MediCal & Commercial Managed Care
Managed Care Plans (MCP)
Medi-Cal contracts with Managed Care Plans to provide Medi-Cal covered primary and preventive care services. MCPs serve about 10.8 million Medi-Cal beneficiaries in all fifty-eight California counties through six models: County organized Health System (COHS), Two- Plan Model, Geographic Managed Care, Regional Expansion Model, Imperial Model, and the San Benito (Voluntary) Model.
Medi-Cal
Medi-Cal is California’s version of the Medicaid program and provides health coverage for low-income Californians including: children and their parents, pregnant women, seniors, people with disabilities, and non-elderly adults. Medi-Cal is administered by the California Department of Health Care Services and provides health care services such as medical, dental, mental health, substance-use treatment services, and long-term care, to nearly 15 million Medi-Cal beneficiaries. About 40% of California’s children receive health care coverage under this program.
Commercial (Private) Insurance
Commercial Health Insurance also known as private insurance is the most common form of health insurance in the United States, with nearly ⅔ of Americans covered under their employers. The three most common types of health commercial insurance plans are: Preferred Provider Organization (PPO) Plan, Health Maintenance Organization (HMO) Plan, and Exclusive Provider Organization (EPO) Plan. In California, some health plans have both a commercial line of business and Medi-Cal line of business.
Frequently Asked Questions on Medi-Cal
Health Plans (per County)
