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2020 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

Coordinated care

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.

 

Prescription drugs and pharmacy benefits

Your Blue Shield Promise Cal MediConnect plan includes Part D prescription drug coverage. 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.

View our list of covered drugs

 

Health education and wellness programs

Blue Shield of California Promise Health Plan (Blue Shield Promise) 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.

Find programs and educational materials

 

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

Get to know Blue Shield Promise Cal MediConnect

Get to know your health plan: learn more about your rights and responsibilities, see how to file an appeal or a grievance, and read answers to frequently asked questions.

Get to know your health plan

Read FAQs

Learn how to submit an appeal or a grievance

Submit a grievance online

2020 Cal MediConnect plan documents

Download a comprehensive plan description listed in your Member Handbook. Get a sample member ID card, and learn how to get services in your preferred language.

View 2020 Member Handbook

Get language assistance and translation services

Find other plan documents and notices

Cal MediConnect plan benefits information

Find information about the benefits, services, and programs covered by Blue Shield Promise Cal MediConnect. Learn what to do if a service or a procedure requires prior authorization or exception.

Learn about your medical benefits

Prescription drug benefit information

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.

Learn about the prescription drug benefits

Find a pharmacy

Find a provider

Use our tool for the most up-to-date listing of doctors, specialists, pharmacies, hospitals, behavioral health services, and vision care providers in your area. You can also download or request a copy of provider directory.

Find a Cal MediConnect provider

Get a Provider Directory for your area

Member resources

Learn about our quality improvement initiatives, request a member ID card, and change your primary care doctor.

Access member resources

Learn about our quality improvement initiatives

Health and wellness programs and resources

Take charge of your health with our Health and Wellness member site tools. Find information on healthy living programs and educational materials on topics like being active and managing chronic conditions.

Find programs and educational materials

Access Health and wellness member site

Are you still looking for a plan?

Get more information and learn how to enroll using the following resources:

View 2020 Cal MediConnect potential member information

Learn how to enroll

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

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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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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