • Suburban Medical Center Rehabilitation Center • Temple Community Hospital • San Dimas Hospital • USC University Hospital • San Gabriel Valley Medical Center • Valley Presbyterian Hospital • San Pedro Peninsula Hospital • Verdugo Hills Hospital • San Vicente Hospital • West Hills Hospital & Medical Center • Specialty Hospital • White Memorial Medical Center • St. Francis Medical Center–Lynwood • Whittier Hospital Medical Center
Find a primary care doctor with disability access Use this link to find a primary care provider who has accessible parking, waiting areas, exam rooms, tables and scales, restrooms, or buildings. http://www.lacare.org/members/medi-cal/findadoctor Useful Phone Numbers
Denti-Cal 1-800-322-6384 Information about dental care that is covered by Medi-Cal for people under age 21
Los Angeles County Community and Senior Services 1-213-738-2600 Information and referrals to many services for people with disabilities and seniors
Los Angeles County Department of Mental Health 1-800-854-7771 Information about mental health services
Substance Abuse Prevention and Control 1-800-564-6600 Help with alcohol and drug problems
If You Have a Problem with Medi-Cal, your Plan, or Getting Care
Help Center 1-888-466-2219 Help if your Medi-Cal Health Plan denies the services you need
Medi-Cal Managed Care Ombudsman 1-888-452-8609 Help if you have a problem you cannot solve with your Plan
Medi-Cal State Hearing 1-800-952-5253 File an appeal if your Plan denies the services you need
Health Net 1-800-675-6110 Help if you have a problem with Health Net
L.A. Care Health Plan 1-888-839-9909 Help if you have a problem with L.A. Care Health Plan
The information on these pages is as accurate as possible as of September 2010.