Blue Shield Promise Medi-Cal Benefits

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

Medi-Cal benefits may include:

 

Medical care

  • Primary care doctor, wellness, and specialist visits
  • Immunizations
  • Hospital and emergency services
  • Family planning, maternity and newborn care
  • Laboratory services
  • Medications
  • Physical and occupational therapy
  • Disease and condition management

 

Vision Care

  • Routine eye exams
  • Eyeglasses or contact lenses

 

Dental care
Dental benefits are available to Medi-Cal members who qualify through Denti-Cal. Denti-Cal is provided by the Department of Health Care Services (DHCS). To learn more about Denti-Cal’s coverage please visit their website or call them at (800) 322-6384 (TTY: 711).

 

Medi-Cal for kids and teens
Blue Shield Promise provides Medi-Cal services for children and young adults under the age of 21.

Some of the free services included are:

 

Long-term services and support

  • Community-Based Adult Services (CBAS)
  • Long-Term Care (LTC)

 

Enhanced Care Management (ECM) and Community Supports (CS)
Blue Shield Promise offers Enhanced Care Management (ECM) and Community Supports (CS) for Medi-Cal members with complex health needs or social challenges that make it difficult to improve their health.

Enhanced Care Management (ECM)
Community Supports (CS)

 

Transportation services

  • Emergency transportation
  • Non-emergency medical transportation
  • Non-medical transportation

 

 

For detailed information about benefits, review the Blue Shield Promise Medi-Cal Evidence of Coverage (EOC), also known as the Member Handbook.

Nurse Advice Line

Connect to a registered nurse who will listen to your health problem.

Urgent care

Find urgent care clinics near you for same-day care for non-life-threatening medical needs.

Teladoc

Talk to a board-certified doctor 24/7/365 over the phone or video chat.

Transportation services information

As a Blue Shield Promise Medi-Cal member you may be able to get transportation to your healthcare appointments at no cost.

Behavioral and mental health services

Blue Shield Promise Medi-Cal provides mental health and substance use disorder services through primary care physicians (PCPs), licensed behavioral health providers, and county providers and agencies.

Prior authorization for treatment

Learn which healthcare services require prior authorization.

Referral for treatment

Find out how to obtain a referral to see a specialist.

Get help from a Community Health Worker (CHW)

Find out how a CHW can help you overcome your health challenges.

Pregnancy benefits

Blue Shield of California Promise is here to help you prepare for your pregnancy. We offer services for newborn, perinatal, and postpartum care. We also offer support for a loss in pregnancy.

In-home care

For members with multiple chronic conditions, learn about our in-home care serviced provided by ConcertoCare®. 

Last updated: April 22, 2024
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