Living Healthy 6 What you need to know about other health coverage If you have health insurance aside from Medi-Cal, that is called other health coverage (OHC). You may have OHC if: ■ You have health insurance through your job, spouse or partner, or Covered California. ■ You bought insurance on your own. ■ You became eligible because of a new life event—getting married, for example. If you have more than one health insurance plan, your other insurance is the primary insurance and Medi-Cal is secondary. Follow the rules for your primary insurance. If you don’t follow the rules, your primary insurance may not pay for your care, and the Alliance will not pay for it either. Your OHC may have ended if: ■ Your health coverage switched from Covered California to Medi-Cal. ■ Your job ended or you were laid off. ■ You did not work enough hours to qualify for insurance through your job. ■ You stopped paying your insurance premiums. ■ You canceled your insurance for any reason. Who to contact if your OHC information changed: ■ Call your local Medi-Cal enrollment agency. Merced County: 855-421-6770 Monterey County: 877-410-8823 Santa Cruz County: 888-421-8080 ■ If you have Medi-Cal because you are receiving SSI benefits, call your local Social Security Administration (SSA) office. Merced SSA office: 888-632-7069 Monterey SSA office: 877-696-9397 Santa Cruz SSA office: 800-780-1106 ■ You can also update your information online at www.dhcs.ca.gov/services/ Pages/TPLRD_OCU_cont.aspx. Prescription drugs If you are a Medi-Cal member, your prescriptions that are filled at a pharmacy are covered by Medi-Cal Rx, not the Alliance. You can view prescription drugs that are covered by Medi-Cal Rx at www.medi-calrx.dhcs.ca.gov, or you can request a printed copy by calling 800-977-2273 (TTY: Dial 711), 24 hours a day, 7 days a week. If you are an IHSS member, pharmacy services are managed by MedImpact. You can view covered prescription drugs on the Alliance website at www.thealliance.health/prescriptions. You can also request a copy by calling Member Services at 800-700-3874 (TTY: Dial 711), Monday through Friday, 8 a.m. to 5:30 p.m. You may also call Member Services if you have questions about a medication. Let us know about the updates to your information too. Call the Alliance’s Member Services Department at 800-700-3874, Monday through Friday, 8 a.m. to 5:30 p.m.
RkJQdWJsaXNoZXIy ODQ1MTY=