Member Handbook - Los Angeles County Department of Health ...

Medi-Cal Member Handbook / Benefit Year 2006-2007Skilled Nursing Facility Services• A facility licensed to provide medical servicesfor non-acute conditionsIf you need long-term skilled nursing facilityservices, you may be disenrolled from L.A. Careand provided these services through Medi-Cal oranother State program.Therapy – Occupational, Physical andSpeech• Occupational therapy is used to improve andmaintain a patient’s daily living skills becauseof a disability or injury.• Physical therapy uses exercise to improve andmaintain a patient’s ability to function after anillness or injury.• Speech therapy is used to treat speech problems.Vision CareEye exams are covered by Community HealthPlan. You are limited to one pair of eyeglassesevery two years unless your prescription changes.This includes lenses and covered frames foreyeglasses when authorized.To find out more about eye exams or vision carecoverage call Community Health Plan.X-ray ServicesThese services will be provided when ordered byyour doctor from a network:• Doctor’s office• Hospital• LaboratoryTransportationIncludes non-emergency transportation for thetransfer of a member from a hospital to anotherhospital or facility, or facility to home when thetransportation is• Medically necessary, and• Requested by the PCP doctor, and• Authorized in advance by Community HealthPlan.Exclusion: Coverage for public transportationincluding transportation by airplane, passengercar, taxi, or other forms of public conveyance.18Community Health Plan Member Services Department toll-free 1-800-475-5550L.A. Care Health Plan Member Services Department toll-free 1-888-4LA-Care or 1-888-452-2273