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2021 Blue Shield Promise Cal MediConnect Plan

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.

If you live in Los Angeles County or San Diego County and are eligible for both Federal Medicare benefits and State Medicaid benefits (known as Medi-Cal in California), our Cal MediConnect Plan can help you maintain your health and independence.

Under Blue Shield Promise Cal MediConnect Plan, a single health plan oversees all of your Medicare and Medi-Cal benefits, plus more, with only one ID card! This makes it simpler for you to get the services you need.

A Blue Shield Promise Cal MediConnect Plan includes:

  • Medical care
  • Prescription drugs
  • Mental and behavioral health care
  • Dental care through California Denti-Cal
  • Long-term support and social services, such as adult day care, in-home care, housekeeping, and meal delivery
  • A specially trained Care Navigator to help you manage all your providers and services
  • Individualized Care Plan managed by your personal Care Team
  • Transportation to medically necessary and covered services

To find out which benefits your plan covers, review plan details in the Member Handbook.

Get to know your plan to learn how to use your benefits effectively.

If you don't have a Blue Shield Promise Cal MediConnect plan yet, review our plan overview and eligibility and enrollment information.

Cal MediConnect plan highlights

Contact Blue Shield Promise Cal MediConnect Plan

If you have any questions about your benefits, the cost for care you received from your doctor or hospital; or if you receive a bill for a service, please contact Blue Shield of California Promise Health Plan Member Services.

Phone:(855) 905-3825 [TTY: 711], 8 a.m. - 8 p.m., seven days a week.

Fax: (323) 889-5416

Email us

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

Blue Shield of California Promise Health Plan is a health plan that contracts with both Medicare and Medi-Cal to provide benefits of both programs to enrollees.

The California Department of Managed Health Care is responsible for regulating health care service plans. If you have a grievance against your health plan, you should first telephone your health plan at (855) 905-3825 (TTY: 711) and use your health plan’s grievance process before contacting the department. Utilizing this grievance procedure does not prohibit any potential legal rights or remedies that may be available to you.

If you need help with a grievance involving an emergency, a grievance that has not been satisfactorily resolved by your health plan, or a grievance that has remained unresolved for more than 30 days, you may call the department for assistance. You may also be eligible for an Independent Medical Review (IMR). If you are eligible for IMR, the IMR process will provide an impartial review of medical decisions made by a health plan related to the medical necessity of a proposed service or treatment, coverage decisions for treatments that are experimental or investigational in nature and payment disputes for emergency or urgent medical services. The department also has a toll-free telephone number ((888) 466-2219) and a TDD line ((877) 688-9891) for the hearing and speech impaired. The department’s internet website www.dmhc.ca.gov has complaint forms, IMR application forms, and instructions online.

H0148_20_215 Accepted 10012019

Page last updated: 1/10/2019

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Medicare has neither reviewed nor endorsed this information. Blue Shield of California Promise Health Plan is a health plan that contracts with both Medicare and Medi-Cal to provide benefits of both programs to enrollees.

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