Blue Shield Promise Cal MediConnect Plan (Medicare-Medicaid Plan) combines Medicare and Medi-Cal coverage into one plan to provide you all-in-one coverage. Read through the information below for a better understanding of your benefits through the Blue Shield Promise Cal MediConnect Plan.
Coverage determinations are decisions that the Blue Shield Promise Cal MediConnect Plan makes about your coverage of prescription drugs.
Organization determinations are coverage decisions Blue Shield of California Promise Health Plan makes about whether items or services requested by a member or provider can be covered.
As a Blue Shield Promise Cal Mediconnect plan member, you must use network providers to get your medical care and services. However, in some cases, Blue Shield of California Promise Health Plan may authorize use of non-network providers. See which services may be covered.
Learn about non-network medical and prescription drug coverage
Get reimbursement information for emergency services received outside the country
Learn about behavioral healthcare services (mental health and substance use disorders) covered by your plan, such as treatment for anxiety, depression, or other behavioral health problems.
Blue Shield Promise Cal MediConnect Plan's Long-Term Services and Support (LTSS) covers such benefits as Community- Based Adult Services (CBAS), and Long-Term Care.
Learn what durable medical equipment (DME) is and what your medical plan covers.
To keep you safe and independent, we offer a medical alert monitoring system from LifeStation that provides access to help 24/7 at the push of a button.
If you’re recovering from a stay in the hospital or a skilled facility, we offer a home meal delivery service.
Access your Over-the-counter (OTC) benefit and learn how you can purchase every day health and wellness items.
Learn about SilverSneakersTM, a valuable program which Blue Shield of California Promise Health Plan provides at no extra cost.
Connect with a qualified English- or Spanish-speaking registered nurse who will listen to your health problem description, and advise whether you need to see a doctor. Free, and available 24/7. Or talk to a physician through Teladoc.
Access and search your plan formulary - the list of drugs covered by your plan. Get pharmacy directories and learn about specialty pharmacies in our network and our mail service pharmacy. Review medication related policies.
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Page last updated: 10/01/2021
