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Health Care Insurance Guide: MediCal HMO

Many people with Medi-Cal belong to Medi-Cal HMOs. Like other HMOs, Medi-Cal HMOs have contracts with doctors, pharmacies, clinics, labs and hospitals. You use these providers when you need health care services.

You will have one doctor or clinic that you go to first for all your health care needs. If you don't choose a doctor or clinic when you join the HMO, the HMO will choose one for you. But you can change your doctor or clinic if you want. Medi-Cal HMOs provide many services to help members stay healthy. They also provide interpreter services for all members with limited English.

Health Care Options
Join or leave a Medi-Cal HMO
(800) 430-4263

Medi-Cal Fair Hearing
File an appeal if your HMO denies you the services you need
(800) 952-5253

Medi-Cal Managed Care Ombudsman
Help if you have a problem you can't solve with your HMO
(888) 452-8609

Medi-Cal Mental Health Care Ombudsman
Help with Medi-Cal mental health care services
(800) 896-4042

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