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              • Immunizations: Adolescents Tip Sheet
              • Programmatic Measure Benchmarks
              • Asthma Medication Ratio Tip Sheet
              • 90-Day Referral Completion – Exploratory Tip Sheet
              • Antidepressant Medication Management Tip Sheet
              • Application of Dental Fluoride Varnish Tip Sheet
              • Immunizations: Children (Combo 10) Tip Sheet
              • Chlamydia Screening in Women Tip Sheet
              • Child and Adolescent Well-Care Visits Tip Sheet
              • Cervical Cancer Screening Tip Sheet
              • Child and Adolescents BMI Assessment Tip Sheet
              • Breast Cancer Screening Tip Sheet
              • Well-Child Visits in the First 15 Months of Life Tip Sheet
              • Unhealthy Alcohol Use in Adolescents and Adults Tip Sheet
              • Tuberculosis (TB) Risk Assessment – Exploratory Tip Sheet
              • Preventable Emergency Visits Tip Sheet
              • Maximizing Your Value-Based Payments using CPT Category II Coding Tip Sheet
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              • Maternity Care: Postpartum Tip Sheet
              • Plan All-Cause Readmissions Tip Sheet
              • Lead Screening in Children Tip Sheet
              • Initial Health Appointment Tip Sheet
              • Diabetic HbA1c Poor Control >9% Tip Sheet
              • Developmental Screening in the First 3 Years Tip Sheet
              • Controlling High Blood Pressure – Exploratory Measure Tip Sheet
              • Immunizations: Children (Combo 10) Tip Sheet
              • Best Practices for Reducing Patient No-Shows Tip Sheet
              • Ambulatory Care Sensitive Admissions Tip Sheet
              • Depression Tool Kit
              • USPSTF Recommendations for Primary Care Practice
              • Preventable Emergency Visits Diagnoses Tip Sheet
              • Blood Lead Testing Flyer
              • Adverse Childhood Experiences (ACEs) Screening in Children and Adolescents Tip Sheet
              • Depression Screening for Adolescents and Adults Tip Sheet
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Home > For Members > Get Started > Your First Steps as a New Alliance Member

Get Started

Your First Steps as a New Alliance Member

Welcome to the Alliance! We want you to get the most out of your health plan. Here are some of the first things to do as an Alliance member.

In the next 30 days

Expand All
Choose your primary doctor (also known as primary care doctor or PCP)

You need to select a doctor within the first 30 days of being a member. If you do not select one, we will select one for you. You can search for a doctor on our online Provider Directory.

There are a few ways you can choose your doctor:

  • Choose your primary care doctor by filling out the online form.
  • Mail in the form included in the member welcome packet you got in the mail.
  • Call Member Services at 800-700-3874 (TTY: Dial 711).

The ID card that came with this new member packet is for this month only. Next month you will get your new Alliance Member ID card in the mail with your PCP’s name, address and phone number on it. You can start going to that doctor or clinic as of the effective date on that ID card. Please show your Alliance Member ID card, along with your Medi-Cal Benefits Identification Card (BIC) and any other insurance cards you have, whenever you get health care services.

If you are a new Alliance member and you need health care right now, you can go to any doctor that takes Medi-Cal. Once you have selected your PCP, you should go to that doctor for your health care. If you ever want to change your PCP, you will need to call us or fill out the online form.

In the next 120 days (4 months)

Schedule your new patient exam with your doctor

A new patient exam is your first visit with your new doctor. This visit may include a physical exam, needed vaccines and health screenings. Call your doctor to schedule your new patient exam. Your doctor’s contact information will be on your Alliance Member ID card that will be mailed to you after you choose your doctor.

Read up on how your health plan works

You can view the Member Handbook online. If you want a copy mailed to you, request one on our website or call Member Services.

You have rights and responsibilities as an Alliance member. These are also in your printed Member Handbook in Section 7: Rights and responsibilities.

Get familiar with our online resources

Our website is a great source of information for your health plan, benefits and updates.

  • You can do many things online without having to call Member Services. In our online self-service area, you can ask for a replacement ID card, request a personal representative, update your other health insurance, find a form and more!
  • Read the latest edition of our member newsletter, Living Healthy. Living Healthy is mailed out to members in March, June, September and December and includes benefit reminders, health tips and how to use your health plan.
  • Check out our blog, Hello, Health! It has quick reads to help you live a healthy life and make the most of your health care.

Follow us on Facebook to keep up to date with health and safety information.

 

Important numbers

Alliance numbers
  • Member Services: 800-700-3874 (TTY: Dial 711)
    Available Monday through Friday between 8 a.m. and 5:30 p.m. For the Hearing or Speech Assistance Line, call 800-735-2929 (TTY: Dial 711). 
  • Care Management Support: 800-700-3874, ext. 5512
    Our team is made up of nurses, social workers, health educators and care coordinators to provide case management and care coordination.
  • Health Education Line: 800-700-3874, ext. 5580
    We have health education programs to give members the tools to get healthy and stay healthy. You can also get rewards for getting routine care!
  • Language Assistance Services: 800-700-3874, ext. 5580
    We speak your language, and we have doctors who speak languages other than English. You can get interpretive services and information sent to you in alternative formats like large print and audio.

Transportation Services

Transportation services are available for when you need help with picking up prescriptions and getting to doctor appointments. We offer non-emergency medical transportation (NEMT) and non-medical transportation (NMT).

NEMT is for when you need extra help or have special transportation needs.Examples of NEMT are an ambulance, wheelchair van or air transport. To schedule NEMT:

  • Call the Alliance

NMT is for help getting to medical services by passenger car, taxicab or other forms of public or private transportation. To schedule NMT:

  • Call 833-244-1678, Monday through Saturday from 8 a.m. to 7 p.m., at least 5 to 7 business days before your appointment.

Emergency Services

You are covered for emergency care 24 hours a day, 7 days a week, even if you are outside of the Alliance’s service area. If it is not an emergency, call your doctor’s office to get instructions for after-hours care or contact the Alliance’s Nurse Advice Line.

24/7 Nurse Advice Line

844-971-8907

If you or your child is sick and you have questions, call the Nurse Advice Line. A registered nurse will answer your health questions and help you decide what to do next.

Vision Services Plan (for routine vision services)

800-877-7195

24/7 Behavioral Health Services: Carelon

855-765-9700 | Carelon website

Carelon can provide a referral for individual, group and family therapy, visits with a psychiatrist, psychological testing, and treatment for autism and other developmental conditions. You do not need approval from the Alliance or your doctor to contact Carelon.

Services covered by Medi-Cal, not the Alliance

Some services are covered by Medi-Cal and not provided by the Alliance. These include dental and pharmacy services. The contact information below is also located on your Alliance Member ID card.

Medi-Cal Dental Program (for dental services)

800-322-6384 | Medi-Cal Dental website

24/7 Medi-Cal Rx (for pharmacy services)

800-977-2273 (TTY: Dial 711) | Medi-Cal Rx website

Member complaints, grievances and appeals

If you have an issue or concern about medical care or services you have received or want to file a complaint, contact the Alliance. This is called a grievance or appeal. You can file a grievance or appeal for many reasons including problems you may have with a provider or the Alliance. You can file a grievance or appeal by calling Member Services, submitting it through our Alliance website or by mail. You can also get a Grievance and Appeals Form at your PCP’s office.

If your contact information changes or there are changes to your circumstances, make sure to let your county office know. You can report changes in person, by phone or by mail. You can also update your contact information online at www.coveredca.com or www.benefitscal.com.

County Medi-Cal Office Contact Information

Mariposa County Health and Human Services Agency

Location:

5362 Lemee Lane
Mariposa, CA 95338

Phone: 209-966-2000 or 800-549-6741

Mailing address:

PO Box 99
Mariposa, CA 95338

Merced County Human Services Agency

Locations:

Merced
2115 Wardrobe Ave.
Merced, CA 95341
Atwater
1920 Customer Care Way
Atwater, CA 95301
Los Banos
947 W. Pacheco Blvd., Ste. C
Los Banos, CA 93635

Phone number: 855-421-6770 (TTY: Dial 711)

Mailing address:

Merced County Human Services Agency
P.O. Box 112
Merced, CA 95341

Monterey County Department of Social Services

Locations:

Salinas
1000 S. Main St., Ste. 216
Salinas, CA 93901
Seaside
1281 Broadway Ave.
Seaside, CA 93955
King City
116 Broadway St.
King City, CA 93930

Phone number: 877-410-8823 (TTY: Dial 711)

Mailing address:

Monterey County Department of Social Services
1488 Schilling Pl
Salinas, CA 93901

San Benito County Health and Human Services Agency, Public Assistance

Phone number: 831-636-4180

Location/Mailing Address:

1111 San Felipe Road-Suite 206
Hollister, CA 95023

 

Santa Cruz County Human Services Department

Locations:

Santa Cruz
1020 Emeline Ave., Building B
Santa Cruz, CA 95060
Watsonville
18 W Beach St.
Watsonville, CA 95076

Phone number: 888-421-8080 (TTY: Dial 711)

Mailing address: Use either the Santa Cruz or Watsonville address above.

Contact Member Services

  • Monday through Friday, from 8 a.m. to 5:30 p.m.
  • Phone: 800-700-3874
  • Deaf and Hard of Hearing Assistance
    TTY: 800-735-2929 (Dial 711)
  • Nurse Advice Line
  • Monday through Friday, from 8 a.m. to 5:30 p.m.
  • Phone: 800-700-3874
  • Deaf and Hard of Hearing Assistance
    TTY: 800-855-3000 (Dial 711)
  • Nurse Advice Line

Accessing Alliance Services

  • Member Handbook
  • Provider Directory
  • Choose Primary Doctor
  • Primary Care
  • Nurse Advice Line
  • Alliance Alternative Access Standards

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Contact us | Toll free: 800-700-3874

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