Blue Shield of California Promise Health Plan (“Blue Shield Promise”) Continuity of Care program helps eligible Medi-Cal plan members stay under the care of a current provider who have changed plans from fee-for-service (FFS) Medi-Cal plan into a Medi-Cal managed care plan (MCP).

The Continuity of Care program allows members to complete their care with their current healthcare provider in specific cases.

Continuity of Care forms
San Diego English (99 KB)
Spanish (558 KB)
Chinese (261 KB)
Farsi/Persian (258 KB)
Arabic (214 KB)
Tagalog (661 KB)
Vietnamese (223 KB)
Los Angeles English (99 KB)
Spanish (558 KB)
Arabic (214 KB)
Armenian (210 KB)
Chinese (261 KB)
Farsi-Persian (258 KB)
Khmer/Cambodian (200 KB)
Korean (203 KB)
Russian (226 KB)
Tagalog (661 KB)
Vietnamese (223 KB)

Please call customer service if you require assistance filling out the Continuity of Care form:

 Los Angeles County: (800) 605-2556 (TTY: 711), 8 a.m. - 6 p.m., Monday – Friday.

 San Diego County: (855) 699-5557 (TTY: 711), 8 a.m. - 6 p.m., Monday – Friday.

Please return this completed form to:

Blue Shield of California Promise Health Plan
P.O. Box 629005
El Dorado Hills, CA 95762

Medi-Cal benefits

Find the health benefits you get as a Blue Shield of California Promise Health Plan Medi-Cal member.

Discover Medi-Cal benefits

Health Care Options: (844) 580-7272  {TTY: {800) 430-7077}, Monday through Friday from 8 a.m. — 6 p.m. 

For information on Blue Shield Promise plans for your health care, call the Department of Health Care Services at (800) 430-4263 {TTY: (800) 735-2922}, or visit https://www.healthcareoptions.dhcs.ca.gov/.

Blue Shield of California Promise Health Plan is a managed care organization, wholly owned by Blue Shield of California, offering Medi-Cal Plans.

© 2002-2024. California Physicians’ Service DBA Blue Shield of California Promise Health Plan. All rights reserved.

California Physicians’ Service DBA Blue Shield of California Promise Health Plan is an independent licensee of the Blue Shield Association.

The provider network may change at any time. You will receive notice when necessary.

Blue Shield of California Promise Health Plan complies with applicable state laws and federal civil rights laws, and does not discriminate on the basis of race, color, national origin, ancestry, religion, sex, marital status, gender, gender identity, sexual orientation, age, or disability.

Blue Shield of California Promise Health Plan cumple con las leyes estatales y las leyes federales de derechos civiles vigentes, y no discrimina por motivos de raza, color, país de origen, ascedencial, religión, sexo, estado civil, genero, identidad de genero, orientación sexual, edad ni discapacidad.

Blue Shield of California Promise Health Plan遵循適用的州法律和聯邦公民權利法律，並且不以種族、膚色、原國籍、血統、宗教、性別、婚姻 狀況、性別認同、性取向、年齡或殘障為由而進行歧視。

 

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Blue Shield of California Promise Health Plan, 3840 Kilroy Airport Way, Long Beach, CA  90806

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