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 health program that provides health care benefits for people age 65 years or older, people age 65 years or younger with certain disabilities, and people with certain diseases.
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or Medi-CalCalifornia’s Medicaid program. Medi-Cal offers health coverage for low-income Californians.
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, 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 benefitsMedicare and Medi-Cal cover health care benefits, which are medically-necessary services that you get from your health plan and/or individual providers.
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or do you need help deciding the best way to receive your care? Would you like to talk to someone about your specific health situation? Below are ways to get help with Medicare and/or Medi-Cal services, as well as with the care choices described on MyCareMyChoice.org.

For Help with Medicare

Including help with FIDE SNPs, D-SNPs, Medicare Advantage, and ACOs.

To Enroll

Medicare Program
To enroll in a Medicare health planA group of doctors, specialists, clinics, pharmacies, hospitals, and long-term care providers that work together to meet your needs.
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or find out more about your Medicare 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)
Provides free and objective information and counseling about Medicare and related topics. Volunteer counselors can help you understand your specific rights and health care options.
Phone: 1-800-434-0222

To Get Help With a Problem

Medicare Rights Center
A national, nonprofit consumer service organization that works to ensure access to affordable health care for older adults and people with disabilities through counseling and advocacySomeone who supports you in getting the items and services you need, and who also protects your rights.
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, educational programs and public policy.
Phone: 1-800-333-4114
Email: info@medicarerights.org

 

For Help with Medi-Cal

To Enroll

County Medi-Cal Office
Locate your local Medi-Cal office to apply for Medi-Cal and other benefits. Local offices also serve as a resource to answer questions related to Medi-Cal.

To Get More Information

Medi-Cal Member Helpline
Helps people apply for Medi-Cal and learn about Medi-Cal services. Helps Medi-Cal members locate Medi-Cal providersA person or organization that provides health care-related services, like a doctor, hospital, or clinic.
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and file a complaint.
Phone: 1-800-541-5555

Mental Health Services
For questions specific to Medi-Cal Mental Health Services, contact the Mental Health OmbudsmanAn organization or independent advocate that helps individuals access the care they need and can help health plan members resolve problems they are having with their health plan or related health care program.
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or the California Department of Health Care Services (DHCS) County Support Office.
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
An objective resource to resolve issues between Medi-Cal members and Medi-Cal health plans. Investigates member complaints and helps members with urgent enrollment problems. Educates members on how to navigate Medi-Cal.
Phone: 1-888-452-8609
Email: MMCDOmbudsmanOffice@dhcs.ca.gov

 

For Help with Specific Care Choices

If you are enrolled in a PACEGet your Medicare and Medi-Cal in one health plan with extra benefits like a PACE day center and Care Team.
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, Cal MediConnectGet your Medicare and Medi-Cal in one health plan with extra benefits like a helper to make sure you get all the care you need.
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, FIDE-SNPGet your Medicare and Medi-Cal in one health plan with extra benefits like a helper to make sure you get all the care you need.
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, D-SNPGet your Medicare and some Medi-Cal through one health plan with extra benefits and extra help arranging your care.
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, or Medicare Advantage PlanGet your Medicare from a health plan with extra benefits, keep your Medi-Cal separate, and get some help arranging your medical care.
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and need help, it is often best to begin by contacting your health plan for assistance and to resolve problems.

To Enroll

Health Care Options (HCO)
The state of California’s enrollment broker for Program of All Inclusive Care for the Elderly (PACE) and Cal MediConnect. HCO can help with enrollment and disenrollment from PACE and Cal MediConnect Plans. HCO can also answer program eligibility questions. You can also call a PACE or Cal MediConnect plan directly for help with enrollment.
Phone: 1-844-580-7272

To Get More Information

PACE and Cal MediConnect Email Inbox
The state of California operates an informational email inbox that answers general questions about the two programs. Please do not submit personal information to this email address.
Email: info@calduals.org

To Get Help With A Problem

Cal MediConnect and PACE Ombudsman Program
An independent program that provides ombudsman services to PACE and Cal MediConnect membersA term used to refer to a person who is enrolled in Medicare, Medi-Cal, or a health plan.
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. The program helps members and their families by investigating and resolving problems and complaints with PACE and Cal MediConnect plans.
Phone: 1-855-501-3077
TTY: 1-855-874-7914

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