11/2/2023 0 Comments Extra help copays 2022on a capitated basis to provide and arrange for Medi-Cal Covered Services in all zip codes in Fresno, Kings, and Madera Counties. CalViva Health contracts with Health Net Community Solutions, Inc. CalViva Health is a full-service health plan contracting with the Department of Health Care Services (DHCS) to provide Medi-Cal Covered Services to Medi-Cal managed care enrollees under the Two-Plan model in all zip codes in Fresno, Kings, and Madera Counties. Plan enrollees are responsible for all costs.ĬalViva Health is a Medi-Cal Managed Care Plan (MCP) and is the Local Initiative Health Plan for Medi-Cal managed care in Fresno, Kings, and Madera Counties. Value-Added Items and Services (VAIS) are not plan benefits and are not covered by the plan. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services. Out-of-network/non-contracted providers are under no obligation to treat Plan members, except in emergency situations. Enrollment in our plans depends on contract renewal.Įvery year, Medicare evaluates plans based on a 5-star rating system. Our D-SNP plans have a contract with the state Medicaid program. Wellcare is the Medicare brand for Centene Corporation, an HMO, PPO, PFFS, PDP plan with a Medicare contract and is an approved Part D Sponsor.
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