Medi-Cal Phone Number for San Diego County

If you are trying to locate the San Diego County Medi-Cal Phone Number, we can help. In the county of San Diego, the Health and Human Services Agency (HHSA) runs the Medi-Cal program. You can call the HHSA office to apply for Medi-Cal, attend an interview, renew your benefits, and ask questions about Medi-Cal.

In this post, we will provide the list of phone numbers for the HHSA Medi-Cal office.

However, before you visit an office location, you can save yourself time by reviewing our frequently asked questions below.

We have provided answers to the top reasons why people call the Medi-Cal Office in San Diego County. See below.

For the phone number of the San Diego County Medi-Cal office, continue reading below.

San Diego County Medi-Cal Phone Number

Here’s the phone number to call to speak to a live person regarding Medi-Cal in San Diego County:

Call the HHSA Customer Service Center at one of the following numbers:

Toll-Free 1-866-262-9881

Hours of Operation — excluding holidays:

Monday – Friday, 8:00 am to 5:00 pm

Additionally, The Health and Human Services Agency (HHSA) has more than 300 programs and services, with over 6,000 employees.

To help you reach the correct program, please call 619-515-6555, Monday to Friday, 8:00 am to 5:00 pm.

You can also email the HHSA here.

However, If you prefer to write a letter, you can address your questions or concerns to:

Health and Human Services Agency
County of San Diego
1600 Pacific Highway, Room 206
San Diego, CA 92101

Your letter will be forwarded to the appropriate service you are seeking.

Medi-Cal in San Diego County FAQs

Here are some of the most frequently asked questions about Medi-Cal in San Diego County:

What Managed Healthcare Providers are available in San Diego County?

When you first qualify for Medi-Cal, you are covered under Medi-Cal Fee-for-Service.

However, you must choose a health plan within 30 days. If you do not choose a plan within 30 days, the State will choose a plan for you.

If you find only one health plan, the county has chosen this plan for you. Please wait for your health plan information mailer in the mail.

If you find multiple health plans listed, please explore each plan and choose the one that suits you and your family’s needs.

Below is a list of Medi-Cal Managed Care Health Plan options available in San Diego County, California.

What is Cal MediConnect?

Cal MediConnect is a program for people dually eligible for Medicare and Medi-Cal.

It is a program that integrates medical care, long-term care, mental health and substance use programs and social services under a coordinated care plan for people who are dually eligible for Medicare and Medi-Cal.

I lost my Medi-Cal card. How can I replace it?

Yes. If your Medi-Cal card is lost or damaged, you can request a replacement Medi-Cal card, by calling the Customer Service Center at (866) 613-3777.

What is Covered California?

Covered California helps Californians to buy private health insurance and provides subsidies to help cover the costs.

People that have income between 138% and 400% of the federal poverty level will qualify and can get subsidies to help cover the cost.

To be eligible for Covered California as an adult, here are the income limits based on the federal poverty level (FPL):

• 0% – 138% of FPL: You qualify for Medi-Cal.
• 138% – 400% of FPL: You qualify for a subsidy on a Covered California plan.
• 138% to 150%: You also qualify for the Silver Enhanced 94 Plan.
• 150% to 200%: You also qualify for the Silver Enhanced 87 Plan.
• 200% to 250%: You qualify for the Silver Enhanced 73 Plan.

How do I choose a Medi-Cal Plan in San Diego?

Your Medi-Cal health plan choices depend on the county you live in.

After you change to full-scope Medi-Cal, you will get a letter in the mail from the county Medi-Cal office.

The letter will tell you about your Medi-Cal health plan choices and how to enroll.

If you have a doctor or clinic now, ask them if they work with a Medi-Cal health plan in your county.

Additionally, if you want to stay with that doctor or clinic, you can choose that Medi-Cal health plan.

Also, if you have a complex medical condition and see a doctor or clinic that does not work with a
Medi-Cal health plan in your county, fill out and send the “Medical Exemption Request” form
that comes with the packet of notices.

Note that if you do not choose a Medi-Cal health plan, Medi-Cal will choose a Medi-Cal health plan in
your county for you.

However, each month, you have the right to change your Medi-Cal health plan.

If you want to change your plan, call Health Care Options at 1-800-430-4263 (TTY 1-800-430-7077).

You can also visit https://www.healthcareoptions.dhcs.ca.gov.

If you change your Medi-Cal health plan, you must enroll in another Medi-Cal health plan in the same
county.

However, you cannot go back to fee-for-service.

How long before applying for Medi-Cal can a person transfer assets?

The Medi-Cal “Look-Back” period in California is 30 months.

“Transfer of assets” means an outright gift or a “sale” made at less than “fair market value.”

If a disqualifying transfer of property is made, Medi-Cal will calculate the period of ineligibility for nursing facility level of care.

It will be the number of months resulting when the “net fair market value” of the transferred asset, which would have resulted in excess property at the time of the transfer, is divided by the monthly average private nursing facility cost.

Medi-Cal in San Diego County Summary

We hope this post on San Diego County Medi-Cal Office Locations was helpful.

Questions?

If you have further questions about Medi-Cal in San Diego County, 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:

• • Medi-Cal in San Diego Guide
  • Medi-Cal Dental Coverage – 2022 Guide
  • IHSS Application and Eligibility Guide
  • Appeal an IHSS Provider Denial
  • California Medi-Cal Questions & Answers