Choosing a Health Plan
the U.S. today, most people with health insurance have some type of managed care
plan. There are different types of managed care plans but they all involve an
agreement that the patient will use certain healthcare providers or clinics
within those programs’ network. After refugees choose a managed
care company, that company will give them a list of healthcare providers who are
members of its plan. They choose a doctor from this list, and that
doctor becomes their primary care doctor (PCD). If refugees do not
choose a doctor, the company will choose one for them. The primary
care doctor is in charge of “managing” the refugees’ health care.
of the rules of managed care is that a person must always go to their primary
care doctor first, unless it is a life-threatening emergency.
Refugees should go to their primary care healthcare provider when sick,
when in need of immunizations, or for treatment of a continuing health
problem. If a primary care doctor wants a refugee to see another
doctor with advanced knowledge and training, the doctor will send them to a
specialist. The health care plan will not pay for a refugee to see
a specialist unless they have a referral from a primary care doctor.
It is important to learn which services the health care company will pay
for. It is also important to follow all the rules so the company
will pay for health services.
a Managed Care Plan:
for written information, talk to a Medi-Cal contact person, or ask friends and
family about which plan they like. Below is a link to
find approved Medi-Cal plans in your county: Medi-Cal Plans
may choose your health plan or change your health plan at any time, and in a
number of ways. You can make a choice by calling California Health Care
about all the choices so that you can make a good decision about what is best
for you and your family. Here are some good questions to ask when
you are choosing a managed care plan:
a primary care doctor as soon as you have received your Medi-Cal card.
Call the healthcare provider’s office and make an appointment for you and
your family even if you feel well. It is important for you and
your family to know your primary care doctor.