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Group needs
assessment (GNA)
The GNA is a survey that helps
us know if we are meeting the
health education and cultural and
linguistic needs of our Medi-Cal
members.
Some of you may have received
a survey in the mail or an outreach
phone call asking for your help
completing this survey. If you did,
please take a few minutes to share
your experience when accessing
Alliance-covered services. Your
feedback will help us improve
services for all members.
If you have any questions related
to the GNA survey, please call the
Alliance Health Education Line at
1-800-700-3874, ext. 5580
.
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 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 are paying your Medicare
drug co-payment
»
You choose to see a doctor that
doesn’t accept Medi-Cal as your
secondary insurance
But there may be times when
you get a bill. Don’t ignore it.
Follow these steps:
1.
Call the phone number on the
bill and ask why they sent it to
you. They might not know what
insurance you have.
2.
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
find this on your Alliance card.
3.
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
things to know
What do I do
if I get a bill?
■
■
The name and phone number of
the provider billing you
■
■
The account number on the bill
■
■
Information about the service(s)
you got and the date(s) you got them
■
■
The 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.
This means that the provider bills
the other insurance first 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
first.
If you get retroactive
Medi-Cal.
Medi-Cal beneficiaries
sometimes get eligibility after
they receive medical services. The
eligibility can go back to cover the
services that were provided. This 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.
The 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.
5
living
healthy