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Social Services: MEDI-CAL <page
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Private health insurance
You can have MEDI-CAL even though you have private health coverage. If
you are a MEDI-CAL beneficiary and have individual or group private health
insurance coverage, you are required by federal and state law to report
it. This information must be given to your county welfare department,
to you health care provider, and/or to the Family. Support Division/District
Attorney (FSD/DA), when there is an absent parent who may be responsible
for your children's medical care, or in a paternity establishment when
a child is born out of wedlock. If you fail to provide any private health
insurance coverage that you have, you are committing a misdemeanor! In
cases where a person has MEDI-CAL and private insurance, MEDI-CAL will
be billed and pay the provider of service. Then MEDI-CAL will seek repayment
from the other health coverage. You will not be liable for any insurance
cost-sharing amount (coinsurance or deductible) unless a MEDI-CAL share
of cost must be met. If your other health insurance is a Prepaid Health
Plan (PHP) or a Health Maintenance Organization (HMO), you must use the
plan facilities for regular medical care. Out of area services or emergency
care should also be billed to the PHP/HMO.
Additional Information
For more information on MEDI-CAL property /assets rules, please ask your
county welfare department for a form called "MEDI-CAL General Property
Limitations for all MEDI-CAL Applicants."
List of items required for verification
of eligibility for MEDI-CAL
For More Info on Federal Medicaid and Medicare
Programs:
Phone: 1-800-772-1213
Web Site: http://www.medi-cal.ca.gov/
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