Get the free Medi-Cal Choice Form for San Francisco County. Use this form to join or change healt...
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Medical Choice Form
California Department of Health Care Services, P.O. Box 989009 W. Sacramento, CA 957989850
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What is medi-cal choice form for?
The Medi-Cal choice form is used to select or change the health plan for Medi-Cal beneficiaries in California.
Who is required to file medi-cal choice form for?
Individuals eligible for Medi-Cal who wish to select a managed care plan are required to file the Medi-Cal choice form.
How to fill out medi-cal choice form for?
To fill out the Medi-Cal choice form, beneficiaries should provide their personal information, select their preferred health plan, and submit the completed form by the specified deadline.
What is the purpose of medi-cal choice form for?
The purpose of the Medi-Cal choice form is to allow beneficiaries to choose their health care provider and to ensure they receive appropriate medical services.
What information must be reported on medi-cal choice form for?
The Medi-Cal choice form must report personal information such as the beneficiary's name, address, Medi-Cal number, and the selected health plan.
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