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  • Medi-cal Choice Form For Los Angeles - Health Care Options

Get Medi-cal Choice Form For Los Angeles - Health Care Options

MEDICAL CHOICE Forms this form to join or change health plans. If you need help filling out this form, call 18004304263. Mail Completed form to: California Department of Health Care Services Health.

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Your county's social services office may contact you by mail or by phone to request paper verification if income, citizenship, and other criteria cannot be verified electronically. Receive Final Notice of Action notifying you of whether or not you can receive Medi-Cal.

You should keep this guide and use it when you have questions about Medi-Cal. California offers two ways to get health coverage. They are “Medi-Cal” and “Covered California.” Both programs use the same application.

Use this form to change health plans. For free help filling out this form, call 1-800-430-4263. Mail completed form to: California Department of Health Care Services • Health Care Options • Box 959009, W. Sacramento, CA 95798-9850.

Use this form to join or change health plans. If you need help filling out this form, call 1-800-430-4263. Mail Completed form to: California Department of Health Care Services • Health Care Options • Box 989009, W.

​ ​​​​(800) 977-2273​ Medi-Cal Rx ​Members and Providers: If you have a question, need help, or need to report a problem, please call (800) 977-2273 for our Medi-Cal Rx Customer Service Center (CSC)​. CSC hours are available 24 hours a day, 7 days a week, 365 days a year.

Most people who have Medi-Cal must enroll in a medical plan. You or a member of your family must choose a medical plan if: You get CalWorks benefits (cash aid, food stamps) You get Medi-Cal only and you do not have a share of cost.

Medi-Cal Members: Keep your coverage. Important Are you enrolled in Medi-Cal?...​​​​​​​​​​​​​​​​​Department of Health Care Services Contacts. A-Z Program​​ NamePhone / emailMailing Address​​​Benefits​medi-cal.benefits@dhcs.ca.gov​52 more rows

Use this form to join or change a health plan. For FREE help with this form, contact Health Care Options at 1-844-580-7272. Mail completed form to California Department of Health Care Services, Health Care Options, P.O. Box 989009, West Sacramento, CA 95798-9850.

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Get Medi-Cal Choice Form For Los Angeles - Health Care Options
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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Medi-Cal Choice Form For Los Angeles - Health Care Options
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2024 CA Medi-Cal Choice Form - Los Angeles County
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  • 2024 CA Medi-Cal Choice Form - Los Angeles County
  • 2022 CA Medi-Cal Choice Form - Los Angeles County
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  • Medi-Cal Choice Form For Los Angeles - Health Care Options
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