Central California Alliance for Health | Living Healthy | September 2019

5 HEALTHY number of medications that are not covered by Medicare. If you only have Medicare Parts A and D with Medi-Cal: Your Medicare insurance is always primary. ●  ● Medicare Part A pays for hospital stays. You don’t need authorization from the Alliance for hospital care. ●  ● Medicare Part D pays for prescription medicines that are covered by your Medicare drug plan. You will have to pay a small co-pay for each prescription. Your Medi-Cal is secondary. ●  ● You will need to pick an Alliance primary care provider. You must go to your Alliance primary care provider and get a referral from your primary care provider to see a specialist. ●  ● If your hospital accepts Medi-Cal as your secondary insurance, it will bill the Alliance for the deductible and co- insurance. You should not receive a bill. ●  ● The Alliance will cover a small number of medications that are not covered by Medicare. If you only have Medicare Parts B and D with Medi-Cal: Your Medicare is always primary. ●  ● Medicare Part B pays for doctor visits. You can go to any doctor that takes Medicare. You will not pick an Alliance primary care provider. You don’t need authorization from the Alliance for specialist care. ●  ● Medicare Part D pays for prescription medicines that are covered by your Medicare drug plan. You will have to pay a small co-pay for each prescription. Your Medi-Cal is secondary. ●  ● You need authorization from the Alliance to stay overnight in the hospital, unless it is an emergency. ●  ● If your hospital accepts Medi-Cal, it will bill the Alliance. You should not receive a bill for the deductible or co-insurance. ●  ● The Alliance will cover a small number of medications that are not covered by Medicare. Medicare Advantage plans with Medi-Cal This type of Medicare means you sign up with a Medicare health plan. In some Medicare Advantage plans, you pick a primary care provider. If you need to see a specialist, your primary care provider will refer you. In other plans, you can see any doctor who works within the plan. This kind of Medicare has rules: ●  ● You pay a certain amount every month for both hospital and doctor care. ●  ● You pay a little every time you see the doctor. ●  ● You pick a provider from that plan’s provider directory. New Medicare cards and ID numbers If you have Medicare, you should have received a new ID card with a new ID number to use. The new card does not change any of your coverage or benefits. Medicare cards no longer display Social Security numbers. New Medicare cards show an 11-character combination of numbers and letters that has been assigned to uniquely identify your personal account. You should destroy your old card when your new card arrives. If you did not receive a replacement card, you should contact Medicare at (800) MEDICARE (633-4227) or TTY (877) 486-2048 . If you have Medicare: You should always show your doctor both your Medicare and Alliance ID cards when you receive care. There are three parts to Medicare: A Medicare Part A pays for stays in the hospital. B Medicare Part B pays for doctor visits, lab work and X-rays. D Medicare Part D pays for prescription medicines.