Medical Books Forms for Santa Clara
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FAQ
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.
To join a medical plan, call Health Care Options at 1-800-430-4263. Or you can complete a Medi-Cal Choice Form. You can find the form on the Download forms page. You can use your Medi-Cal Benefits Identification Card (BIC) for services through Regular (Fee-for-Service) Medi-Cal until you are a medical plan member.
KP Cal, LLC Kaiser Permanente GMC Kaiser Foundation Health Plan Inc. LI and COHS Subcontracts.
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.
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.
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.