CareAdvantage Cal MediConnect Plan (Medicare-Medicaid Plan)

CareAdvantage CMC

CareAdvantage CMC is a health insurance program that combines Medicare and Medi-Cal into one comprehensive, convenient plan. It also provides extra benefits and is available to eligible HPSM Medi-Cal members.

Who is eligible

You can join CareAdvantage CMC if you:

  • Live in San Mateo County
  • Have Medicare Parts A & B and
  • Have full-scope Medi-Cal

Most people 65 or older living in San Mateo County can join. 

What is covered

  • Over 5,000 providers to choose from – and you can keep your doctor*
  • Unlimited taxi rides to medical appointments 
  • Vision care – annual eye exam & $100 towards glasses or contacts every other year
  • Prescription drugs
  • Medical & preventative services
  • Hospital care
  • Mental health services
  • Physical & occupational therapy 
  • Long-term nursing home care 
  • Access to special programs like Community-Based Adult Services & home-health “house calls”*

*restrictions may apply

Other Benefits

  • CareAdvantage Navigators – your personal guides to the health care system
  • We’re local, with local office hours – call or visit us when it fits your schedule
  • A single card and phone number to call makes accessing all your benefits easy 

For full coverage details, see the CareAdvantage CMC Member Handbook.

Cost

No premiums or deductibles for health care, eye care & prescription drugs

Prescription drug co-pays range from:

  • $0, $1.25 or $3.35 for generic drugs
  • $0, $3.70 or $8.35 for brand-name drugs

No co-pays for:

  • Medical & preventative services
  • Hospital care
  • Mental health services
  • Physical & occupational therapy 
  • Long-term nursing home care 
 
 

CareAdvantage Cal MediConnect Plan (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Medi-Cal to provide benefits of both programs to enrollees. Limitations and restrictions may apply. For more information, call the CareAdvantage Unit or read the CareAdvantage CMC Member Handbook.

Benefits and co-pays may change on January 1 of each year.

If you speak other languages other than English, language assistance services, free of charge, are available to you. Call 1-866-880-0606 (TTY: 1-800-735-2929). (Download this statement in multiple languages.)


H7885_MMP_15129_01_18_EN Approved

Page updated August 14, 2018