Santa Clara Family Health Plan
Published on Santa Clara Family Health Plan (https://www.scfhp.com)


If you have both Medicare and Medi-Cal, you have a health plan option called Cal MediConnect. As a member of Santa Clara Family Health Plan Cal MediConnect Plan (Medicare-Medicaid Plan) you get:

  • Convenient access to your health plan information in our member portal, mySCFHP. Sign up today!
  • All of your Medicare and Medi-Cal benefits in one health plan, including access to doctors, hospitals, and prescription drugs.
  • One membership card and one phone number to call to get help.
  • Behavioral health care, durable medical equipment, vision care, gym membership, and transportation to medical appointments.
  • A 24-hour Nurse Advice Line for help with non-emergency care.
  • Long-Term Services and Supports (LTSS), Community-Based Adult Services (CBAS), Multipurpose Senior Services Program (MSSP), and Long-Term Care (LTC).
  • Access to a case manager and care team. The case manager can answer your questions, help you find community services, assist you in making your medical appointments, and help you talk to your doctors and other providers.
  • A personal care plan created to help you reach your health goals.

As your neighbor here in Santa Clara County, SCFHP has been serving our community since 1997. We are excited to offer you the SCFHP Cal MediConnect Plan. Read how Cal MediConnect is making a difference.

We want to make sure you get the most out of your Cal MediConnect Plan. Here are videos to help you understand the plan.

Quý vị có biết tiếng Việt không? Những video này giải thích Cal MediConnect bằng tiếng Việt.

No-Modal
HOW TO ENROLL

CALL SCFHP
Monday through Friday
8 a.m. to 8 p.m.

1-888-202-3353
TTY/TDD 1-800-735-2929 or 711

CALL HEALTH CARE OPTIONS (HCO)
Monday through Friday
8:00 a.m. to 5:00 p.m.

1-844-580-7272
TTY/TDD 1-800-430-7077

Health Care Options [1]

PROGRAM INFORMATION

How to Enroll [2]

How to Disenroll [3]

Benefits & Copays [4]

Prescriptions & Part D [5]

Medication Therapy Management [6]

How to Choose and See a Provider [7]

Find a Doctor [8]

Case Management & Care Coordination [9]

Complaints, Grievances & Appeals [10]

RESOURCES

Downloads

Member Handbook [11]

Provider and Pharmacy Directory [12]

List of Covered Drugs (Formulary) [13]

Summary of Benefits [14]

Notice of Nondiscrimination/ Language Assistance [15]

Links

Getting Started [16]

Member Materials [17]

Helpful Information [18]

Frequently Asked Questions [19]

National Coverage Determinations [20]

Health Education [21]

Notice of Privacy Practices [22]

Report Fraud [23]

IMPORTANT NUMBERS
CUSTOMER SERVICE
(8:00 a.m. - 8:00 p.m.,
Monday - Friday)
1-877-723-4795
CUSTOMER SERVICE TTY/TDD
711
24-HOUR NURSE ADVICE LINE
1-844-803-6962
Material Id/Disclaimer/Date Stamp: 

Santa Clara Family Health Plan 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.

This is not a complete list. The benefit information is a brief summary, not a complete description of benefits. For more information contact the plan or read the Member Handbook. 

Enrollment in Santa Clara Family Health Plan Cal MediConnect Plan (Medicare-Medicaid Plan) depends on contract renewal. CMS (the Centers for Medicare & Medicaid Services) must approve SCFHP Cal MediConnect each year. You can continue to get health coverage as a member of our plan only as long as we continue to offer the SCFHP Cal MediConnect Plan for the year in question and CMS renews its approval of the plan. Even if SCFHP leaves the program, you will not lose health coverage. If SCFHP decides not to continue for the next calendar year, we must send you a letter at least 90 days before your coverage will end. The letter will explain your options for Medicare coverage in your area. 

Last updated 12/31/2018

H7890_14095W201812 Accepted


Source URL: https://www.scfhp.com/healthcareplans/calmediconnect

Links
[1] https://www.healthcareoptions.dhcs.ca.gov/enroll
[2] https://www.scfhp.com/healthcareplans/calmediconnect/how-enroll
[3] https://www.scfhp.com/healthcareplans/calmediconnect/how-disenroll
[4] https://www.scfhp.com/healthcare-plans/calmediconnect/2019-benefits-copays
[5] https://www.scfhp.com/healthcareplans/calmediconnect/pharmacy-benefits-services
[6] https://www.scfhp.com/healthcareplans/calmediconnect/medication-therapy-management
[7] https://www.scfhp.com/healthcareplans/calmediconnect/how-choose-see-provider
[8] http://www.scfhp.com/for-members/find-a-doctor
[9] https://www.scfhp.com/healthcareplans/calmediconnect/care-coordination
[10] https://www.scfhp.com/healthcareplans/calmediconnect/appeals-grievances
[11] https://www.scfhp.com/sites/default/files/cmcmemberhandbook_en.pdf
[12] https://www.scfhp.com/sites/default/files/cmcdirectory_en.pdf
[13] https://www.scfhp.com/sites/default/files/cmcformulary_en.pdf
[14] https://www.scfhp.com/sites/default/files/cmcsummarybenefits_en.pdf
[15] https://www.scfhp.com/sites/default/files/Nondiscrimination_Language_Assistance.pdf
[16] http://www.scfhp.com/getting-started
[17] https://www.scfhp.com/healthcareplans/calmediconnect/member-materials
[18] https://www.scfhp.com/healthcareplans/calmediconnect/cal-mediconnect-helpful-information
[19] https://www.scfhp.com/healthcareplans/calmediconnect/cal-mediconnect-frequently-asked-questions
[20] http://www.scfhp.com/healthcare-plans/calmediconnect/national-coverage-determinations
[21] https://www.scfhp.com/for-members/health-education
[22] https://www.scfhp.com/for-members/helpful-information/notice-of-privacy-practices
[23] http://www.scfhp.com/healthcareplans/calmediconnect/report-fraud