Medi-Cal Member Services

As a Medi-Cal member, you have access to member services like anyone who has a private insurance plan. Since Medi-Cal members receive a commercial plan or a public plan, you receive this assistance through your plan. However, many plans have similar member services, and you can get some help through Covered California. These additional resources and information let you get the most out of your Medi-Cal coverage.

How Do I Change or Cancel My Medi-Cal Plan?

Depending on the county where you live, you may have multiple Medi-Cal plan options. If you want to try another plan available in your county, you can change it at any time. To switch your Medi-Cal plan, you can call Medi-Cal Managed Care Health Care Options at 1-800-430-4263. You may also complete a Medi-Cal Choice Form that you can find on the Health Care Options download page. Choose your county from the drop-down menu, then look for the form link under “Choice enrollment forms.” Learn more about the plans available in your county through the Medi-Cal Managed Care Health Plan Directory.

If you need to cancel your Medi-Cal coverage, call your local county office. Once you are released from Medi-Cal, get a quote online to view rates and enroll in a Covered California plan. Be aware that there are different income limits for Medicaid/Medi-Cal versus Covered California (the state exchange.)

Where Can I Access My Medi-Cal Member Services?

You can access your member services online through your plan’s website and the Covered California website. Each service manages different aspects of your coverage. Also, your local county office will take care of specific parts of your Medi-Cal membership. Your health insurance company handles:

• Premium payments: When you need to make a premium payment, your health insurance company will accept it online or by phone.
• ID cards: Your insurance company will issue your membership ID card. They can also send you a replacement card if you lose it.
• Benefits and eligibility: Every insurance plan has unique benefits and eligibility requirements. A representative from your insurance company can explain these details to you.
• Claims: The insurance company can inform you how you paid your service claims when you need to verify this information.
• Covered medical providers: Your plan’s company can help you find a covered medical provider or change your primary care physician.

Meanwhile, Covered California takes care of:

• Enrollment: You can determine if you qualify for a special enrollment period, learn when you can enroll or enroll in a Medi-Cal plan through Covered California.
• Application information: Covered California handles changes to application information such as income verification, proof of residency and citizenship.
• Eligibility: When you request a quote from Covered California, they will determine if you or a family member has Medi-Cal eligibility.
• Coverage cancellation: If you want to cancel your Medi-Cal plan, you can request this cancellation through Covered California.
• Changing to a private plan: You can enroll in a private plan through Covered California if you will lose your Medi-Cal coverage soon.

When you need to renew your Medi-Cal plan, your county social services office will assist. They will get in contact with you if they need any information or send you a renewal form. For further assistance, you can contact your county’s Medi-Cal office or the Medi-Cal Member Helpline (1-800-541-5555).

How Do I Access Member Services?

Medi-Cal members can receive member services through the Internet or by phone. Most insurance plans have online member assistance, and many companies also allow you to call them to receive direct help. Covered California also has online member services that you can access through an account. You can make a Covered California account even if you already submitted an application through another method.

Where Can I Find My Card Number and Member Number?

After you enroll in Medi-Cal, you will get an enrollment package in the mail from your insurance company. This package will include a membership card and information about your health insurance account. Your welcome letter from the insurance company may also mention your membership ID number. If you want to make an online account for member services with your insurance plan, you need these numbers to create an account.

Does Medi-Cal Member Services Have a Phone Number?

For general questions about Medi-Cal, members and medical providers can call the official helpline at 1-800-541-5555. Depending on the situation, you may also call Covered California at 1-800-300-1506 or your county’s Medi-Cal office.

How Do I Pay My Premium Online?

Your health insurance company will receive all premium payments. After you enroll in a plan, you should receive a bill that includes online payment instructions. Most companies require you to make an online account and provide information about your payment card or bank account. You may also have the option to set up recurring payments that automatically withdraw money from the account or card you specify. Covered California has information about each plan’s payment options on their member information website.

Where Can I Find My Medi-Cal Renewal Form?

County organizations handle Medi-Cal renewals. In most cases, your local agency will use your existing information to renew your Medi-Cal membership. If they can verify these details, they can take care of the process for you. However, they may need to send you a renewal form if your information doesn’t match your records. You can return this form to your county office to continue receiving coverage.

How Do I Check My Medicaid Status?

Contact your local county social services office to learn about your Medi-Cal status and eligibility. The California Department of Health Care Services has a full directory of each county’s agency.

Get a Quote for Medi-Cal Insurance Today

Do you need affordable insurance as a low-income Californian? You may qualify for coverage at little or no cost through Medi-Cal, California’s Medicaid program. When you request a quote from Covered California, we can determine if anyone in your family has eligibility for Medi-Cal. We can also recommend services such as CHIP that help you afford health insurance. Request a free health insurance quote today to get started.