Cal MediConnect Member FAQs

If you are an L.A. Care Cal MediConnect member, you can quickly get answers to common questions below.

Who am I assigned to?

You can view your current assigned Primary Care Provider (PCP) on the L.A. Care Connect online portal or please call us at 1-888-522-1298.

Who is my case manager?

Please contact the case management department at 1-844-200-0104 to receive information regarding your case manager. 

When will I receive my ID card?

You will receive your ID card within seven (7) to 10 business days from your effective membership date. 

Do I have any copayments?

With the L.A. Care Cal MediConnect Plan, you will not have any copayments for benefits other than prescription drugs. 

What’s covered in Cal MediConnect?

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.

Do you cover this medication?

For a list of covered medications, please see your List of Covered Drugs (Formulary).

What are my copayments for prescription drugs?

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.

Where do I call for transportation?

Logistic Care can assist with your transportation needs at 1-888-522-1298.

How many free rides do I get?

As an L.A. Care Cal MediConnect Plan member, you have free rides to get you to your doctor’s appointment. Just call 1-866-529-2141 (TTY 711) to schedule a ride.

*Quantity Limits apply. Please check page 66 of your Member Handbook to view transportation benefits.

What urgent care can I go to?

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.

What is the process to see a specialist?

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.