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Other Health Coverage (OHC) 

Other Health Coverage (OHC) refers to private health insurance. Services may include medical, dental, vision, pharmacy, and/or Medicare supplemental plans (Part C & D).
 
 The following is not OHC:
  • Medical Managed Care Plans (i.e. LA Care, Molina, etc.)
  • Medicare Part A & B
  • Institutionalized (OHC Code “I”)
  • Medi-Cal

OHC Processing Center 

The OHC  Processing Center provides a method for members or authorized representatives to modify OHC for Medi-Cal members. 

Reporting Other Health Coverage 

Federal and state laws require Medi-Cal members to report OHC to ensure Medi-Cal is the payer of last resort. When Medi-Cal learns that a member has OHC, the Medi-Cal record is than updated to reflect the OHC.     
Before submitting your request to modify OHC, please have the Medi-Cal member’s Client Index Number (CIN) available and OHC information. The CIN is the first nine characters of the identification number located on the front of the member’s Benefits Identification Card (BIC). 
CIN Card Designs

Other Health Coverage Forms 

To request changes to a member's OHC, please use the forms below or call 800-541-5555. (If you're located outside of California, please call 916-636-1980).
 
Please allow up to 72 business hours for your request to be processed.   
 

OHC Removals(s) Form

OHC Addition(s) Form 
 

Additional Information

For additional information, please select from the options below: 

 

(List updated 12/08/17)

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Last modified on: 1/9/2018 9:35 AM