All your benefits in one plan.
2020 Cal MediConnect Plans
Blue Shield Promise Cal MediConnect Plan (Medicare-Medicaid Plan) combines Medicare and Medi-Cal (Medicaid) 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 (in California, known as Medi-Cal), our Cal MediConnect Plan can help you maintain your health and independence. It combines all your Medicare and Medi-Cal benefits into a single plan. You’ll get coordinated high-quality care and added benefits that you can't get from separate Medicare and Medi-Cal plans like hearing coverage, a medical alert device and your own Care Navigator.
It’s easier than ever to enroll – we’ll help you through it.
Call us toll-free at (855) 905-3825 [TTY: 711], 8 a.m. – 8 p.m., seven days a week.
Health Care Options: (844) 580-7272 (TTY: (800) 430-7077), 8 a.m. – 6 p.m., Monday through Friday.
With our Cal MediConnect Plan, for $0 you get:
With Cal MediConnect Plan your care will be coordinated by your care team consisting of yourself, your caregiver, your experienced Care Navigator and your providers. The Care Navigator will coordinate all of your providers and services to make sure you get the care you need and will be 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.
Your Individualized Care Plan (ICP) tells you and your doctors the services you need and how to get them. It includes:
Your care team will make sure your ICP stays current and is updated at least once a year.
If a person is "dual eligible," i.e. eligible for both Federal Medicare benefits and State Medicaid benefits (Medi-Cal) and lives in Los Angeles County (all Zip codes except 90704) or San Diego County (all Zip codes), they may be eligible for the Cal MediConnect plan.
In general, "dual eligible" California residents tend to be over 65 years old or disabled, with low incomes and one or more chronic medical conditions. Usually, one becomes dual eligible by first being enrolled in either Medicare or Medi-Cal, and then later becoming eligible for both programs.
To check eligibility, a person or their authorized representative may call Health Care Options at (844) 580-7272 (TTY: (800) 430-7077), 8 a.m. – 6 p.m., Monday through Friday.
* This is not a complete list. The benefit information is a brief summary, not a complete description of benefits.
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.
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. ©2019 Tivity Health, Inc. All rights reserved. Tivity Health is independent of Blue Shield of California Promise Health Plan.
ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call (855) 905-3825 [TTY: 711], 8 a.m. – 8 p.m., seven days a week. The call is free.
ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al Cal-MediConnect (855) 905-3825 [TTY: 711] de 8 a.m. – 8 p.m., los 7 días de la semana.
注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電Cal-MediConnect (855) 905-3825（TTY：711) 每週七天辦公，早上8 點至晚上8 點或。
You can get this information for free in other formats, such as large print, braille or audio. Call (855) 905-3825 [TTY: 711], 8 a.m. – 8 p.m., seven days a week. The call is free.
For information on Blue Shield Promise Cal MediConnect Plan and other Cal MediConnect options for your health care, call the Department of Health Care Services at (800) 430-4263 (TTY: (800) 735-2922), or visit healthcareoptions.dhcs.ca.gov.
H0148_20_215 Accepted 10012019
Page last updated: 1/1/2020