Disenrollment

If you decide to end your membership with us, tell Medi-Cal or Medicare that you want to leave L.A. Care Cal MediConnect Plan. You can contact them by:

Phone:

Health Care Options: 1-844-580-7272 (TTY: 1-800-430-7077)

  • Monday through Friday, 8:00 am to 5:00 pm

Medicare: 1-800-MEDICARE (1-800-633-4227) (TTY: 1-877-486-2048)

  • 24 hours a day, seven days a week.

If you leave our plan and you do not want a different Cal MediConnect plan, how do you get Medicare and Medi-Cal services?

If you do not want to enroll in a different Cal MediConnect plan after you leave L.A. Care Cal MediConnect Plan, you will go back to getting your Medicare and Medi-Cal services separately.

How you will get Medicare services

You will have a choice about how you get your Medicare benefits. You have three options for getting your Medicare services.  By choosing one of these options, you will automatically end your membership in L.A. Care Cal MediConnect Plan. 

You can change to:

1. A Medicare health plan, such as a Medicare Advantage plan or Programs of All-inclusive Care for the Elderly (PACE)

Here is what to do:

Call Medicare at 1-800-MEDICARE (1-800-633-4227) (TTY: 1-877-486-2048), 24 hours a day, seven days a week to enroll in the new MA-PD health plan. If you need help or more information call the California Health Insurance Counseling & Advocacy Program (HICAP) at 1-800-824-0780 or 1-213-383-4519 (TTY: 1-213-251-7920).

You will automatically be disenrolled from L.A. Care Cal MediConnect Plan when your new plan’s coverage begins.

2. Original Medicare with a separate Medicare prescription drug plan

Here is what to do:

Call Medicare at 1-800-MEDICARE (1-800-633-4227) (TTY: 1-877-486-2048), 24 hours a day, seven days a week. If you need help or more information call the California Health Insurance Counseling & Advocacy Program (HICAP) at 1-800-824-0780 or 1-213-383-4519 (TTY: 1-213-251-7920).

You will automatically be disenrolled from L.A. Care Cal MediConnect Plan when your new plan’s coverage begins.

3. Original Medicare without a separate Medicare prescription drug plan

Here is what to do:

Call Medicare at 1-800-MEDICARE (1-800-633-4227) (TTY: 1-877-486-2048), 24 hours a day, seven days a week.
If you need help or more information call the California Health Insurance Counseling & Advocacy Program (HICAP) at 1-800-824-0780 or 1-213-383-4519 (TTY: 1-213-251-7920).

You will automatically be disenrolled from L.A. Care Health Plan when your Original Medicare coverage begins.

NOTE: If you switch to Original Medicare and do not enroll in a separate Medicare prescription drug plan, Medicare may enroll you in a drug plan, unless you tell Medicare you don’t want to join. You should only drop prescription drug coverage if you get drug coverage from an employer, union or other source.  If you have questions about whether you need drug coverage, call the California Health Insurance Counseling & Advocacy Program (HICAP) at 1-800-824-0780 or 1-213-383-4519 (TTY: 1-213-251-7920).
 

How you will get Medi-Cal services

If you leave our Cal MediConnect plan, you will continue to get your Medi-Cal services through L.A. Care Health Plan unless you select a different plan for your Medi-Cal services. Your Medi-Cal services include most long-term services and supports and behavioral health care.
 

 
H8258_15129_2015CMC
CMS Approved
Updated 09/05/2017
 

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