The amount of time it takes to receive your card depends on the county, but the wait generally is less than 30 days. Once your provide your name, address, date of birth, Social Security number, and other identity-confirming information, the representative will disable the lost card and issue a new one by mail. Replacement ProcessĬall your caseworker or your local California Health and Human Services Agency office as soon as you realize your Medi-Cal card is missing. If your card is damaged, stolen, or misplaced, request a new one from your county social services office as soon as possible to avoid billing issues. If you receive about a bill from a medical provider, you talk to the provider about the bill, and you still have a question, call Medicaid Information at 80 or toll-free at 1-80.Medi-Cal beneficiaries must provide health care providers with a benefits identification card at the time of service as proof of coverage.
What non-covered service you will have.If you get services that Medicaid does not cover, you have to pay for the services yourself. If the services you receive are not covered by Medicaid.During an appeal, grievance or hearing if the action is denied.When you were not eligible for Medicaid.You will have to pay the bill for services you get: You receive services without showing your Medicaid Member Card to the provider.You see a provider who is not part of your health plan.You may have to pay your own medical bills for Medicaid covered services if: If you have called your provider’s office and checked on the claim but you still have problems, call an HPR.You can also call and check on the claim. If they have billed for the services but have not heard back from the health plan or Medicaid, ask if they will check on the claim.Ask if they have billed your health plan or Medicaid. Make sure your provider’s office has a copy of your Medicaid card for the month of the service.If the bill says that you owe money, you should: Pay attention to the mail you get for medical care. Neither Medicaid nor your health plan will pay a provider for services given to a patient who was not covered. This is to prevent someone else from using your Medicaid or health plan cards to get health care services.
Card: When you see a health care provider for the first time, you may be asked to show a picture identification card as well. Then you can find out if the services you will receive are covered by Medicaid. Show both your Medicaid Member Card and the health plan card to each medical provider. Health Plan (ACO) Card: If you are also enrolled in a health plan, your health plan may also send you a separate member card with instructions. When you show your card before you get medical care, you can find out if the health care provider accepts Medicaid and whether the service is covered. Medicaid Member Card: Show your Medicaid Member Card BEFORE each appointment and BEFORE you order medical supplies, prescriptions, hearing aids, etc. To avoid problems, carry the cards listed below with you each time you seek health care services. It is important to show each health care provider your Medicaid Member Card BEFORE you receive any services.
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