Getting The Most Out Of Your Medi-Cal Coverage

Medi-cal is a government-funded health insurance program that provides low-cost or no-cost health coverage to eligible Californians. This guide will show you how to make the most of your Medi-Cal coverage to get the incontinence supplies you need without breaking the bank.

  1. Know what Medi-Cal covers

Medi-Cal covers a wide range of health care services and supplies, including prescription drugs, doctor's visits, and hospital stays. However, there are certain medical products that Medi-Cal does not cover. The good news is that Medi-cal offers incontinence products for medical necessities. Each month, this includes disposable underpads, briefs, protective underwear, and other bladder-control products. 

  1. Get an evaluation to see if you need incontinence supplies

If you think you may need incontinence supplies, the first step is to get a medical evaluation. This can be done through your primary care provider or by visiting a specialist. Your doctor will ask about your symptoms and medical history, and they may also perform a physical exam. Based on this information, they will determine if you need incontinence supplies and, if so, what type of product would be best for you.

  1. Use a Medi-Cal provider for your incontinence supplies

You may now start getting supplies. If you have Medi-Cal coverage, you'll want to make sure you're using a Medi-Cal provider for your incontinence supplies. Genesis Healthcare Products now accepts Medi-Cal insurance.  Using us means that you'll be more likely to get the coverage and products you need while also saving money on your health care costs. www.genesishcp.com

FAQs: Limitations, Requirements, Eligibility

If you have Medi-Cal coverage and are looking for ways to lower your health care costs, using your benefits for incontinence supplies is a great place to start. Claims for these products can be filed quickly through several providers, including clinics, medical supply stores, and pharmacies.

EHB or essential health benefits can be defined as items and services that all health insurance plans must cover. These include prescription drugs, doctor visits, outpatient care, and hospitalization.

While most insurers offer comprehensive coverage for these essential items and services, some limitations exist on what EHBs are covered under different circumstances. For example, some health insurance plans may not cover prescription drugs if they are not considered medically necessary. In other cases, there may be a limit on the number of doctor visits or outpatient services covered in a given year.

Once you've been approved for benefits, you can immediately take advantage of the long list of benefits. 

Requirements

To make the most of your Medi-cal benefits, you need to:

  • Live in a state or territory that participates in Medi-cal
  • Be a US citizen or have eligible immigration status
  • Have low income or meet specific other eligibility criteria.

Other factors that may be considered include your age, disability status, family size, and location. It's essential to understand the specific requirements for your situation to make the most of your Medical coverage.

Claim Limitations

There is a limitation for incontinence supplies under Medi-Cal, as the program may not cover certain products. Quantity should not exceed your monthly supply or 27-day period of incontinence products billed with a SAR/TAR, which is over the $165 limit per month.

Genesis Healthcare Products proudly offers a wide range of top-quality incontinence products to help you manage your condition and enjoy your life. With our Medi-cal coverage, you can get the supplies you need without breaking the bank. If you have any questions about our products or coverage, please don't hesitate to contact our support team.Just provide your state's benefit ID number, and we'll be happy to help. 

Or email us at: Los Angeles County: judy@genesishcp.com
Orange County: heidi@genesishcp.com
Riverside County: Rose@genesishcp.com
San bernardino County: jacque@genesishcp.com
San diego County: kevin@genesishcp.com

Call us at 657-233-8500

Disclaimer: The content on this page is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. If you have any questions or concerns about your health, please speak to a qualified healthcare professional.

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