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Recent changes to Medicare and Medi-Cal benefits may prevent you from seeing your physicians at Keck Medicine of USC.
If you have Medicare and Medi-Cal benefits (dual eligible), you may be enrolled in a new health plan under a program called Cal MediConnect. This may direct you to another physician who is not with Keck Medicine of USC. To avoid this change, you need to take action.
An enrollment form and information packet in a blue envelope will be mailed to you within 60 days of your birthdate directly from Medi-Cal. To continue receiving care at Keck Medicine of USC, please choose one of the following options when completing your form:
For more information or if you have already enrolled in Cal MediConnect and are having problems seeing your USC physician, please call (800) USC-CARE for assistance and ask to be connected with your physician’s office. You can also visit www.calduals.org.
TAKE ACTION TO KEEP YOUR USC PROVIDERSRecent changes to Medicare and Medi-Cal benefits may prevent you from seeing Keck Medicine of USC physicians. To keep your USC provider, please do the following:Opt out of Cal MediConnect and keep regular Medicare With this option, you will be able to keep the same Medicare benefits that you already have and you will be able to keep coverage at Keck Medicine of USC. You also will maintain coverage for a larger network of doctors and hospitals.• Call Health Care Options at (844) 580-7272 or TTY: (800) 430-7077 Monday – Friday, 8 a.m. – 5 p.m.• To opt out you must select Option B in Step 2 of the Health Plan Choice Form that is part of your enrollment packet.• Fill in the circle to the left of the Medi-Cal plan you want.• You must also mail in your enrollment form. If this section is not filled out correctly, you will be passively enrolled.
You qualify for Cal MediConnect if you:
You will not qualify for Cal MediConnect include if you:
If you receive health care coverage through Medicare, but are not eligible for Medi-Cal, you will not be affected. Anyone enrolled in Medi-Cal, however, will need to enroll in a Medi-Cal managed health benefit plan. Doing so will not affect your care, as long as your primary Medicare remains unattached to an HMO.
No. However, if you are eligible but do not wish to enroll, you must opt out of the program or you will be automatically enrolled. This could mean changes to your plan and physician. If you are eligible for Cal MediConnect but do not wish to enroll, please be sure to opt out.
If you do enroll in Cal MediConnect and decide later you no longer want to be part of the program, you can opt out. To do so, call Health Care Options at (844) 580-7272 or TTY: 800-430-7077 or contact your plan provider and tell them you would like to leave the program.
You will still need to be enrolled in a managed health plan for your Medi-Cal benefits. Leaving Cal MediConnect will only affect how you get your Medicare benefits.
Enrollment is free, but you will still be responsible for the same Medicare and Medi-Cal premiums, copays and deductibles you are accustomed to.
Your choice of physician and hospital providers will generally be limited to those in a Cal MediConnect plan. If you chose to enroll, you will need to be sure that your preferred doctor(s) and hospital are part of that plan.
Yes, you will need prior authorization for all services and specialty care. Referrals and authorizations will need to be coordinated through your primary care provider.
Yes, your coverage will not change.
You will receive three different notices about the Cal MediConnect program within 90, 60, and 30 days of your enrollment date:
If you wish to keep your coverage for care at Keck Medicine of USC and with our providers, please do the following: