2 / 6
What do I do if I get a bill?
A
s an Alliance member, you
should not have to pay for
covered services unless
you:
Have a Medi-Cal Share of Cost
Are an Alliance Healthy Kids or
Alliance Care IHSS member getting
a service that has a co-payment
Go to a provider that doesn’t
take the Alliance, but you tell the
provider you want to be seen there
anyway and that you will pay for
the services yourself
Have Medicare and Medi-Cal and:
•
You choose to see a doctor that
doesn’t accept Medi-Cal as your
secondary insurance
•
You are paying your Medicare
drug co-payment
But there may be times when
you get a bill. Don’t ignore it.
Follow these steps:
Call the phone number on the
bill and ask why they sent it to
you. ey might not know what
insurance you have.
If you were eligible with the
Alliance when you got the services,
tell the provider you were an
Alliance member and give them
your Alliance ID number. You will
nd this on your Alliance card.
Ask the provider to bill us for the
service(s).
If you have done this but keep
getting a bill, call Member Services.
Make sure you have:
Your Alliance ID number
e name and phone number of
the provider billing you
e account number on the bill
Information about the service(s)
you got and the date(s) you got
them
e amount of the bill
We may not be able to help you
if you don’t have this information.
We also cannot help you with a
bill that is more than one year
old.
If you have other health
insurance.
In most cases, your
other health insurance is primary.
is means that the provider bills
the other insurance rst before
billing the Alliance. If you get a bill
and have other health insurance,
check to make sure the provider
billed your other health insurance
rst.
If you get retroactive Medi-Cal.
Medi-Cal bene ciaries sometimes
get eligibility after they receive
medical services. e eligibility
can go back to cover the services
that were provided. is is called
retroactive eligibility.
If you are an Alliance Medi-Cal
member who received retroactive
eligibility, it is your responsibility
to tell the provider you now have
Medi-Cal. e provider will have
to bill state Medi-Cal for the
retroactive period, not the Alliance.
Give the provider your Medi-Cal ID
number so they can bill the state
for the services.
benefits
2
living
healthy