One of the most often asked questions we get from readers is this – How do I find Doctors that Accept Medi-Cal near me? In this post, we will provide two options for finding a Medi-Cal Doctor in your area for both adults and children.
Also, we will provide information on how to find a specialist that takes Medi-Cal.
Additionally, we will explain what is covered under Medi-Cal and whether there are out-of-pocket fees regarding Medi-Cal services.
There are two ways to locate find a doctor near you that accepts Medi-Cal:
Option 1 – Online
When you enroll in (join) a Medi-Cal plan, you must choose a primary care provider (PCP).
Your PCP is the doctor or clinic you go to when you are sick or need a checkup.
To locate a Medi-Cal provider near you, click here to search the database of providers.
Once you are on the website, select a program (see image below) to search for doctors, dentists, hospitals, medical clinics, and dental clinics near you.
In the example shown in the image below, we have provided you with the steps to find Doctors that Accept Medi-Cal Near You.
You can search by Address, Zip Code, or County.
Here’s how:
Select your program: Medi-Cal Managed Care or Cal MediConnect
Choose a provider type: Doctor, hospital, medical clinic, or dentist/dental clinic
Search by location: Address, zip code, or county
Option 2 – Contact Your Medi-Cal Health Plan
Medi-Cal health plan providers also keep a list of doctors that accept their Medi-Cal plans.
Contact your Medi-Cal health plan provider for a list.
For your convenience, we have provided below the list of California Medi-Cal Managed Care Plans by County, including a link to their website and phone number.
The list is in alphabetical order. Scroll down to locate your county of residence and see the Medi-Cal health plans available in your county and their contact information:
Most doctor visits with contracted providers for covered benefit services
Preventive care and immunizations
Prescriptions
Hospital stays
Emergency services, including ambulance
Family planning
OB-GYN services and pregnancy care
Lab and x-ray services
Health education
Vision care (some restrictions apply, available through VSP)
Dental care (available through Denti-Cal)
Behavioral health (mental health and substance abuse) services
Transportation to medical appointments
Long-term services and supports (LTSS), including long-term care in a nursing facility, Community-Based Adult Services (CBAS), In-Home Supportive Services (IHSS), and Multipurpose Senior Services Program (MSSP).
How do I find a Specialist that takes Medi-Cal?
You can see a Specialist under Medi-Cal. However, you may need pre-approval from your health plan.
Depending on when you live in California, it may be hard to find specialists that take Medi-Cal. Also, there may be long waiting lists.
In a Medi-Cal Health Plan, if you have trouble finding a specialist, your Plan must help you find one.
Also, remember that before you see a specialist, you may need to get pre-approval. Check with your doctor or your MediCal Health Plan.
To get the names of specialists ask, your doctor, hospital, clinic, or your Medi-Cal Health Plan.
Do I have any Co-Pays, Premiums, or out-of-pocket expenses with Medi-Cal?
If you have a Share-of-cost (SOC) with your Medi-Cal, you will need to pay that amount each month to your health provider.
There are no other co-payment, premiums or out-of-pocket expenses if you see and receive Medi-Cal covered benefits through a Medi-Cal provider.
What is Share-of-Cost (SOC)?
Share-of-cost (SOC) is a set amount you will need to pay your providers each month when receiving Medi-Cal-covered services.
The SOC amount is determined by your County Medi-Cal office.
After you meet your SOC, you are eligible to receive Medi-Cal covered services for the month with no out-of-pocket expenses.
Summary – Doctors that Accept Medi-Cal
Here’s the bottom line:
There are two ways to locate a doctor near you that takes Medi-Cal:
Online using the Provider Directory by clicking here. You can search by Address, Zip Code, or County.
Contacting your Medi-Cal health plan to see how to locate a PCP that accepts their plan. See the list of health plans and contact information above.
We hope this post on how to find a Doctors that Accept Medi-Cal Near You was helpful.
Questions?
If you have further questions about Medi-Cal or Medi-Cal Coverage, please let us know in the comments section below.
Be sure to check out our other articles about Medi-Cal and California Medicaid program, including:
