Direct Health and Medical Insurance Carriers Forms for Sacramento
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FAQ
The California Department of Health Care Services (DHCS) is a department within the California Health and Human Services Agency that finances and administers a number of individual health care service delivery programs, including Medi-Cal, which provides health care services to low-income people.
About Medi-Cal managed care medical plans Medi-Cal wants you and your family to be healthy and satisfied with your health care. Medi-Cal managed care medical plans have their own doctors, specialists, clinics, pharmacies, and hospitals. You can choose the doctor or clinic for all your health care needs.
A. Covered California will accept a clear, legible copy from the allowable document proof list from the following categories which you can click on for more details: Proof of Income, A Proof of Citizenship or Lawful Presence, Proof of California Residency, and Proof of Minimum Essential Coverage.
If you need help filling out this form, call 1-800-430-4263. Mail Completed form to: California Department of Health Care Services 2022 Health Care Options 2009, W. Sacramento, CA 95798-9850. Use the MEDI-CAL CHOICE FORM(S). You can use each form for up to three family members.
A Medical Exemption Request (MER) is a request to be exempt from mandatory enrollment in a Medi-Cal plan and instead remain in fee for service (FFS) Medi-Cal.
If your Medi-Cal application is approved by the County, you'll receive an enrollment packet from Health Care Options. This packet includes a Medi-Cal Choice form for choosing your doctor and your health plan. The form gives you the option to choose L.A. Care as the primary heath plan.