Get Help!

If you need immediate help getting accessYour ability to get the health care services you want and need.
to services through either MedicareThe federal program that provides health care benefits for people age 65 years and older as well as people of any age with certain disabilities or diseases.
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or Medi-CalA government program that offers health care coverage for low-income Californians. (Medi-Cal is the federal-state Medicaid program in California.)
, call the Health Consumer Alliance at 1-888-804-3536.

If you are having a medical emergency, call 911.

Do you need more help understanding your Medicare or Medi-Cal benefitsPayment of health care services and products. Medicare benefits pay for doctor visits, hospital care, prescription drugs, and some behavioral health services.
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? Want to talk to someone about health coverage choices that fit your needs? Here's how!

Help with Medicare Choices

To Enroll

Medicare Program
Call this number to enroll in a Medicare health planA group of doctors, specialists, clinics, pharmacies, hospitals, and long-term services and supports providers that work together to meet your needs (also called a managed care plan).
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, or to find out more about benefits and rights.
Phone: 1-800-MEDICARE (1-800-633-4227)
TTY: 1-877-486-2048

To Get More Information

Health Insurance Counseling & Advocacy Program (HICAP)
Volunteer counselors in California provide free and objective help with Medicare. 
Phone: 1-800-434-0222

To Get Help With a Problem

Medicare Rights Center
This nonprofit organization gives information and counseling nationwide to help older adults and people with disabilities access affordable health care.
Phone: 1-800-333-4114
Email: info@medicarerights.org

 

Help with Medi-Cal

To Enroll

County Medi-Cal Office
Your local Medi-Cal office can answer questions and help you apply for Medi-Cal and other benefits.

To Get More Information

Medi-Cal Member Helpline
Call this number to get help applying for for Medi-Cal, learning about services, finding providersA person or organization that provides health care-related services or products, like a doctor, hospital, clinic, personal care assistant, or equipment supplier.
, or filing a complaint.
Phone: 1-800-541-5555

Mental Health Services
Call this number with questions about the Medi-Cal Mental Health Services in your area. You can also contact the Mental Health ombudsmanAn organization or independent advocate that may be able to help you solve problems with your health plan, Medicare, or Medicaid (including accessing care and qualifying for coverage).
.
Phone: 1-800-896-4042
TTY: 1-800-896-2512
Email 1: MHOmbudsman@dhcs.ca.gov
Email 2: CountySupport@dhcs.ca.gov

To Get Help With A Problem

Medi-Cal Ombudsman Program
If you are a Medi-Cal member and are having a problem with your health plan, call this number. The ombudsman investigates member complaints and helps with urgent enrollment problems.
Phone: 1-888-452-8609
Email: MMCDOmbudsmanOffice@dhcs.ca.gov

 

Help with Specific Care Choices

If you are enrolled in a PACEA type of health care coverage. You get your Medicare + Medi-Cal in one health plan. You also get extra benefits like a PACE day center, a care team, and help to live in your home.
, Cal MediConnectA type of health care coverage. One health plan that includes all your Medicare + Medi-Cal coverage.
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, FIDE SNPA type of health care coverage. You get your Medicare and Medi-Cal benefits from one health plan.
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, D-SNPA type of health care coverage. You get your Medicare and some (but not all) Medi-Cal benefits through one health plan, as well as extra benefits and help arranging your care.
, or Medicare Advantage PlanA type of health care coverage. You get your Medicare benefits from a health plan, keep your Medi-Cal separate, and get some extra benefits and some help arranging your care.
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and need help, call your health plan. Look on the back of your health plan card for the best phone number.

Cal MediConnect or PACE: To Enroll

Health Care Options (HCO)
Call HCO for help enrolling or disenrolling from a plan and for questions about your eligibility. You can also call a PACE or Cal MediConnect plan directly for enrollment help.
Phone: 1-844-580-7272

Cal MediConnect or PACE: To Get Help With A Problem

Cal MediConnect and PACE Ombudsman Program
Call this Ombudsman if you are a PACE or Cal MediConnect member and need help with a problem.
Phone: 1-855-501-3077
TTY: 1-855-874-7914

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