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Never pay for covered services!

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Alliance members should never pay for appointments or services that are covered by the Alliance. If you would like to learn more about what is covered by your Medi-Cal health plan, read the Alliance Member Handbook.

When should you pay for services?

There are times when it’s okay for providers to ask you to pay for services. One example is if you need to sign a consent form to pay for a benefit that is not covered.

What should you do if a provider asks you to pay at a visit?

You can ask your provider’s office to call the Alliance before you pay the provider.

What to do if you paid for covered services

If you paid for services that are covered by the Alliance, we may be able to pay you back. This is called reimbursement. Call our Member Services Department at 800-700-3874, ext. 5505. Member Services is available from 8 a.m. to 5:30 p.m., Monday through Friday.

What to do if you get a bill

Did you have health care coverage when you got the service?

If you get a bill for a covered service, you should check if you had health care coverage through the Alliance at the time you got the service. You can call Alliance Member Services to check.

If you were covered at the time of service and you get another bill, call Member Services right away.

What to do if you did not have coverage through the Alliance

If you did not have health care coverage through the Alliance at the time of service, you may need to:

  • Pay for the services.
  • Reach out to your health plan if you have one.

This is why you should check your health coverage before you get care.

Questions?

Our Member Services team can help you with:

How to file a complaint

If a doctor asks you to pay for services, you can also file a grievance. A grievance is also called a complaint.

Our grievance team is here to address your concerns. We want you to be happy with your health care.

There are many ways you can file a grievance. Read more on our grievance webpage.