Order Form

Order Form Steps
  • 1. Order Form
  • 2. Summary
  • 3. Contact Info
  • 4. Confirmation

Order your L.A. Care materials here! 

Follow these simple instructions:

  1. Scroll through our Menu and select the desired material(s)
  2. Click on the Languages needed and select Quantity
  3. Fill in your contact information
  4. Click ‘Submit’

Please allow (2) weeks for delivery.

If you have any questions, please call (888) 439-5124 or email promorequest@lacare.org.

Representatives are available to assist you Monday through Friday, 8:00 a.m. – 5:00 p.m.

Click on the links below to find a doctor, hospital, or pharmacy, and for the most current formulary listing:

Click here to Find a Doctor or Hospital

Click here to Find a Pharmacy

Click here to view the Formulary

Click the tabs below to order materials for each of the plans:
 
 
L.A. Care Covered Brochure
L.A. Care Covered Brochure

L.A. Care Covered Brochure. L.A. Care Covered brochure with a detachable Business Reply Mail (BRM) lead card to request more information.

Medicare Advantage Brochure
Medicare Advantage Brochure

Medicare Advantage Brochure provides an overview of L.A. Care’s Medicare Advantage (HMO SNP) program. Available in quantities of 25.

Medicare Benefit Highlights Flyer
Medicare Benefit Highlights Flyer

Medicare Benefit Highlights Flyer is an overview of L.A. Care Medicare Advantage (HMO SNP) benefits. This material is available in quantities of 100.

Medicare Advantage (HMO SNP) Request for Information Cards
Medicare Advantage (HMO SNP) Request for Information Cards

Medicare Advantage (HMO SNP) Request for Information Cards are available in pads of 50.

Medicare Advantage (HMO SNP) Dental Brochure
Medicare Advantage (HMO SNP) Dental Brochure

Medicare Advantage (HMO SNP) Dental Brochure includes dental benefits and tips for maintaining oral health. Available in quantities of 25.

Medicare Advantage (HMO SNP) Member Enrollment Kit
Medicare Advantage (HMO SNP) Member Enrollment Kit

Medicare Advantage (HMO SNP) Member Enrollment Kit. AGENTS ONLY. This material is available in quantities of 20.

Medi-Cal Overview Brochure
Medi-Cal Overview Brochure

Medi-Cal Overview Brochure. Provides overview of L.A. Care's Medi-Cal program. Available in quantities of 25.

Healthy Kids Flyer
Healthy Kids Flyer

Healthy Kids Flyer. One page overview of L.A. Care's Healthy Kids program.

L.A. Care Covered Counter Card
L.A. Care Covered Counter Card

L.A. Care Covered Counter Card. “L.A. Care Makes It Easy,” bilingual tabletop display ad featuring a pad of 50 self-adhering lead cards. Available in sets of 2 counter cards with 3 English and 3 Spanish Business Reply Mail (BRM) lead card pads.

L.A. Care Covered Income Flyer
L.A. Care Covered Income Flyer

L.A. Care Covered Income Flyer. L.A. Care Covered flyer that features an income table with the types of health plan coverage and financial assistance available through Covered California.

Cal MediConnect
Cal MediConnect

Cal MediConnect Summary of Benefits. Available in pads of 50.

LA Care Lead Card
LA Care Lead Card

Cal MediConnect Plan Lead Card. Available in pads of 50.