To find a doctor that accepts Medicare payments, you may want to visit the Centers for Medicare and Medicaid Services' Physician Compare. You can search by entering a health care professional’s last name or group practice name, a medical specialty, a medical condition, a body part, or an organ system.
Full Answer
How do I find a doctor that accepts Medicare payments?
To find a doctor that accepts Medicare payments, you may want to visit the Centers for Medicare and Medicaid Services' Physician Compare. You can search by entering a health care professional’s last name or group practice name, a medical specialty, a medical condition, a body part, or an organ system.
How do I Find my Medicaid provider network?
How to Determine Your Medicaid Provider Network. 1 Select your program: Medi-Cal Managed Care or Cal MediConnect. 2 Choose a provider type: Doctor, hospital, medical clinic or dentist/dental clinic. 3 Search by location: Address, zip code or county.
How do I search for a health care professional?
You can search by entering a health care professional’s last name or group practice name, a medical specialty, a medical condition, a body part, or an organ system. This tool will provide you with a list of professionals or group practices in the specialty and geographic area you specify, along with detailed profiles, maps and driving directions.
What to do if someone calls you from Medicare or social security?
If someone calls you and says they are from Medicare or Social Security, hang up. Do not give them any information. Information about Medi-Cal, resources for applying and eligibility are provided by the Department of Health Care Services. Getting Ready to Enroll in Medicare? Medicare made easy.
How to contact Medi-Cal?
What is the number to call for Medi-Cal?
What is the TTY number for Medi-Cal?
About this website
How do I find out who my doctor is with Medi-Cal?
(800) 541-5555The Medi-Cal Member's beneficiary ID number. or.The last 4 digits of the Member's Social Security Number.And the Member's date of birth (2 digit month and 4-digit year) i.e. 12/1961.
What is Medicare searcher?
The Medicare Plan Finder is an online searchable tool on the Medicare.gov website that allows users to compare Medicare plan options, including Medicare Advantage plans, Medicare Part D plans, and Medigap supplemental policies.
How do I change my primary care physician with Medi-Cal?
If you are assigned to a PCP and want to change, callL.A. Care Member Services at 1-888-839-9909 (TTY: 711). The change happens the first day of the next month.
What is the Physician Compare website?
Physician Compare is a Centers for Medicare & Medicaid Services (CMS) website that allows the public to find and select physicians who are currently enrolled in the Medicare program as well as other information on Eligible Professionals (EPs) who participate in CMS quality programs.
Is Kaiser a Medicare?
Kaiser Permanente is an HMO plan with a Medicare contract. Enrollment in Kaiser Permanente depends on contract renewal. Every year, Medicare evaluates plans based on a 5-star rating system.
Why do doctors not like Medicare Advantage plans?
If they don't say under budget, they end up losing money. Meaning, you may not receive the full extent of care. Thus, many doctors will likely tell you they do not like Medicare Advantage plans because private insurance companies make it difficult for them to get paid for their services.
Does Kaiser accept Medi-Cal?
At Kaiser Permanente, you have a wide network of doctors and specialists to choose from. All of our available doctors accept Kaiser Permanente members with Medi-Cal coverage. Get care from a doctor or specialist – including appointments, exams, and treatment.
How do I enroll in Kaiser with Medi-Cal?
Apply for Medi-Cal You can go to www.coveredca.com for an application, or contact your county Health and Human Services. Check the status of your application by contacting the county where you applied. Once you are approved by the county, select your health care plan and/or provider through the State.
Is Medi-Cal PPO or HMO?
Almost all Medi-Cal plans are “managed care plans” which means they function similar to an HMO. Medi-Cal Plans can be found in the Medi-Cal Managed Care Health Plan Directory. A managed care plan means you'll have a primary care physician, and they're the one person you'll see if you need medical care.
How do you check a doctors performance?
Go to the Federation of State Medical Boards (FSMB) website to check the basics with their DocInfo.org search function. You will find the doctor's board certifications, education, states with active licenses, and any actions against the physician.
What is CMS physician Compare?
Medicare patients and caregivers can use the Care Compare website to search for and compare doctors, clinicians, and groups who are enrolled in Medicare. Publicly reporting 2020 QPP performance information helps empower patients to select and access the right care from the right provider.
How do you compare doctors?
These comparison tools can help you decide which doctor or facility is best for you.HealthGrades. http://www.healthgrades.com. ... Hospital Compare. https://www.medicare.gov/hospitalcompare/search.html. ... Leapfrog Group. http://www.leapfroggroup.org. ... National Committee for Quality Assurance (NCQA) ... Quality Check.
Medi-Cal Phone Number | Call Now & Skip the Wait
The best Medi-Cal phone number with tools for skipping the wait on hold, the current wait time, tools for scheduling a time to talk with a Medi-Cal rep, reminders when the call center opens, tips and shortcuts from other Medi-Cal customers who called this number.
Medi-Cal Member Services - Health for California
As a Medi-Cal member, you have access to member services like anyone who has a private insurance plan. These resources let you get the most out of your Medi-Cal coverage. Learn more!
Medi-Cal: Provider Home Page
State of California. Welcome to the Medi-Cal Provider Home. Under the guidance of the California Department of Health Care Services, the Medi-Cal program aims to provide health care services to about 13 million Medi-Cal beneficiaries.
Medi-Cal: Login to Medi-Cal
WARNING: This computer system is for official use by authorized users and may be monitored and/or restricted at any time. Confidential information may not be accessed or used without authorization. Unauthorized or improper use of this system may result in administrative discipline, civil and/or criminal penalties.
Add your favorite providers
Keep a list of all your favorite providers – Select the button above to find and compare providers. Then, select the heart icon next to any of the providers to add them to your list of favorites.
Not sure what type of provider you need?
Use our provider search tool to find quality data, services offered, and other information for these type of providers:
APPLYING FOR MEDICARE AND MEDI-CAL
Information about Medi-Cal, resources for applying and eligibility are provided by the Department of Health Care Services.
GENERAL INFORMATION
California Health Advocates offers Medicare advocacy, benefits information, and education for Californians.
FRAUD
The Bureau of Medi-Cal Fraud Elder Abuse explains how to report suspected Medi-Cal fraud or elder abuse to the Department of Justice.
How to contact Medi-Cal?
For questions specific to Medi-Cal Managed Care, please visit the Office of the Ombudsman webpage. For questions specific to Mental Health Services, please email either the Mental Health Ombudsman or the DHCS County Support Office . You can also call 1-800-896-4042. TTY Line: 1-800-896-2512.
What is the number to call for Medi-Cal?
Medi-Cal Member and Provider Helpline. (800) 541-5555. Medi-Cal Members and Providers: If you have a question, need help, or need to report a problem, please call (800) 541-5555 (outside of California, please call (916) 636-1980) for our Telephone Service Center.
What is the TTY number for Medi-Cal?
TTY Line: 1-800-896-2512. Monday through Friday 8 a.m. - 5 p.m. ( Except State Holidays and CA only) As a participant in the Medi-Cal program your feedback is important to us. If you are a member or provider and would like to tell us about a problem with access to care, please email us here. .
Medi-Cal Learning Portal
The Medi-Cal Learning Portal (MLP) is the new, easy-to-use, one-stop learning center for Medi-Cal billers and providers.
Medi-Cal Subscription Service
The Medi-Cal Subscription Service (MCSS) is a free service that keeps you up-to-date on the latest Medi-Cal news. Subscribers receive subject-specific emails for urgent announcements and other updates shortly after they post to the Medi-Cal website.
What happens if you choose a doctor that is not in your PPO network?
If you choose to use a doctor or hospital that is not in your plan’s network, you will be responsible for all billed charges. Please note that the Exclusive PPO network is not as large as our Full PPO network. Whenever possible, you should choose a doctor or hospital from the preferred provider network.
What happens when you go to a preferred provider?
When you go to a preferred provider, you can save money and receive the highest level of benefits available to you. Non-preferred providers. When you decide to go to a non-preferred provider, you should be aware that Blue Shield of California has no contract with these non-network providers concerning "allowable amounts.".
What to consider when choosing a PPO provider?
Things to consider when choosing a PPO provider. With PPO plans, you have the option to go to a preferred or non-preferred doctor or hospital each time you access care. Preferred providers are in Blue Shield PPO network while non-preferred providers are not within their PPO network. Every plan offers a network of doctors ...
How far away from your home should a physician be from your Blue Shield?
Generally, Blue Shield will require that the selected Personal Physician be located within 15 miles or 30 minutes from the member's residence or place of employment.
What is a medical group?
Medical groups are organizations of physicians, generally located in the same facility, who provide a range of services to health plan members.
Do you have to pay out of your own pocket for a health insurance plan?
Every plan offers a network of doctors and hospitals to provide you and your family with care. In order to make sure you receive the best value and do not have to pay out of your own pocket at the time of service, you must use doctors and hospitals in your plan’s network.
How to contact Medi-Cal?
For questions specific to Medi-Cal Managed Care, please visit the Office of the Ombudsman webpage. For questions specific to Mental Health Services, please email either the Mental Health Ombudsman or the DHCS County Support Office . You can also call 1-800-896-4042. TTY Line: 1-800-896-2512.
What is the number to call for Medi-Cal?
Medi-Cal Member and Provider Helpline. (800) 541-5555. Medi-Cal Members and Providers: If you have a question, need help, or need to report a problem, please call (800) 541-5555 (outside of California, please call (916) 636-1980) for our Telephone Service Center.
What is the TTY number for Medi-Cal?
TTY Line: 1-800-896-2512. Monday through Friday 8 a.m. - 5 p.m. ( Except State Holidays and CA only) As a participant in the Medi-Cal program your feedback is important to us. If you are a member or provider and would like to tell us about a problem with access to care, please email us here. .
