CareAdvantage Cal MediConnect Plan (Medicare-Medicaid Plan)

CareAdvantage 2019

CareAdvantage 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 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

  • More than 5,000 providers to choose from – and you can keep your doctors and specialists (restrictions may apply)
  • Unlimited taxi rides to approved health care 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 

Cost

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

Prescription drug co-pays range from:

  • $0, $1.25 or $3.40 for generic drugs
  • $0, $3.80 or $8.50 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 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_19_EN_M Accepted

Page updated January 01, 2019