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Costs

Deductibles and Copays

Medi-Cal Share Of Cost

Healthy Families Premium

Other Health Insurance

Click each item to find out more.

Click each item to find out more.

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Deductibles and Copays

Medi-Cal Share Of Cost

Healthy Families Premium

Other Health Insurance

Members do not have deductibles or copayments for any benefits with a HN Medi-Cal HMO.

Click each item to find out more.

Main Menu

Deductibles and Copays

Medi-Cal Share Of Cost

Healthy Families Premium

Other Health Insurance

Effective 07/01/2014, there will be some HN Medi-Cal members who have a remaining share of cost (SOC) with the State. The share of cost is a monthly balance paid by the member before HN will cover benefits. The member will need to pay for services at the point of sale (Dr’s office, pharmacy, etc.), until they have paid their SOC in full. All payments are applied against the SOC. The member is not viewed as eligible with HN’s plan until this share of cost is cleared.

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Deductibles and Copays

Medi-Cal Share Of Cost

Healthy Families Premium

Other Health Insurance

Beginning in 2013, some members, through a previous program called Healthy Families, transitioned into Medi-Cal. This group has a monthly premium paid directly to Medi-Cal for Families. When a caller inquires on where to submit payment, refer them to (800) 880-5305.

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Deductibles and Copays

Medi-Cal Share Of Cost

Healthy Families Premium

Other Health Insurance

Medi-Cal beneficiaries with other health insurance (OHI) must use their OHI first, as it becomes the primary coverage. Medi-Cal serves as secondary coverage and does not cover primary insurance deductibles or copays. Providers should bill OHI before Medi-Cal. If beneficiaries opt for services not covered by Medi-Cal, Medi-Cal is not responsible for those costs.Beneficiaries must report any changes in OHI status to their eligibility worker, social services office, and health plan.