In Kern County, two Health Plans are available for those who qualify. These two Health Plans, Health Net and Kern Family Healthcare, make available primary care physicians, specialist, hospitals, and other medical professionals for you and your family's health care needs. It is important that you attend a Health Care Options presentation to receive more information regarding your Medi-Cal benefits.
California Health Care Options (HCO) Presentations are educational and informational sessions offered to Medi-Cal eligible persons at the local County welfare offices throughout Kern County. They provide the tools with which to make an informed decision about how you want to receive your Medi-Cal benefits.
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No appointment is necessary and all services are free. Medi-Cal participants and applicants may be referred by County Eligibility workers, by the HCO Call Center (1-800-430-4263), by the informing packet materials they receive in the mail, or you can just walk-in and ask for the Health Care Option representative. Customer service is available to answer questions, assist with the paperwork or accept enrollment/ disenrollment forms.
Eligibility for financial help is determined without regard to sex, race, color, religion, ancestry, national origin, age, disability, medical condition, marital status, sexual orientation, gender identity, gender expression or educational background.
Cedars-Sinai offers cash discounts and package pricing for certain services. In most cases, cash packages cover the hospital and anesthesiologist fees for outpatient procedures not covered by insurance, and for uninsured patients. Cash packages must be paid before you receive services, and claim forms are not provided. Call Cash and Insurance Pricing Line at 310-423-4890 for more information.
CalVCB is the payor of last resort. CalVCB provides compensation after all available reimbursement and recovery sources are used, including medical insurance, disability insurance, employer benefits and civil suits.
The web pages currently in English on the CalVCB website are the official and accurate source for the program information and services CalVCB provides. Any discrepancies or differences created in the translation are not binding and have no legal effect for compliance or enforcement purposes. If any questions arise related to the information contained in the translated website, please refer to the English version.
If you or someone in your household requires the regular use of electrically powered medical equipment or other qualifying medical devices, you may be eligible for our Medical Baseline Allowance program. This program provides an additional 16.5 kilowatt-hours (kWh) of electricity per day. Provided at the lowest baseline rate, this helps offset the cost of operating the medical equipment.
At SCE, we understand that medical equipment is constantly evolving and advancing. Therefore, we encourage customers to contact us directly if they have any questions about their qualifying medical device or other related products or services. Our team of experienced professionals is always available to answer any inquiries.
For customers who are unable to re-certify online, please download the application below, print, and complete the appropriate parts depending on whether the condition has been designated as permanent or not permanent. Mail the completed form(s) to the SCE P.O. Box provided below.
All customers who depend upon electrically operated medical or life-support equipment for survival should always be prepared with a backup power system or other plans necessary to ensure their health and welfare during outages. SCE does not provide backup generation.
If a Public Safety Power Outage (PSPS) is called, we will attempt to reach our Medical Baseline customers through their alternate preferred method of contact (Email, Text, SMS, TTY). If your physician has indicated that your medical equipment is for life-sustaining purposes, and we do not reach you directly through your preferred method of contact, we will send a technician to your door to make in-person contact to deliver the message regarding the PSPS event.
PA MEDI is supported by the Administration for Community Living (ACL), U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $1.9 million with 100% funding by ACL/HHS. The contents are those of the author and do not necessarily represent the official views of, nor an endorsement, by ACL/HHS, or the U.S. Government.
Original Medicare includes Medicare Part A and Part B. Medicare prescription drug coverage (Part D) is available through purchasing a separate Medicare drug plan. Original Medicare is available anywhere in the United States at any provider who accepts Medicare. Original Medicare does not require you to have a primary doctor but does not cover medical costs incurred outside the United States. Visit How Original Medicare works | Medicare to learn more.
Medicare Advantage (Part C) is a Medicare-approved private insurance plan sold by a private insurance company that offers an alternative to Original Medicare for health and drug coverage. These bundled plans include Part A and Part B and can have different rules for how you get services. They may cover additional services such as prescriptions (Part D), dental, vision, hearing aids, and other services. You need to use doctors who are in the plan's network. Plans must cover all emergency and urgent care and almost all medically necessary services Original Medicare covers. They may cover emergency medical expenses outside the service area including foreign travel. Some plans tailor their benefit packages to offer additional benefits to treat specific conditions.
For more information visit What does Medicare cost? | Medicare. PA MEDI can help you compare Part C, Part D and Medigap plan costs in your local area. Call your local PA MEDI program or the PA MEDI Helpline at 1-800-783-7067 for assistance.
You can create a secure Medicare account that lets you access your information anytime. It gives you a summary of your current coverage, you can add your drugs & pharmacies, and use your saved drugs & pharmacies to compare plan costs. Medicare.gov - Log in or create an account
If you (or your spouse) are still working when you turn 65, Medicare works a little differently. Ask the employer that provides your health insurance if you need to sign up for Part A and Part B when you turn 65. Visit Working past 65 | Medicare for more information.
The best time to buy a Medigap policy (Medicare Supplement) is during your Medigap Open Enrollment Period. This is a one-time 6-month period that starts the first day of the month you're 65 or older and signed up for Part B. During that time, you can buy any Medigap policy sold in your state, even if you have pre-existing conditions. After this period, your options to buy a Medigap policy may be limited, the policy may cost more, and you may be subject to medical underwriting.
During Special Enrollment Periods (SEP) you can make changes to your Medicare Advantage and Medicare prescription drug coverage when certain events happen in your life, like if you move or you lose other insurance coverage. Rules about when you can make changes and the type of changes you can make are different for each SEP. More information can be found here Special Enrollment Periods | Medicare
Medigap is extra insurance you can buy from a private insurance company that works with Original Medicare to help pay your share of costs and can be used anywhere in the United States that accepts Medicare. Under federal law, you get a one-time 6-month Medigap Open Enrollment period. It starts the first month you have Medicare Part B and you're 65 or older. During this time, you can enroll in any Medigap policy and will generally get better prices and more choices among policies. After this period, you may not be able to buy a Medigap policy, it may cost more, and you may be subject to medical underwriting.
There are 10 Medigap plan options available, A, B, C, D, F, G, K, L, M, and N. Each lettered plan has different, yet standardized, benefits and coverage that must follow federal and state laws. Compare the coverage of each lettered plan and choose the plan letter that covers what you need. Once you've decided on a plan letter, compare the price of that plan letter offered by different insurance companies. PA MEDI can help you compare plan benefits and costs or you can also visit Find a Medigap policy that works for you (medicare.gov) to compare plans.
Pennsylvania's prescription assistance programs for older adults, PACE and PACENET, offer low-cost prescription medication to qualified residents, age 65 and older. The program works with Medicare Part D plans and other prescription drug plans such as retiree/union coverage, employer plans, Medicare Advantage, and Veterans Benefits to lower out-of-pocket costs for medications. Visit PACE Program for more information.
Medicare & You | Medicare Section 8 "Your Medicare Rights & Protections" contains more in-depth, detailed information regarding appeals and how to file a complaint. PA MEDI certified counselors can assist you with questions and help you through the appeal process, call your local PA MEDI program or the PA MEDI Helpline at 1-800-783-7067 for assistance.
If you believe you made the wrong plan choice because of inaccurate or misleading information, including using Plan Finder on Medicare.gov, PA MEDI can help you throughout the year with options for making changes.
Remember, the best source of information is from Medicare itself (Medicare.gov, 1-800-MEDICARE) and its trusted partners, PA MEDI at 1-800-783-7067, and Pennsylvania Senior Medicare Patrol at 800-356-3606.
Some people who do not meet the income limit still may qualify using a spenddown (PDF). A spenddown is like an insurance deductible. This means you are responsible for some medical bills before MA pays. 2351a5e196
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