This guide is based on the questions that we get asked most often by our members. We put it together just for you. At IEHP, we believe every person deserves holistic and compassionate care. This guide, we hope, reflects that commitment.
In this guide, you will find
After you submit your materials, Medi-Cal will contact you within two business days. In the meantime, you’ll be sent paperwork to indicate that you’re already covered.
Every option is low or no-cost. And every option includes holistic and preventive care. Browse through and choose the one that's right for you. If you still have questions, we're here to help. Get in touch.
IEHP Medi-Cal is a no-cost health coverage program for qualified low-income adults, families with children, seniors and people with disabilities residing in California.
Who's eligible?
No-Cost
Plan benefits
IEHP DualChoice, enables you to get your Medicare and Medi-Cal benefits through IEHP's team of doctors, hospitals, pharmacies, providers of long-term services and supports, behavioral health providers and other providers. It also has care coordinators and care teams to help you manage all your providers and services. They all work together to provide the care you need.
IEHP Covered California supports whole-body health, including exercise, community, learning jobs, housing, food, and much more.
Who's Eligible?
Plan benefits
As part of the IEHP family, you can bet that we'll do everything we can to get you the best care possible.
We're committed to doing whatever we can to ensure continuity of care (or care with the same doctor). So, if your doctor is not-in-network, we may be able to cover them.
You are eligible for continuity of care for up to 12 months, if all of the following are true:
You have an ongoing relationship with the non-plan provider, prior to enrollment in IEHP
The non-plan provider is willing to work with IEHP and agrees to IEHP’s requirements
You were seen by the non-plan provider at least once during the twelve (12) months prior to your enrollment for a non-emergency visit
IEHP does not have a documented quality of care concern with the non-plan provider
Your online account is a one-stop shop.
It's a place where you can keep track all things health-related (including doctors, medications and appointments).
Your IEHP member ID card will arrive in the mail. You can also get it through your member portal. Remember, you'll need to show that card to receive health services or order prescriptions.
You may leave IEHP and join another health plan in your county of residence at any time.
It takes up to 30 days to process your request to leave IEHP. You can always check the status of your request by calling our IEHP Health Care Options team. If you want to leave IEHP sooner, you may ask Health Care Options for an expedited cancellation of your IEHP plan.
Members who can request expedited IEHP plan cancellation include, but are not limited to:
You can activate health care services on your date of enrollment. To ensure care, please carry your IEHP ID card, Medi-Cal Benefits Identification Card (BIC) and any other health insurance cards you have.
What’s Covered:
Who's Eligible?
Plan benefits
*Services listed that are covered only if IEHP or your IPA (Independent Physician Association) approves first.
What's Covered:
After enrolling, you can (within 30 days) choose your primary care provider (PCP).
Your PCP will see you for routine health care needs. They'll also help coordinate the rest of your covered services, including x-rays, laboratory tests, specialists referrals, follow-up care and medication needs.
Your primary care provider (PCP) can refer you to a specialist--a doctor who has extra education in one area of medicine.
Your doctor will work with IEHP and/or their medical group (IPA) to get a referral approved.
Your doctor can schedule the appointment for you.
IEHP Nurse advice line gives you free medical information and advice 24 hours a day, 365 days a the year.
If you don’t have a way to get to and from your health care services and appointments, we can help arrange transportation for you.
Transportation help is available for services and appointments that are not related to emergency services, such as as medical, dental, mental health, substance use, and pharmacy appointments.
If you are experiencing a medical emergency, dial 911.
Questions about your IEHP Medi-Cal plan? Speak to our Member Services team today.
7 a.m.-7 p.m., Monday-Friday
8 a.m.-5 p.m., Saturday & Sunday
Questions about your IEHP DualChoice plan? Give our DualChoice team a call today.
8 a.m.-8 p.m., daily
(including weekends and holidays)
Questions about Covered California? We're here to help!
Need help getting coverage? Speak to our friendly, bilingual IEHP Enrollment Advisors.
8 a.m.-5 p.m., Monday-Friday
