Individual Plan Descriptions - California Healthy Families - State of ...

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1-877-814-1861 Call toll free 8 a.m. to 5 p.m., Monday–Friday Spanish and English plus other languages— using Certified Language International Interpreters Serving all communities in Santa Barbara and San Luis Obispo Counties Choose CenCal Health, the Community Provider Plan in San Luis Obispo and Santa Barbara Counties, and you will pay less than if you choose another Healthy Families Plan in San Luis Obispo or Santa Barbara Counties. Why Choose CenCal Health? We Have Low Rates in both Counties! • From $4 to $24 per child per month up to a maximum of $72 for all children in the family. • Health centers include: Sansum Clinic, American Indian Health & Services, Santa Barbara Neighborhood Clinics, Santa Barbara County Health Clinics, Community Health Centers of the Central Coast, all hospitals in Santa Barbara and San Luis Obispo Counties, and a wide choice of pharmacies. CenCal Health is your central coast health plan headquartered in Santa Barbara. We help thousands of kids every year! Our Member Services staff reside and work in your community. They are available for you daily from 8 a.m. to 5 p.m. at 1-877-814-1861 for information and inquiries. How the Plan Works: It’s easy! • Choose CenCal Health and pick one of the Primary Care Physicians (PCP) from our list (almost all of our PCP offices have staff who speak Spanish). We will send you a new member welcome packet with an ID card and Evidence of Coverage/Member Handbook. • The PCP you choose for your child will provide care and refer your child to other doctors if needed. You may change your child’s PCP once a month. • You can even call some of the other doctors yourself to arrange an appointment directly: • Chiropractors for 20 visits per year • Acupuncturists for 20 visits per year • Gynecologists for yearly well woman exams • Plus, you may get the prescription drugs you need from pharmacies right in your neighborhood. How to Choose Write CenCal Health and the number of the PCP you want in the space provided on the form. If you have questions, call us toll free at 1-877-814-1861, or visit our web site at www.cencalhealth.org. 160 The Healthy Families Program Handbook - September 2012
1-800-700-3874 Call 8:00 a.m. to 5:00 p.m., Monday - Friday English and Spanish - Other languages available www.ccah-alliance.org Why Choose Central California Alliance for Health? Cost • If you choose Central California Alliance for Health, the Community Provider Plan in Monterey and Santa Cruz Counties, your monthly premium will be less than if you choose another Healthy Families Plan in these counties. Choice • You may choose your own doctor. We have many providers including specialists, hospitals and pharmacies so yourchild can get care when he/ she needs it in your neighborhood. • Female members can see an OB/GYN doctor without a referral. Quality and Service • We work hard to give your child the best care and customer service. We are committed to our community and the health of your children. • We are local - with offices in Scotts Valley and Salinas. • We have programs such as asthma and diabetes management to help keep your child healthy. We have nurses, social workers and health educators on staff to help you. How the Plan Works • When you enroll, choose a doctor that is right for your child. You may change doctors up to once a month. • Your doctor will help with all your child’s health care needs. He or she will refer your child to a specialist or to the hospital when needed. • We will send you membership information and an Alliance ID card. You will need to show your child’s ID card at all doctor appointments and at the pharmacy. • You can get your child’s prescriptions from a choice of many chain and neighborhood pharmacies. • If your child needs urgent care, you can call your child’s doctor 24 hours a day, seven days a week. How to Choose Write Central California Alliance for Health and your choice of a doctor or clinic in the space provided on the form. If you have any questions, call our friendly bilingual staff toll free at 1-800-700-3874. We’re here to help you! Apply online at www.healtheapp.net 161
Page 1: Individual Plan Descriptions 153
Page 4 and 5: 156 Exclusive Provider Organization
Page 6 and 7: 1-800-530-2899 Monday - Friday, 8 a
Page 10 and 11: 162 1-800-224-7766 24 hours a day,
Page 12 and 13: Multilingual Customer Service Call
Page 14 and 15: 1-800-750-4776 Monday-Thursday: 8:0
Page 16 and 17: Toll Free: 1-800-464-4000 Mon.-Fri.
Page 18 and 19: 1-888-4LA-CARE (1-888-452-2273) Cal
Page 20 and 21: 2008 172 PARTNERSHIP HEALTHPLAN OF
Page 22 and 23: Toll Free: 1-800-260-2055 / 1-800-7
Page 24 and 25: 1-888-849-8440 8 a.m. to 6 p.m., Mo
Page 26 and 27: DeltaCare USA 800-422-4234 7:00 a.m
Page 28 and 29: 1-888-584-5830 8 a.m. to 6 p.m., Mo
Page 30 and 31: Call toll-free: 1-800-805-8000 8:30
Page 32 and 33: Customer Service 1-800-880-3080 Cal
Page 34 and 35: Notes 186 The Healthy Families Prog
Page 42: Notes 194 The Healthy Families Prog

Individual Plan Descriptions - California Healthy Families - State of ...

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