CareAdvantage Cal MediConnect Plan (Medicare-Medicaid Plan)

Preventive Services

Co-pay – $0

CareAdvantage CMC covers the following preventative services. Some may require prior authorization. CareAdvantage CMC also covers any additional preventive services approved by Medicare mid-year.

  • Annual physical exams
  • Alcohol misuse counseling
  • Cardiovascular screenings
  • Cardiovascular therapy
  • Cervical cancer screening
  • Colonoscopy
  • Depression screening
  • Diabetes screenings
  • Flexible sigmoidoscopy
  • HIV and STI screening
  • Immunizations
  • Mammogram
  • Nutrition therapy
  • Obesity screening
  • Osteoporosis screening
  • Prostate cancer screening
  • Tobacco cessation counseling

Medical Emergencies

CareAdvantage CMC covers emergency services both in and outside of HPSM’s service area and our network of providers. You do not need approval or a referral for emergency care.

If you have a medical emergency, call 911 or go to the nearest emergency room. As soon as possible (preferably within 48 hours), call your PCP (or ask someone else to call). Your PCP’s phone number is on the front of your CareAdvantage CMC ID card.

Learn about getting care during a disaster

Nurse Advice Line

Our free Nurse Advice Line provides CareAdvantage CMC members with access to medical advice and information, every day, at any time. If you can't reach your doctor and you're not sure what to do, our licensed nurses can give you advice.

Call toll free: 1-833-846-8773
TTY: 1-800-735-2929 or 711

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