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:
- A specially trained Care Navigator to help you complete your Individualized Care Plan and manage all your providers and services
- Medical care
- Prescription drugs
- Over-the-counter items like toothpaste, allergy medicine and pain relievers
- Transportation to medically necessary and covered services
- Long-term support and social services, such as adult day care, in-home care, housekeeping, and meal delivery
- Mental and behavioral health care
- Dental care (through California Denti-Cal)
- Medical alert device that gives you access to help 24/7 with the push of a button
- Hearing Aids
- Wellbeing, preventive care and chronic condition treatment program like SilverSneakers® fitness and wellness program
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.
Cal MediConnect plan highlights
A Cal MediConnect plan puts a coordinated organization of doctors, hospitals, pharmacies and providers at your fingertips with the help of an experienced Care Navigator. The Care Navigator coordinates all of your providers and services to make sure you get the care you need, and is available to answer your questions and refer you to any community resources you may need. Your care team will work with you to come up with an Individualized Care Plan (ICP) to help you lead a healthy, independent life in your own home and community.
As a Blue Shield Cal MediConnect plan member you will have up to $500 for eyewear every two years.
Prescription drugs and preferred pharmacy benefits
Your Blue Shield Promise Cal MediConnect Plan includes Part D prescription drug coverage including a quarterly over-the-counter (OTC) allowance that allows you to purchase OTC products you may need. Learn more about the drugs covered in your plan, what pharmacies you can use to fill your prescriptions, and other pharmacy programs available to you.
Health education and well-being programs
Blue Shield Promise Cal MediConnect Plan believes that the more informed you are, the better you can manage your health. We provide information on topics like staying fit, managing diseases, maintaining a healthy weight, eating healthy, and many more. We can also help you find classes, counseling, and support groups.
1Transportation trips are limited to plan-approved locations.
2Upon discharge from the hospital or Skilled Nursing Facility.
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 Cal MediConnect Plan Customer Care.
Phone:(855) 905-3825 [TTY: 711], 8 a.m. - 8 p.m., seven days a week.
Fax: (323) 889-5416
Blue Shield of California Promise Health Plan
601 Potrero Grande Dr.
Monterey Park, CA 91755