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.
Most doctor visits with contracted providers for covered benefit services
Preventive care and immunizations
Emergency services, including ambulance
OB-GYN services and pregnancy care
Lab and x-ray services
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.
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: