Medi-Cal Providers, Doctors & Companies
Everyone has health care needs, but not everyone has the financial means to seek treatment without access to affordable health insurance coverage — until now. If you’re in need of health insurance coverage for yourself or your family, you can now afford medical services at little or no cost thanks to Medi-Cal, California’s Medicaid program.
What Is Medi-Cal, and How Does It Work?
Medi-Cal is the Medicaid program in California that allows low-income individuals and families who don’t have the financial means to obtain health care coverage to gain access to necessary medical and health care providers and services. The California Department of Health Care Services (DHCS) and the Centers for Medicare and Medicaid Services (CMS) oversee the program.
If you’re a low-income Californian who needs financial assistance paying for visits to your primary care physician or dentist, prescription medications, rehab treatments, surgeries, hospital stays and more, Medi-Cal is perfect for you. The Medi-Cal program has participation from over 400 hospitals and approx 130,000 physicians, pharmacists, dentists and other health care providers in California.
Most Medi-Cal plans are managed care plans, which mean they operate similar to a Health Maintenance Organization (HMO). Under this designation, you will coordinate care using a number of Medicaid doctors and companies. Medi-Cal also offers Fee-For-Service plans.
How to Determine Your Medicaid Provider Network
If you’re eligible to enroll in Medi-Cal, you are automatically placed into the Fee-Fo-Service plan until you select your managed care provider. Your access to Medi-Care health plans depends on what California county you live in. Once you select a Medi-Cal managed care plan, you will select your primary care physician (PCP), which is the main doctor you will see for your routine checkups and visits when you’re sick.
You can view the Medi-Cal Managed Care Health Plan Directory to determine which health plans are available in your county. You must select a plan no more than 30 days after you’ve been informed you qualify for Medi-Cal services. Otherwise, the state of California will select your health plan for you.
If your county only has one plan listed, then that is the only option available for all Medi-Cal enrollees. If there is more than one option available, you should compare plans to choose the best one that will meet your health and medical needs.
How to Find Providers, Doctors, Medical Offices and Hospitals
Once you have selected your health plan, you can determine which providers are covered. You can use DHCS’ find a provider form to help by following only three simple steps when you search by location:
- Select your program: Medi-Cal Managed Care or Cal MediConnect
- Choose a provider type: Doctor, hospital, medical clinic or dentist/dental clinic
- Search by location: Address, zip code or county
What Health Insurance Companies Are Available in California?
Medi-Cal works with 11 different health insurances companies throughout California that provide individual, family and group health insurance (noted by **). Those companies include:
- Anthem Blue Cross
- Blue Shield of California**
- Chinese Community Health Plan**
- Health Net**
- Kaiser Permanente**
- A. Care Health Plan
- Molina Healthcare
- Sharp Health Plan**
- Oscar Health
- Valley Health Plan
- Western Health Advantage**
Get an Insurance Quote Today
If you think Medi-Cal is right for you, Health For California wants to make it easy for you to apply for services. Complete our form to receive a fast and accurate health plan quote today.