Medi-cal:HealthNet or L.A Care Health Plan?? SO CONFUSED!

Hello everyone, I'm starting my WLS journey again for the second time, now under a new insurance which is the state sponsored Medi-Cal. I know that some folks have been able to gain approval via Medical as I know the procedure is covered if deemed medically necessary. My question is this: I am now being asked to choose a plan under the medi-cal coverage whi*****ludes HealthNet (medical), Care1st, Blue Cross of CA, Community Health Plan of L.A. County or Kaiser Permanente. How do I choose the best one?? I've called to ask if the surgery is covered and they tell me that all of these plans offer the same benefits and only the providers are different. I've called a couple of bariatric centers near me and asked if they accept Medical and they say no. I don't get it, I thought if it is foudn to be medically necessary  and the insurance will pay, why wouldn't they? I'm so confused!! I'm anxious to pick a good plan and a surgeon to begin the process but don't know how to proceed. Anyone have any tips? THANKS SO MUCH!!!

Hi sweet pea... I noticed you arent getting much help here... may I recomend you go to your state messageboard and they might be a bit more inclided to know about it. 

 

Hope you find your answers!

The reason why so many doctors won't accept medi-cal patients is because they get a capitated rate of $10 a month for having you as their patient.  Which means that even if you have to be seen 10 times in a one month period, they will still only receive $10 from the state for all 10 visits.   Personally from what I have seen, Blue Cross is a really good plan to pick and they are under LA CARE.   WHen you chose a plan, they will also as you to chose a medical group and they will provide you with  a list of doctors that will accept you as their patient.   I hope that helps.  Carla