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

醫療保健方案處：1-844-580-7272，週一至週五上午8點至下午6點。 聽障和語障用戶應致電1-800-430-7077。

有關 Blue Shield Promise Cal MediConnect Plan和您的醫療保健的其他 Cal MediConnect選項的資訊，請致電醫療保健服務部1-800-430-4263（聽障和語障專線：1-800-735-2922）或訪問 https://www.healthcareoptions.dhcs.ca.gov/.

Blue Shield of California Promise Health Plan是一家管理式護理組織，由Blue Shield of California全資擁有，提供Medi-Cal和Cal MediConnect 計劃。

© 2002-2023. 年California Physicians’ Service DBA Blue Shield of California Promise Health Plan版權所有。保留所有權利。

California Physicians’ Service DBA Blue Shield of California Promise Health Plan是Blue Shield Association的獨立持照者。

醫療網可能隨時更改。必要時會通知您。

Blue Shield of California Promise Health Plan遵守相關的州和聯邦民權法律規定，不會因為種族、膚色、民族起源、祖先、宗教、性別、婚姻狀態、性別認同、性傾向、年齡或殘障而歧視任何人。

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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