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

 

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).

 

Medi-Cal for kids and teens
Blue Shield Promise provides Medi-Cal services for children and young adults under the age of 21.

Some of the free services included are:

 

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)
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.

Get help from a Community Health Worker (CHW)

Find out how a CHW can help you overcome your health challenges.

Pregnancy benefits

Blue Shield of California Promise is here to help you prepare for your pregnancy. We offer services for newborn, perinatal, and postpartum care. We also offer support for a loss in pregnancy.

In-home care

For members with multiple chronic conditions, learn about our in-home care serviced provided by ConcertoCare®. 

Last updated: April 22, 2024
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醫療保健方案處:1-844-580-7272,週一至週五上午8點至下午6點。 聽障和語障用戶應致電1-800-430-7077。

有關 Blue Shield Promise Cal MediConnect Plan和您的醫療保健的其他 Cal MediConnect選項的資訊,請致電醫療保健服務部1-800-430-4263(聽障和語障專線:1-800-735-2922)或訪問 https://www.healthcareoptions.dhcs.ca.gov/.

Blue Shield of California Promise Health Plan是一家管理式護理組織,由Blue Shield of California全資擁有,提供Medi-Cal和Cal MediConnect 計劃。

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California Physicians’ Service DBA Blue Shield of California Promise Health Plan是Blue Shield Association的獨立持照者。

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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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