Care 1st – Promise – Blue Shield
How to enroll in Medi-Cal
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STEP 1 – Applying for Benefits
Individuals seeking to enroll in the Medi-Cal program must first visit the nearest Department of Social Services (DPSS) / County Welfare Department and apply for benefits.
- Alameda County
- Contact Info – Medi-Cal
- Orange County Medi-Cal Enrollment
- San Diego County
If eligibility is established, the beneficiary is advised to attend an on-site information session administered by Health Care Options – – to learn about available health care choices.
STEP 2 – Getting Assistance, if needed
Health Care Options is responsible for educating Medi-Cal recipients about their benefits and how to enroll in a health plan. Beneficiaries needing further assistance or who have questions can contact Health Care Options at 1 (800) 430-4263 (or TDD for the hearing impaired: 1 (800) 430-7077). Beneficiaries may also contact Care1st Health Plan 1-800-605-2556 or their doctor’s office and receive assistance with completing the enrollment form.
STEP 3 – Receiving the packet
Upon receiving beneficiary eligibility information from DPSS, Health Care Options mails each recipient an enrollment packet. The packet contains enrollment materials as well as explains that the beneficiary must choose a health plan, what health plans are available, and that if the enrollment form is not completed and received at Health Care Options in 30 days a health plan will be chosen for them. When Health Care Options chooses a health plan for the beneficiary, it is called default or “automatic assignment.”
Beneficiaries are primarily defaulted because they do not receive the enrollment packet, they do not understand the information because it was sent in English and they speak another language, or they submitted an incomplete enrollment form. Some are defaulted due to administrative and processing errors. Beneficiaries that are defaulted are not prevented from later choosing a health plan of their choice. care1st.com