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Cal MediConnect

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Cal MediConnect Home

CommuniCare Advantage Cal MediConnect Plan (Medicare-Medicaid Plan).  Simple is better...and healthier!

Having both Medicare and Medi-Cal benefits can be confusing. That's why Community Health Group now offers CommuniCare Advantage Cal MediConnect Plan, a comprehensive new plan that combines your Medicare and Medi-Cal benefits into ONE plan with one card. Better yet, CommuniCare Advantage Cal MediConnect Plan has added benefits at no extra cost to you.

Who is Community Health Group (CHG)?

Community Health Group has been providing quality health benefits for San Diego County residents since 1982. As San Diego's largest locally based, non-profit HMO, we invite you to simplify your health care needs with CommuniCare Advantage Cal MediConnect Plan. Our mission is a healthy community, and we're doing our best to make sure everyone in San Diego County can receive quality health care. We're multilingual and multicultural so we understand our members' needs.

CommuniCare Advantage Cal MediConnect Plan. Service Area is San Diego County

Combined Pharmacy/Provider Directory-English
Combined Pharmacy/Provider Directory-Spanish
Combined Pharmacy/Provider Directory-Arabic
Combined Pharmacy/Provider Directory-Vietnamese
Combined Pharmacy/Provider Directory-Tagalog

The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. We will send you a notice before we make a change that affects you.

Contacting Community Health Group

If you have additional questions or would like to receive program literature by mail, please send a request to:

Community Health Group
Attn: Customer Service
2420 Fenton Street, Suite 100
Chula Vista, CA 91914

Alternatively, you may contact us by phone at 1-888-244-4430, TTY users should 1-855-266-4584. CHG's Customer Service is available 24 hours a day,7 days a week. We may be reached via email at info@chgsd.com.

Frequently Asked Questions -
CommuniCare Advantage Cal MediConnect Plan
Am I eligible for CommuniCare Advantage Cal MediConnect Plan?

If you live in San Diego County and you are receiving Medi-Cal and Medicare benefits (have both Part A and Part B), you can sign up for CommuniCare Advantage Cal MediConnect Plan. It's a simple way to combine your Medi-Cal and Medicare benefits into one easy to use health care plan.

Can I still go to my regular doctors?

As long as your doctors are part of our CommuniCare Advantage Cal MediConnect Plan provider network. CommuniCare Advantage Cal MediConnect Plan members will have access to many hospitals in San Diego County.

Does CommuniCare Advantage Cal MediConnect Plan include prescription drug benefits?

Yes. As a member of CommuniCare Advantage Cal MediConnect Plan , you will have the same drug benefits you receive under Medicare Part B and under the Medicare Part D prescription drug plan. Depending on your income the co-payments for drugs may vary from $0 to $8.25 per drug: most generic drugs have $0 co-payment. After your yearly out-of-pocket costs for drugs reach $4,950, you won't have to pay any more co-pays for drugs.

Does CommuniCare Advantage Cal MediConnect Plan have deductibles or co-pays for medical services?

No. You can enjoy the added convenience and ease of CommuniCare Advantage Cal MediConnect Plan with no extra costs. There are no premiums, no deductibles, and no co-pays. You pay zero dollars out of your pocket for doctor's visits, emergency services or hospitalization.

What are the added benefits of CommuniCare Advantage Cal MediConnect Plan?

In addition to your current Medi-Cal and Medicare benefits, CommuniCare Advantage Cal MediConnect Plan includes:

  • Non-emergency transportation for 36 one-way visits to the doctor per year.
  • Worldwide emergency services (excludes transportation back to the U.S.).
  • Monthly gym membership with pre-authorization from plan nurse or case manager
  • Up to $200 for eyeglasses (frames and lenses) or up to $200 for contact lenses once a year.

You will also have access to a Customer Service Representative 24 hours a day, seven days a week!

Disclaimers

CommuniCare Advantage Cal MediConnect Plan is a health plan that contracts with both Medicare and Medi-Cal to provide benefits of both programs to enrollees. Enrollment in CommuniCare Advantage Cal MediConnect Plan depends on contract renewal.

Medicare beneficiaries may not be able to renew their contract every year for these plans. There are many reasons for this. They include the following:

The Centers for Medicare and Medicaid Services (CMS) may not renew their contract with CommuniCare Advantage Cal MediConnect Plan or your plan sponsor to provide Medicare and Medi-Cal benefits.

CommuniCare Advantage Cal MediConnect Plan or your plan sponsor may not renew their own contract with CMS to provide Medicare and Medi-Cal benefits.

CommuniCare Advantage Cal MediConnect Plan or your plan sponsor may need to offer Medicare and Medi-Cal benefits to a smaller service area.

You must live in the service area for the Cal MediConnect Plan.

Copays for prescription drugs may vary based on the level of Extra Help you recieve. Please contact the plan for more details.

This is not a complete list. The benefit information is a brief summary, not a complete description of benefits. For more information contact the plan or read the Member Handbook.

The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. We will send you a notice before we make a change that affects you.

Limitations, copays and restrictions may apply. For more information, call CommuniCare Advantage Cal MediConnect Customer Service or read the CommuniCare Advantage Cal MediConnect Member Handbook. Benefits, List of Covered Drugs, pharmacy and provider networks and/or copayments may change on January 1 of each year.

ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-888-244-4430 (TTY: 1-855-266-4584).

PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-888-244-4430 (TTY: 1-855-266-4584).

ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-888-244-4430 (TTY: 1-855-266-4584).

CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-888-244-4430 (TTY: 1-855-266-4584).

ملحوظة:4584-266-855-1) إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان. اتصل برقم (4430-244-888-1) رقم هاتف الصم والبكم ).

Last update 4/26/2017
H5172_Website2017 Approved 1/17/17