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

Medi-Cal Member Handbook / Benefit Year 2006-2007Table of ContentsThis Member Handbook: Why is it important to you? .................................................................1Whom do I call and when?...................................................................................................................................... 1Helpful information at www.lacare.org on the Internet............................................................................................. 2WELCOME: Now that you are with L.A. Care Health Plan!.........................................................3Your Health Plan Choices with L.A. Care................................................................................................................ 3How to Change Health Plans .................................................................................................................................. 3ID Cards: How do I use them?......................................................................................................4What to do with your L.A. Care/Community Health Plan ID card ............................................................................ 4What to do with your Medi-Cal card (also known as BIC card) ............................................................................... 4Let’s get started: How do I get health care?................................................................................5Your PCP doctor ..................................................................................................................................................... 5Start getting your care now! Call your PCP doctor for a check-up. ........................................................................ 5How to see your PCP doctor................................................................................................................................... 6If you get a bill......................................................................................................................................................... 6What is a second opinion? ...................................................................................................................................... 6How to get a second opinion................................................................................................................................... 6Are you pregnant? Call Community Health Plan at 1-800-475-5550...................................................................... 7How to get health care that your PCP doctor can’t give you ................................................................................... 7How to get a standing referral with a specialist ....................................................................................................... 7Our Provider Network: Who gives me health care?....................................................................8Your PCP doctor gives you most of your care......................................................................................................... 8How to change your PCP doctor............................................................................................................................. 8Kinds of PCP doctors .............................................................................................................................................. 9Picking a Federally Qualified Health Center (FQHC) as your PCP doctor .............................................................. 9How to get care from a specialist ............................................................................................................................ 9Our doctor’s professional qualifications................................................................................................................... 9Certified Nurse Midwives......................................................................................................................................... 9What care can you get from a provider who is not your PCP doctor? ................................................................... 10How to keep seeing your doctor if your doctor leaves your health plan................................................................. 10How to keep seeing your doctor if you are a new member.................................................................................... 10What is Covered: What kinds of health care can I get from Community Health Plan? ...........12iCommunity 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