member news
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.
A
s an Alliance member, you
should not have to pay for
covered services unless you:
Have a Medi-Cal Share of Cost or
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
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 us
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
services.
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
e date of the services and the
amount of the bill
We may not be able to help you
What do I
do if I get
a bill?
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 he or she can bill
the state for the services.
If you get retroactive Medi-Cal eligibility
Compliments or complaints?
Call Member Services
at 1-800-700-3874, ext. 5505.
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.
living
healthy
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