Medi-Cal What it Means to You - San Francisco Public Schools

15. WHAT DOES THE BENEFITS IDENTIFICATION CARD (BIC)LOOK 15. WHAT LIKE? DOES THE BENEFITS IDENTIFICATION CARD (BIC)LOOK LIKE?A BICBIClookslookslikelikethis:this:ActualActualcardcardsizesize= 3 1/81/8x 2 3/83/8inches;inches;whitewhitecardcardwithwithblueblueletterslettersononfront,front,blackblackletterslettersononback.back.1234 5Recipient Information on face of card:1. Your ID Number (a 14 characteridentification number).2. Your name3. Gender Code (male or female)4. Date of Birth5. Date card was issued to you16. WHAT INFORMATION IS ON THE PAPER MEDI-CAL CARD?16. WILL I GET A PAPER MEDI-CAL CARD?Your paper identification card will show your name, MEDI-CALYouridentificationcounty willnumber,give yougender,a paperdateMEDI-CALof birth,cardissueif youdatehaveandangood“ImmediatethroughNeed”date. “Immediateor get ConfidentialNeed” cardsMedicalareServicesissued for(Minora oneConsent)monthasperioddescribedand MinorinSection 2D.Consent cards are issued for up to a year.17. NOTE: WHAT If you INFORMATION are a beneficiary IS 18 ON years THE of age PAPER or older MEDI-CAL who is not CARD? in longtermpaper care, and identification not getting card emergency will showservices, your name, you MEDI-CAL must sign and dateYouridentification your paper MEDI-CAL number, card gender, or BIC date when of birth, you get issue it and datebefore and good you through give thedate. paper “Immediate MEDI-CAL card Need” or cards BIC to are a provider issued for for a one any care. month period and MinorConsent cards are issued for up to a year.17. HOW DO I USE THE BENEFITS IDENTIFICATION CARD (BIC)?NOTE: If you are a beneficiary 18 years of age or older who is not in longtermYou should care, and always not getting carry your emergency BIC with you. services, you must sign and dateyour REMEMBER: paper MEDI-CAL Find out if card the or provider BIC when takes youMEDI-CAL get it andpatients before you before giveyouthepaper MEDI-CAL go for card treatment. or BIC toThe a provider for has any a right care. to refuse to takeMEDI-CAL. If you forgot to tell the provider that you have18. HOW DO MEDI-CAL, I USE THE you BENEFITS may have IDENTIFICATION to pay your bill. CARD (BIC)?You Ask your should local always medical carrysociety your BIC for with providers you. who take MEDI-CAL patients.Call the Delta Dental office for dental referrals at 1-800-322-6384.REMEMBER: Find out if the provider takes MEDI-CAL patients before youFor each service go for you treatment. get, give the The provideryour has aBIC right so to MEDI-CAL refuse tocan take paythe provider MEDI-CAL. (if you are eligible If you forgot MEDI-CAL.) to tell the provider that you haveMEDI-CAL, you may have to pay your bill.Some services must be approved by MEDI-CAL before you may get them.The provider will know when you need prior approval.- 14 -