Cal MediConnect Member FAQs
If you are an L.A. Care Cal MediConnect member, you can quickly get answers to common questions below.
You will receive your ID card within seven (7) to 10 business days from your effective membership date.
With the L.A. Care Cal MediConnect Plan, you will not have any copayments for benefits other than prescription drugs.
Cal MediConnect benefits include medical care, prescription drugs, mental health and behavioral health care, long-term services and supports (LTSS), supplemental dental services, vision care, transportation, acupuncture services and connection to social services (such as meal delivery).
For more information regarding benefits, please refer to your member handbook.
Copayments for prescription drugs**:
- Generic Drugs (Tier 1 drugs): $0 co-pay for a 30-day supply
- Brand-Name Drugs (Tier 2 drugs): $0 to $8.25 co-pay for a 30-day supply
- Non-Medicare Rx Drugs (Tier 3 drugs): $0 co-pay
- Over-the-Counter (OTC) Drugs (Tier 4 Drugs): $0 co-pay
**Co-pays for prescription drugs may vary based on the level of Extra Help you receive. Extra Help is a Medicare program that helps people with limited incomes and resources pay for Medicare Part D prescription drugs.
Please call us for further assistance at 1-888-522-1298.
If you think you need urgent care or want help finding an Urgent Care Center, call your Primary Care Provider (PCP). If your PCP’s office is closed, you may speak to an operator who answers calls – ask to speak to your PCP or the doctor on call.
You can also call the Nurse Advice Line at 1-800-249-3619 (TTY 711). Trained nurses will help answer your health questions and help you find an urgent care center near you. This is a free service and is available 24 hours a day, 7 days a week, including holidays.
In order to see a specialist, you will first need to see your Primary Care Provider (PCP) to receive a referral. For some types of referrals, your PCP may need to get “prior authorization” or approval in advance from the PCP affiliated medical group or from L.A. Care Cal MediConnect Plan.