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In 2008, L.A. Care launched the Medicare Advantage Special Needs Plan (SNP) for those dually-eligible for both Medi-Cal and Medicare. Starting in 2015, dually-eligible members were given the option to join the L.A. Care Cal MediConnect plan, offering members a coordinated care model within a single health plan and will help to foster better ...
With indemnity dental plans, the insurance company generally pays the dentist a percentage of the cost of services. Restrictions may include the co-payment requirements, waiting period, stated deductible, annual limitations, graduated percentage scales based on the type of procedure, and the length of time that the policy has been owned.
Health Services ran the free health care programs Healthy Way LA and My Health LA from 2007 until 2024, when eligibility and access to California's health care program, Medi-Cal, was expanded. [4] In Fiscal Year 2015–16, Health Services provided healthcare services to over 643,856 unique patients during 2,457,174 patient visits. [5]
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The Healthcare Effectiveness Data and Information Set (HEDIS) is a widely used set of performance measures in the managed care industry, developed and maintained by the National Committee for Quality Assurance (NCQA). HEDIS was designed to allow consumers to compare health plan performance to other plans and to national or regional benchmarks.
Dental insurance helps pay for the cost of necessary dental care. Few medical expense plans include coverage for dental expenses. About 97% of dental benefits in the United States is provided through separate policies from carriers—both stand-alone and medical affiliates—that specialize in this coverage.
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