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Get to know your 2020 health plan

The Cal MediConnect Program was developed by the California Department of Health Care Services, in conjunction with the Centers for Medicare & Medicaid Services, to provide an innovative way for those who qualify for both Medicare and Medi-Cal to access their health care.

Under Blue Shield Promise Cal MediConnect Plan, a single health plan oversees all of your medical, long-term care, mental health, substance use care, and social services needs. As a result, both members and providers benefit from the program's smoother, simpler process. The California Department of Health Care Services and the Centers for Medicare developed the MediConnect plan.

Blue Shield Promise Cal MediConnect Plan makes receiving your needed benefits less confusing and more efficient. Our organized approach to healthcare benefits management means real and immediate improvements in your healthcare experience.

 

Benefits you can see

Here are some key benefits of the Blue Shield Promise Cal MediConnect Plan. Please note that this benefit information is a brief summary, not a complete list of benefits. For more information, contact us or consult the Member Handbook.

One plan - easier than ever

With Blue Shield Promise Cal MediConnect Plan you have only one ID card, one set of benefits to keep track of, and one phone number for service.

Personalized care

Blue Shield Promise Cal MediConnect Plan provides personalized care for each member's unique needs. We focus on you and work with you and your loved ones to build your healthier tomorrow.

Services and materials in your languages

At Blue Shield Promise Cal MediConnect Plan, we strive to embrace and understand the different cultural backgrounds that enrich the regions we serve. Our care providers are right in the community, and our services and member materials are available in our members' native languages upon request.

Healthy, independent, empowered lives

Blue Shield Promise Cal MediConnect Plan gives members a voice in their health care, and the ability to self-manage their conditions. We strive to assist our Cal MediConnect members in leading healthy, independent lives by covering unlimited transportation to medically necessary and covered services, providing free Personal Emergency Response System (PERS) devices, and paying for SilverSneakers® gym membership.

Easy access to services and care solutions

Our members have their own personal Care Navigator, a member services representative available via phone seven days a week, 8 a.m. to 8 p.m. Members also have access to a free round-the-clock nurse advice line, health education workshops, a social worker, and more.

Benefits, List of Covered Drugs, pharmacy and provider networks, and/or copayments may change from time to time throughout the year and on January 1 of each year. Limitations, copays, and restrictions may apply. For more information, call Blue Shield Promise Cal MediConnect Plan Member Services or read the Member Handbook.

Contact us

If you have any questions about your benefits, your medical costs, or if you receive a service bill, please contact Blue Shield of California Promise Health Plan Member Services, 8 a.m. to 8 p.m., seven days a week.

  Phone: (855) 905-3825 [TTY: 711]
  Email: send us an email

  Blue Shield of California Promise Health Plan
Member Services
601 Potrero Grande Dr.
Monterey Park, CA 91755

Frequently asked questions

Read questions our members frequently ask about Blue Shield Promise Cal MediConnect Plan.

Read FAQs

Member rights and responsibilities

Learn about your rights and responsibilities as a Blue Shield Promise Cal MediConnect Plan member.

Read member rights and responsibilities

Copayment information

In Blue Shield Promise Cal MediConnect Plan, there are no premiums, deductibles, or copays for medical services. Find out about possible copays for prescription drug benefits.

Learn more about copays

Low-income subsidy and Best Available Evidence

Find out how you can get extra help from Cal MediConnect.

Get more information

Appeals process

Learn how to submit an appeal, submit your appeal online, and find required forms.

Learn about Level 1 appeal process

Learn about Level 2 appeal process

Submit an appeal online

Grievance process

You may file a complaint or grievance at any time. Blue Shield of California Promise Health Plan will work with you to resolve it.

Learn about our grievance process

Submit a grievance online

2020 Cal MediConnect plan documents

Get the Annual Notice of Change, Member Handbook, or Summary of Benefits for your plan as well as other important documents.

Access 2020 plan documents

Benefits information

Learn about your plan benefits, requirements, and programs.

Learn about your medical benefits

Learn about the prescription drug benefits

Find out about our health and wellness programs

Looking for 2019 Blue Shield Promise Cal MediConnect plan information?

If you're looking for the current year plan information, please visit the 2019 plans website.

View 2019 plan information

Tivity Health and SilverSneakers are registered trademarks or trademarks of Tivity Health, Inc., and/or its subsidiaries and/or affiliates in the USA and/or other countries.

Blue Shield and the Shield symbol are registered trademarks of the BlueCross BlueShield Association, an association of independent Blue Cross and Blue Shield plans.

H0148_20_215 Accepted 10012019

Page last updated: 9/30/2019

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Blue Shield of California Promise Health Plan has neither reviewed nor endorsed this information.

Blue Shield of California Promise Health Plan is an independent licensee of the Blue Shield Association. Blue Shield of California Promise Health Plan is a Medicare Advantage HMO plan with a Federal Government contract in California. Enrollment in Blue Shield of California Promise Health Plan depends on contract renewal.

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