California's Care Choices
Back to All Options

Cal MediConnect

Cal MediConnect is a type of health plan that covers all your 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.
Full Definition >
and Medi-CalCalifornia’s Medicaid program. Medi-Cal offers health coverage for low-income Californians.
Full Definition >
benefitsMedicare and Medi-Cal cover health care benefits, which are medically-necessary services that you get from your health plan and/or individual providers.
Full Definition >
, as well as some extra benefitsHealth care services provided by your health plan or program that have no extra cost to you.
Full Definition >
.

  • You can get extra help so you can live in your home and community, like having shower grab bars and ramps installed.
  • You will have someone, like a nurse or other helper, whose job is to be your main point of contact and help you get all the health care services you need.
  • You have one card to carry and one phone number to call to get help with your care.
  • You will have help to find new providers if your providersA person or organization that provides health care-related services, like a doctor, hospital, or clinic.
    Full Definition >
    are not in your health plan’sA group of doctors, specialists, clinics, pharmacies, hospitals, and long-term care providers that work together to meet your needs.
    Full Definition >
    networkA group of doctors, hospitals, pharmacies, and other health care professionals that work with your health plan to provide all your health care services.
    Full Definition >
    .
  • Cal MediConnect health plans are for people age 21 years or older.
My Choices 
Benefits 

Benefits

  • Includes your Medicare AND Medi-Cal benefits – no more being caught in the middle and being confused about how to get the care and services you need.
  • Cal MediConnect health plans cover all your existing benefits, like doctors, hospitals, prescription drugs, medical supplies, medical equipment, nursing facility, and home- and community-based services, plus:
    • Extra dental, hearing, and vision coverage.
    • TransportationMedicare covers emergency ambulance services. Medi-Cal provides transportation to non-emergency, medically-necessary services, like doctor visits or to pick up a prescription.
      Full Definition >
      help.
    • Mental healthBehavioral health services that focus on mental health, for example counseling or medication you would receive to help with feelings of sadness or stress.
      Full Definition >
      and substance use supportBehavioral health services that help people who use substances like alcohol or other drugs.
      Full Definition >
      .
    • Extra help so you can live in your home and community safely, like shower grab bars and ramps.
  • You can get a Care CoordinatorA nurse, social worker, or other health professional that helps you get and manage all the health care services you want and need.
    Full Definition >
    . This is someone, like a nurse or other helper, whose job is to be your main point of contact and help you get all the health care services you want and need.
  • You have just one health plan card to carry and one phone number to call about your health care and other services.
  • If you are living in a nursing facilityNursing facilities include nursing homes and rehabilitation facilities and provide nursing, rehabilitative, and medical care.
    Full Definition >
    , you can join Cal MediConnect. If you want, they can help you move back into your home and community.

Considerations

  • Cal MediConnect health plans have networksA group of doctors, hospitals, pharmacies, and other health care professionals that work with your health plan to provide all your health care services.
    Full Definition >
    of providers, like doctors, hospitals, clinics, labs, and equipment suppliers. The health plan will ask you to see the providers in their network, because that is how they can help you best.
    • If your doctor or hospital is not already in the health plan’s network, they might have to join the network, or you may have to switch. You may also have to switch where you get your medical suppliesSupplies that are typically disposable, single use, medically-related, and often ordered or prescribed by a physician.
      Full Definition >
      and equipmentThis is equipment ordered or prescribed by your doctor to use at home.
      Full Definition >
      .
    • Your Cal MediConnect Care Coordinator can help you find new doctors and service providers that meet all your needs.
  • You can keep your Medi-Cal long-term servicesA variety of services aimed at helping people with daily living activities.
    Full Definition >
    and supports providers. This includes keeping your In-Home Supportive Services (IHSS) caregiverAn IHSS caregiver is a specific type of caregiver that is paid for by the Medi-Cal In-Home Supportive Services (IHSS) program.
    Full Definition >
    , your adult day centerCenters that provide daytime health care, such as nursing, therapies, social activities, and meals for people who don’t need care 24/7.
    Full Definition >
    , Multipurpose Senior Services ProgramA program providing both health care and social services coordination.
    Full Definition >
    , or the nursing facility where you reside (if applicable.)

To qualify for Cal MediConnect, you must:

  • Have Medicare and Medi-Cal.
  • Be age 21 years or older.
  • Live in a Cal MediConnect county: Los Angeles, Orange, Riverside, San Bernardino, San Diego, San Mateo, or Santa Clara.

Contact Health Care Options-Cal MediConnect at 1-844-580-7272 (TTY 1-800-430-7077) to learn more and find out if you are eligible.

Success Stories 

Coming Soon.

Next Steps 

Ready to take the next step?

Download Helpful Tools

Use these tools to understand your next steps and organize your health information:

Download Next Steps Checklist

Download Health Profile Worksheet

Contact Help Services

Visit our Get Help page for links and phone numbers to people who can help you understand your Medicare and Medi-Cal benefits and assist you in choosing a care option.

Explore More About Cal MediConnect

CalDuals

Back to Top

Go to Top