You can use online provider directories like “L.A. Care Online Provider Directory” or Call Your member services or ask Your PCP for referrals to find OB-GYN Accepting Medi-Cal Near You.
While researching on Medi-Cal Insurance I found multiple loopholes in the system that I have discussed earlier in many articles written on this website. But I admire the commitment of the Medi-Cal Managed care plan for women, it is really very promising and it delivers too. To maintain the health and well-being of women it is crucial to have access to quality Obstetric and Gynecological care. It is also important for women to have OB-GYN accepting Medi-Cal Near them.
Key Takeaways
- There are multiple OB-GYN services offered by Medi-Cal which includes Parental Care, Family Planning, and Preventive Screenings.
- The L.A. care Plan is one of the best examples of Medi-Cal Managed care Plan having a comprehensive network of OB-GYN providers that accept Medi-Cal.
- The Medi-Cal members can fully exercise their right of getting timely access to OB-GYN services that’s why the plan offers self-referral facility to them.
- You can use Your Manages Care Plan’s provider directory or call Your member services or ask Your PCP for referrals to find the OB-GYN accepting Medi-Can Near You.
Finding OB-GYN that Accept Medi-Cal Near You
There are multiple ways to find OB-GYN accepting Medi-Cal Near You and all the methods are simple and accurate. The steps to find the OB-GYN that accept Medi-Cal may differ from county to county. All counties do not provide similar facilities to their beneficiaries. I’ll discuss everything in detail further in this article.
The very basic thing about Medi-Cal Managed care Plan is that it is nothing but a medium/ Tool to link the Medi-Cal members to OB-GYN providers. So the best way to find OB-GYN that accept Medi-Cal near You is to find the online provider directories provided by Medi-Cal itself.
Use Your Plan’s Online Provider Directory
The Online Provider directory is one of the best tools provided by the plan to find any provider accepting Medi-Cal. You can also use the Online provider directory tool to find OB-GYN that accept Medi-Cal Near You.
You can use this method only if You are living in the counties mentioned here Alpine, Amador, Calaveras, El Dorado, Fresno, Inyo, Kern, Kings, Los Angeles, Madera, Mono, Riverside, Sacramento, San Bernardino, San Diego, San Francisco, San Joaquin, Santa Clara, Stanislaus, Tulare, and Tuolumne.
- Follow this link to land on the Online Provider Directory Tool
- Now select Your Plan which is “Managed care Plan” from the drop down menu.
- Next is to select Your provider type which is “Doctor” in this case
- Further select County Option to “Search by Location” to get more accurate results
- Now select Your County from the drop down menu
- Finally, hit “Find Providers” button to get the results
- You can now see the results below the tool
- Now search for OB/ GYN among other specialists.
So You can see that finding the Medi-Cal OB-GYN is very easy using the online provider directory tool.
If You are living in the other counties except the counties mentioned above, Call Your Plan’s member services to get proper navigation and details.
Use Calling Member Services Option
The Medi-Cal members are always free to call the Member Services of their Plan in case of any difficulties. So it is an open option which You can use finding OB-GYN that accept Medi-Cal Near You.
They always provide personalized information to the callers. You need to share some details and they’ll assist You finding Medi-Cal OB-GYN Near You. It is always better to call Your member services in case of emergency because they may share some crucial personalized information.
You can find the name of Managed care Plan provider’s name and their contact numbers in Your County in this article.
You can also ask the questions related to coverage and referrals to Your Member Services, They’ll tell you everything in detail.
Referrals and Self Referrals for OB-GYN
Do You know that Medi-Cal members have right to Self-Refer to an OB-GYN? If You are a Medi-Cal member and not able to get referral from Your PCP due to any reasons, You can self-refer to an OB-GYN and visit her directly. This facility is very useful in case of emergency.
A Medi-Cal member can also choose an OB-GYN as her primary Care Provider, It is also helpful for patients. Choosing the OB-GYN as a PCP has its own benefits, the members do not need any referrals and can take advice anytime from PCP.
You can also find OB-GYN that accept Medi-Cal Near You by directly asking Your PCP for referrals. Your PCP can suggest the best Medi-Cal OB-GYN on the basis of Your specific needs. It is also one of the best and coordinated approach to visit an OB-GYN recommended by Your PCP.
The women having Medi-Cal Insurance can get appointments within a certain time and they also need to wait for a very short period in case of emergency. They also have right to access necessary OB-GYN services on time and can file the complaint in case of any problems.
Which OB-GYN Services does Medi-Cal Cover?
There is a huge list of services covered by Medi-Cal Managed care plan. The list of services includes Comprehensive Parental Care, Family Planning, Preventive Screenings, and Treatment for Gynecological issues. You can read everything in detail to know about all the services in this handbook.
You may need to get prior approval from Your Plan Provider for some specific services. Your OB-GYN provider need to submit a request to Your plan provider and he/she can provide those services only after the request is approved. This process is not necessary for all the services like routine checkups, and preventive screenings.
Final Remarks
The process of finding the OB-GYN Accepting Medi-Cal Near You depends on Your residential location and the type of Your Plan. The providers and the type of plan differ from county to county that’s why it is important to know which County You are living in.
Finding the nearest OB-GYN in some counties is much easier than others like finding OB-GYN in Los Angeles is much easier than Kern because of the most efficient providers network of L.A. Care.
You can take help of Online Provider directory tool, or Contact Your Member services or ask Your PCP for referrals depending on Your County and managed care plan to find the OB-GYN Accepting Medi-Cal Near You.
Hope this article helps. You can ask Your questions in the comment section.
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