MEDI-CAL Members

Members

Click here for 2018 Version
Pharmacy Services

Drug Formulary Search
Blue Shield Promise Medi-Cal Drug Formulary Search

Drug Formulary List
Drug Formulary List in PDF format.

Pharmacies
Search for Pharmacies Near You


Prior Authorization for Medications

Here are the instructions and an online request form for you to submit a request for a prior authorization for your medications.

Instructions for a Prior Authorization
Online Request for a Prior Authorization
Quality Improvement

Prenatal Process for Members

Pregnant members have the option to receive an educational booklet in English or Spanish that contains a pregnancy guide and newborn care.

If you are pregnant and are a Blue Shield of California Promise Health Plan (Care1st Health Plan until 12/31/2018) member, please call Jennifer Altamirano at 323-889-6638 Ext. 3799, to receive your free copy of “Baby & Me” book.

Post-partum Care Incentive Program for Members

Blue Shield of California Promise Health Plan (Care1st Health Plan until 12/31/2018) members are also eligible to receive a $40.00 gift card, if the Post-partum care visit is completed between the 21st and 56th day after the delivery of your baby.

Customer Care Operations

ID Card
Request your Blue Shield of California Promise Health Plan (Care1st Health Plan until 12/31/2018) Member ID Card


PCP Change
Request to Change your Primary Care Physician (PCP)


Treatment Authorization or Referral

Here are instructions on how to request a treatment that requires prior authorization.
Also included are instructions on obtaining a referral from your Primary Care Physician in order to visit a Specialist.

Prior Authorization for Treatment
Referrals for Treatment
Referral for Treatment
Materials & Resources

Member Materials & Publications
Preventive health guidelines, brochures, member newsletters and other materials to keep you informed.

Member Resources
General Information, Prior Authorizations (Organization and Coverage Determinations) / Exceptions, Appeals & Grievances Process, Forms and more...


Member Handbook/ Evidence of Coverage (EOC)

EOC - Los Angeles County
EOC - San Diego County

Request a copy of your Blue Shield of California Promise Health Plan (Care1st Health Plan until 12/31/2018) Member Handbook/ Evidence of Coverage (EOC)


Provider and Pharmacy Directory

Provider Directory Search

Request a copy of your Blue Shield of California Promise Health Plan (Care1st Health Plan until 12/31/2018) Provider and Pharmacy Directory

Information Inaccuracies

If you believe there is a potential inaccuracy or error in our directory, please let us know using one of the following ways:

By Telephone
Los Angeles: 1-800-605-2556
San Diego: 1-855-669-5557
TTY/TTD: 711
1-800-735-2922 (English)
1-800-855-3000 (Spanish)
Electronically through our website:
In Writing
Los Angeles
Blue Shield of California Promise Health Plan (Care1st Health Plan until 12/31/2018)
601 Potrero Grande Dr.
Monterey Park, CA 91755
San Diego
Blue Shield of California Promise Health Plan (Care1st Health Plan until 12/31/2018)
3131 Camino Del Rio North, Suite 1300
San Diego, CA 92108
Health and Wellness
Health & Wellness web site member login
Log on to the Health & Wellness member web site to take charge of your health. You'll find many tools to help you eat healthier and be more active.
Health Education
Important information on topics like staying fit, managing diseases, healthy eating and maintaining a healthy weight.
Financial Responsibility

Claims Information

There is no co-pay for the care you received from your doctor or hospital. If you receive a bill for a service, please call Blue Shield of California Promise Health Plan (Care1st Health Plan until 12/31/2018) Customer Care Operations at:

1-800-605-2556 (Los Angeles)
Hours: Monday through Friday, 8:00 a.m. to 6:00 p.m.
1-855-699-5557 (San Diego)
Hours: Monday through Friday, 8:00 a.m. to 5:00 p.m.
TTY: 711
Hours: Same as above.

Claims Information

There is no co-pay for the care you received from your doctor or hospital.
If you receive a bill for a service, please call Blue Shield of California Promise Health Plan (Care1st Health Plan until 12/31/2018) Customer Care Operations at:

1-800-605-2556 (Los Angeles)
Hours: Monday through Friday, 8:00 a.m. to 6:00 p.m.
1-855-699-5557 (San Diego)
Hours: Monday through Friday, 8:00 a.m. to 5:00 p.m.
TTY: 711
Hours: Same as above.

If you have any questions about the cost of a treatment or service for a specific provider or institution, please call Blue Shield of California Promise Health Plan (Care1st Health Plan until 12/31/2018) Customer Care Operations at:

1-800-605-2556
Hours: Monday through Friday, 8:00 a.m. to 5:00 p.m. For emergencies, you can call this number 24 hours a day, 7 days a week.
TTY: 711
Hours: same as above.

Close

Contact Us

If you have any questions about your benefits, please call Blue Shield of California Promise Health Plan (Care1st Health Plan until 12/31/2018) Customer Care Operations at:

Los Angeles
1-800-605-2556
TTY/TDD: 711
1-800-735-2922 (English)
1-800-855-3000 (Spanish)
Office Hours:
Monday through Friday, 8:00 a.m. to 6:00 p.m.
FAX: 1-323-889-6236
Mailing Address:
Blue Shield of California Promise Health Plan (Care1st Health Plan until 12/31/2018)
601 Potrero Grande Dr.
Monterey Park, CA 91755

San Diego
1-855-699-5557
TTY/TDD: 711
Office Hours:
Monday through Friday, 8:00 a.m. to 5:00 p.m.
FAX: 1-619-528-4820
Mailing Address:
Blue Shield of California Promise Health Plan (Care1st Health Plan until 12/31/2018)
3131 Camino Del Rio North, Suite 1300
San Diego, CA 92108

Email
to send us an email.