"How do I find a doctor that accepts Medi-Cal"

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.

To find a dentist that accepts Medi-Cal, see our post on Dentists that take Medi-Cal in California.

"Doctors that Accept Medi-Cal Near You"

How to find Doctors that Accept Medi-Cal Near You

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:

  1. Select your program: Medi-Cal Managed Care or Cal MediConnect
  2. Choose a provider type: Doctor, hospital, medical clinic, or dentist/dental clinic
  3. Search by location: Address, zip code, or county

"find a medi-cal doctor near you"

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:

County NameMedi-Cal Health Plans Available by CountyPlan Phone Number
AlamedaAlameda Alliance for Health(510) 747-4567
Anthem Blue Cross Partnership Plan(800) 407-4627
AlpineAnthem Blue Cross Partnership Plan(800) 407-4627
California Health & Wellness(877) 658-0305
AmadorAnthem Blue Cross Partnership Plan(800) 407-4627
California Health & Wellness(877) 658-0305
ButteAnthem Blue Cross Partnership Plan(800) 407-4627
California Health & Wellness(877) 658-0305
CalaverasAnthem Blue Cross Partnership Plan(800) 407-4627
California Health & Wellness(877) 658-0305
ColusaAnthem Blue Cross Partnership Plan(800) 407-4627
California Health & Wellness(877) 658-0305
Contra CostaAnthem Blue Cross Partnership Plan(800) 407-4627
Contra Costa Health Plan(877) 661-6230
Del NortePartnership Health Plan of California(800) 863-4155
El DoradoAnthem Blue Cross Partnership Plan(800) 407-4627
California Health & Wellness(877) 658-0305
FresnoAnthem Blue Cross Partnership Plan(800) 407-4627
CalViva Health(888) 893-1569
GlennAnthem Blue Cross Partnership Plan(800) 407-4627
California Health & Wellness(877) 658-0305
HumboldtPartnership Health Plan of California(800) 863-4155
ImperialCalifornia Health & Wellness(877) 658-0305
Molina Healthcare of California Partner Plan, Inc.(888) 665-4621
InyoAnthem Blue Cross Partnership Plan(800) 407-4627
California Health & Wellness(877) 658-0305
KernHealth Net Community Solutions, Inc.​(800) 675-6110
Kern Family Health Care(800) 391-2000
KingsAnthem Blue Cross Partnership Plan(800) 407-4627
CalViva Health(888) 893-1569
LakePartnership Health Plan of California(800) 863-4155
LassenPartnership Health Plan of California(800) 863-4155
Los AngelesHealth Net Community Solutions, Inc.(800) 675-6110
L. A. Care Health Plan(888) 839-9909
MaderaAnthem Blue Cross Partnership Plan(800) 407-4627
CalViva Health​(888) 893-1569
MarinPartnership Health Plan of California(800) 863-4155
MariposaAnthem Blue Cross Partnership Plan(800) 407-4627
California Health & Wellness(877) 658-0305
MendocinoPartnership Health Plan of California(800) 863-4155
MercedCentral California Alliance for Health(800) 700-3874 ext. 5505
ModocPartnership Health Plan of California(800) 863-4155
MonoAnthem Blue Cross Partnership Plan(800) 407-4627
California Health & Wellness(877) 658-0305
MontereyCentral California Alliance for Health(800) 700-3874 ext. 5505
NapaPartnership Health Plan of California(800) 863-4155
NevadaAnthem Blue Cross Partnership Plan(800) 407-4627
California Health & Wellness(877) 658-0305
OrangeCalOptima(888) 587-8088
PlacerAnthem Blue Cross Partnership Plan(800) 407-4627
California Health & Wellness(877) 658-0305
PlumasAnthem Blue Cross Partnership Plan(800) 407-4627
California Health & Wellness(877) 658-0305
RiversideInland Empire Health Plan(800) 440-4347
Molina Healthcare of California Partner Plan, Inc.(888) 665-4621
Sacramento​Aetna Better Health of California(855) 772-9076
Anthem Blue Cross Partnership Plan(800) 407-4627
Health Net Community Solutions, Inc.(800) 675-6110)
Kaiser Permanente(800) 464-4000
Molina Healthcare of California Partner Plan, Inc.(888) 665-4621
San BenitoAnthem Blue Cross Partnership Plan(800) 407-4627
San BernardinoInland Empire Health Plan(800) 440-4347
Molina Healthcare of California Partner Plan, Inc.(888) 665-4621
San DiegoAetna Better Health of California​(855) 772-9076 (TTY 711)
Blue Shield of California Promise Health Plan(800) 605-2556
Community Health Group Partnership Plan(800) 224-7766
Health Net Community Solutions, Inc.(800) 675-6110
Kaiser Permanente(800) 464-4000
Molina Healthcare of California Partner Plan, Inc.(888) 665-4621
UnitedHealthcare Community Plan​​​​(866) 270-5785/TTY: 711
San FranciscoAnthem Blue Cross Partnership Plan(800) 407-4627
San Francisco Health Plan(800) 288-5555
San JoaquinHealth Net Community Solutions, Inc.(800) 675-6110
Health Plan of San Joaquin(888) 936-7526
San Luis ObispoCenCal Health(877) 814-1861
San MateoHealth Plan of San Mateo(800) 750-4776
Santa BarbaraCenCal Health(877) 814-1861
Santa ClaraAnthem Blue Cross Partnership Plan(800) 407-4627
Santa Clara Family Health Plan(800 ) 260-2055
Santa CruzCentral California Alliance for Health(800) 700-3874 X5505
ShastaPartnership Health Plan of California(800) 863-4155
SierraAnthem Blue Cross Partnership Plan(800) 407-4627
California Health & Wellness(877) 658-0305
SiskiyouPartnership Health Plan of California(800) 863-4155
SolanoPartnership Health Plan of California(800) 863-4155
SonomaPartnership Health Plan of California(800) 863-4155
StanislausHealth Net Community Solutions, Inc.(800) 675-6110
Health Plan of San Joaquin(888) 936-7526
SutterAnthem Blue Cross Partnership Plan(800) 407-4627
California Health & Wellness(877) 658-0305
TehamaAnthem Blue Cross Partnership Plan(800) 407-4627
California Health & Wellness(877) 658-0305
TrinityPartnership Health Plan of California(800) 863-4155
TulareAnthem Blue Cross Partnership Plan(800) 407-4627
Health Net Community Solutions, Inc.(800) 675-6110
TuolumneAnthem Blue Cross Partnership Plan(800) 407-4627
California Health & Wellness(877) 658-0305
VenturaGold Coast Health Plan(888) 301-1228
YoloPartnership Health Plan of California(800) 863-4155
YubaAnthem Blue Cross Partnership Plan(800) 407-4627
California Health & Wellness(877) 658-0305

FAQs about Medi-Cal Health Coverage

Here are the most frequently asked questions about Health coverage under Medi-Cal:

What Does Medi-Cal Cover?

The Medi-Cal program offers many covered benefits to members, including:

  • 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:

Related Posts

Leave a Reply

Your email address will not be published. Required fields are marked *