​​​​Other Health Coverage​

​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 beneficiaries. 

Reporting Other Health Coverage 

Federal and state laws require Medi-Cal beneficiaries to report OHC to ensure Medi-Cal is the payer of last resort. When Medi-Cal learns that a beneficiary 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 beneficiary’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 beneficiary’s Benefits Identification Card (BIC). 
CIN Card Designs 

Other Health Coverage Forms 

To request changes to a beneficiary​'s OHC, please use the forms below or call 1-800-541-5555. 
If you're located outside of California, please dial 1-916-636-1980.
Please allow up to 72 business hours for your request to be processed.

OHC Removal(s) Form

OHC Addition(s) Form

Additional Information

For additional information, please select from the options below: 


(List updated 12/08/17)

Back to the TPLRD Homepage



Last modified date: 6/30/2022 3:53 PM