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Anthem Blue Cross Cal MediConnect Plan MEMBER HANDBOOK Chapter 1: Getting started as a member States can decide how to run their programs as long as they follow the federal rules Medicare and California approved Anthem Blue Cross Cal MediConnect Plan You can get Medicare and Medi-Cal services through our plan as long as:

PDF Anthem Blue Cross Combined Evidence of Coverage (EOC) and

ຍັງມີຄວາມຊ່ວຍເຫ ຼືອແລະການບໍລິການສໍາລັບຄົນພິການ ເຊັ່ນເອກະສານທີ່ເປັນອັກສອນມູນແລະມີໂຕພິມໃຫຍ່ ໃຫ້ໂທຫາເບີ

  • How can I get 24/7 access to my Anthem Blue Cross benefits?

    Care Management support is available 24/7 through Anthem Blue Cross Cal MediConnect Plan Customer Care at 1-855-817-5786. For a full list of contact information, please refer to the provider manual:

  • How do I contact Anthem Blue Cross in California?

    You may also call Anthem Blue Cross at (833) 933-0806 or Covered California at (800) 300-1506. See if your prescriptions, including your dosage, are available. Medical Treatment Our plans cover medically necessary testing and treatment. Guaranteed Coverage No denial of coverage for any pre-existing medical conditions.

  • What services does Anthem Blue Cross offer in California?

    Anthem Blue Cross delivers health insurance coverage to millions of Californians. WIth one of the largest PPO networks in the country, members have access to thousands of doctors and specialists, including more than 60,000 in California.

  • How long has Anthem Blue Cross been operating in California?

    Anthem Blue Cross has operated in California since 2004, but the company traces its roots to the 1930s, when Blue Cross of Northern California and Blue Cross of Southern California were founded. As a CaliforniaChoice member, you will have access to Anthem’s broad health care provider network, the largest in the country and in California.

1-855-699-5557 (TTY 711).

ຍັງມີຄວາມຊ່ວຍເຫ ຼືອແລະການບໍລິການສໍາລັບຄົນພິການ ເຊັ່ນເອກະສານທີ່ເປັນອັກສອນມູນແລະມີໂຕພິມໃຫຍ່ ໃຫ້ໂທຫາເບີ mss.anthem.com

Welcome to Anthem

Welcome to Anthem Thank you for joining Anthem. Anthem is a health plan for people who have Medi-Cal. Anthem works with the State of California to help you get the health care you need. mss.anthem.com

How to get help

Anthem wants you to be happy with your health care. If you have questions or concerns about your care, Anthem wants to hear from you mss.anthem.com

Continuity of care for an out-of-network provider

As a member of Anthem, you will get your health care from providers in Anthem’s network. To find out if a health care provider is in the Anthem’s network, read your provider directory online at anthem.com/ca/medi-cal. Providers not listed in the directory may not be in the Anthem network. In some cases, you might be able to get care from providers

Member costs

Anthem serves people who qualify for Medi-Cal. In most cases, Anthem members do not have to pay for covered services, premiums, or deductibles. If you are an American Indian, you do not have to pay enrollment fees, premiums, deductibles, co-pays, cost sharing, or other similar charges. MCPs must not charge any American Indian member who gets an ite

For members with long-term care and a share of cost

You might have to pay a share of cost each month for your long-term care services. The amount of your share of cost depends on your income and resources. Each month, you will pay your own health care bills, including but not limited to: Long-Term Support Service (LTSS) bills, until the amount you have paid equals your share of cost. After that, Ant

Asking Anthem to pay you back for expenses

If you paid for services that you already got, you might qualify to be reimbursed (paid back) if you meet all of these conditions: The service you got is a covered service that Anthem is responsible for paying. Anthem will not reimburse you for a service that Anthe does not cover. You got the covered service after you became an eligible Anthem memb

Primary care provider (PCP)

Your primary care provider (PCP) is the licensed provider you go to for most of your health care. Your PCP also helps you get other types of care you need. You must choose a PCP within 30 days of enrolling in Anthem. Depending on your age and sex, you can choose a general practitioner, OB/GYN, family practitioner, internist, or pediatrician as your

Out-of-network providers who are inside the service area

Out-of-network providers are health care providers that do not have an agreement to work with Anthem. Except for emergency care, you might have to pay for any care you get from out-of-network providers. If you need medically necessary health care services that are not available in the network, you might be able to get them from an out-of-network pr

What do I need to bring with me to my doctor’s appointment?

When you go to the doctor's office for your appointment, bring: Your regular Medicare ID card or your Medicare Advantage plan ID card If your Medicare plan is the MCO Advantage plan, show your MCO Advantage ID card Your Medi-Cal ID card Any medicines you are taking Your shot records mss.anthem.com

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