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Please select your plan year to access Cal MediConnect plan information

2020 2021  
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  • Cal MediConnect 2020

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

Combined coverage and quality care

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.

Benefits you can see

Under Blue Shield Promise Cal MediConnect Plan, a single health plan oversees all of your medical, long-term care and social services needs. This makes it simpler for you to get the services you need.

Don’t miss out! 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, meal delivery
  • A specially trained Care Navigator to help you manage all your providers and services and help you get the care you need
  • Individualized Care Plan managed by your personal Care Team
  • Transportation to medically necessary and covered services
  • And much more

See complete list of 2020 plan benefits

Get more for $0

With our Cal MediConnect Plan, for $0 you get:

  • Premiums
  • Copays for primary care and specialist office visits
  • Hospital coverage
  • Personal Emergency Response System - a medical alert device that gives you access to help 24/7
  • SilverSneakers® gym membership
  • Access to a nurse advice line
  • Health education workshops
Visit Cal MediConnect prospect site
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Expert medical coordination and wellness

A CMC Plan makes your life easier. We provide a custom care plan that includes your healthcare, long-term support, and social services.

A specially trained CN
Your CN will coordinate all of your providers and services to make sure you get the care you need. As part of your care team, your CN answers any questions you may have. They refer you to community resources you need.

Medical care in your language 
Feel comfortable and informed with doctors who speak your language. You’ll also have access to free interpreters for appointments with doctors who may not.

SilverSneakers® fitness and wellness program
Connect with your community, make friends, and stay active. Online classes plus thousands of participating locations nationwide.

 

 

 

Get more for $0

With a Cal MediConnect Plan you get: 
 
$0:   
  • Copays
  • Primary care office visits 
  • Specialist office visits 
  • Hospital coverage 
  • Drug coverage<5>
  • Dental care through Denti-Cal
  • Telehealth appointments
Check your eligibility
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Not sure whether you’re eligible?

Most people with full Medicare and Medi-Cal benefits in Los Angeles and San Diego counties are eligible for Blue Shield Promise Cal MediConnect Plan.

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.

You are eligible to enroll into Cal MediConnect if you:

  • Reside in Los Angeles or San Diego Counties, and
  • Have both Medicare and Medi-Cal, and
  • Are 21 yeas of age or older at the time of enrollment
  • Are not covered under an employee benefit plan (or your spouse’s)
  • Do not have other private or public health insurance
  • Do not receive services through California’s regional centers or state developmental centers or intermediate care facilities for the developmentally disabled
  • Do not have ESRD (End Stage Renal Disease) at the time of enrollment
  • If you reside in a nursing home, are enrolled in the Multipurpose Senior Services Program or have In-Home Supportive Services, you must continue to meet your share of cost, if you have one.
Learn how to enroll
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Ready to enroll in a 2020 plan?

Get enrollment instructions

Call us toll-free – we’ll help you through it. Phone: (800) 684-3332 [TTY: 711], 8 a.m. – 8 p.m., seven days a week.

* 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

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  • TTY: 711
  • Medicare Sales: (800)963-8008 [TTY 711]. Available seven days a week 8 a.m. to 8 p.m. PST, From October 1 through February 14, and 8 a.m. to 8 p.m. weekdays, from February 15 through September 30.

Health Care Options: 1-844-580-7272, Monday through Friday from 8 a.m. - 6 p.m. TTY users should call 1-800-430-7077.

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 1-800-430-4263 (TTY: 1-800-735-2922), or visit https://www.healthcareoptions.dhcs.ca.gov/.

Blue Shield of California Promise Health Plan is a managed care organization, wholly owned by Blue Shield of California, offering Medi-Cal and Cal MediConnect Plans.

© 2002-2021. Blue Shield of California Promise Health Plan. All rights reserved.

Blue Shield of California Promise Health Plan is an independent licensee of the Blue Shield Association.

The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.

Blue Shield of California Promise Health Plan complies with applicable state laws and federal civil rights laws, and does not discriminate on the basis of race, color, national origin, ancestry, religion, sex, marital status, gender, gender identity, sexual orientation, age, or disability.

Blue Shield of California Promise Health Plan cumple con las leyes estatales y las leyes federales de derechos civiles vigentes, y no discrimina por motivos de raza, color, país de origen, ascedencial, religión, sexo, estado civil, genero, identidad de genero, orientación sexual, edad ni discapacidad.

Blue Shield of California Promise Health Plan 遵循適用的州法律和聯邦公民權利法律,並且不以種族、膚色、原國籍、血統、宗教、性別、婚姻 狀況、性別認同、性取向、年齡或殘障為由而進行歧視。
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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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