Blue Shield Promise Medi-Cal Benefits
Find the health benefits you get as a Blue Shield of California Promise Health Plan Medi-Cal member.
Medi-Cal benefits may include:
Medical care
- Primary care doctor, wellness, and specialist visits
- Immunizations
- Hospital and emergency services
- Family planning, maternity and newborn care
- Laboratory services
- Medications
- Physical and occupational therapy
- Disease and condition management
Mental health and substance use disorder services
- Individual, family, and group mental health services for mild/moderate conditions
- Behavioral health treatment for youth under 21
- Substance misuse screening and counseling
- Care management for higher levels of mental health care
Vision care
- Routine eye exams
- Eyeglasses or contact lenses
Dental care
Dental benefits are available to Medi-Cal members who qualify through Denti-Cal. Denti-Cal is provided by the Department of Health Care Services (DHCS). To learn more about Denti-Cal’s coverage please visit their website or call them at (800) 322-6384 (TTY: 711).
California Children’s Services (CCS)
CCS is a State program for children up to 21 years old with certain diseases or health problems. To learn more about CCS, visit the DHCS website.
Learn how Blue Shield Promise can support CCS members when they approach age 21.
CCS Age Out and Transition Overview recorded presentation (13 min)
CCS Age Out and Transition Overview (PDF, 385 KB)
Long-term services and support
- Community-Based Adult Services (CBAS)
- Long-Term Care (LTC)
Enhanced Care Management (ECM) and Community Supports (CS)
Blue Shield Promise offers Enhanced Care Management (ECM) and Community Supports (CS) for Medi-Cal members with complex health needs or social challenges that make it difficult to improve their health.
Enhanced Care Management (ECM) and Community Supports (CS)
Transportation services
- Emergency transportation
- Non-emergency medical transportation
- Non-medical transportation
For detailed information about benefits, review the Blue Shield Promise Medi-Cal Evidence of Coverage (EOC), also known as the Member Handbook.
Nurse Advice Line
Connect to a registered nurse who will listen to your health problem.
Urgent care
Find urgent care clinics near you for same-day care for non-life-threatening medical needs.
Teladoc
Talk to a board-certified doctor 24/7/365 over the phone or video chat.
Transportation services information
As a Blue Shield Promise Medi-Cal member you may be able to get transportation to your healthcare appointments at no cost.
Behavioral and mental health services
Blue Shield Promise Medi-Cal provides mental health and substance use disorder services through primary care physicians (PCPs), licensed behavioral health providers, and county providers and agencies.
Prior authorization for treatment
Learn which healthcare services require prior authorization.
Referral for treatment
Find out how to obtain a referral to see a specialist.
Perinatal and breastfeeding information
Get information on breastfeeding and what to expect during pregnancy.
Doula services
Blue Shield Promise offers doula services to help women through pregnancy, labor, and postpartum. Doulas can also help when there is a miscarriage, stillbirth, or abortion. Doula services need a written recommendation by a provider.