PHC California

Rachel Sakai
AHF Provider

Medical Benefits

PHC California covers the services listed below when medically necessary.  There are no copays or deductibles.

Covered Services
Alcohol Abuse Treatment (available through the Drug Medi-Cal Treatment Program)
Ambulance Services – for emergencies only
Ambulatory and Outpatient Surgery
Behavioral Health Inpatient Hospital Services (covered through Medi-Cal fee-for-service facilities)
Behavioral Health Outpatient Services (covered through Los Angeles County Department of Mental Health providers)
Case Management and Disease Management Services
Chiropractic Services
Dermatology Services
Dialysis Services
Durable Medical Equipment and Medical Supplies
Emergency Room Services
Family Planning Services and Supplies
Hearing Services and Hearing Aids
Home Health Care Services
Hospice Care
Immunizations
Inpatient Hospital Services
Investigational Services
Laboratory/X-Ray/Imaging Services
Long Term Care
Maternity Services
Medical/Drug Therapies
Ophthalmology Services
Optometric and Vision Services (eyeglasses for eligible individuals under 21 and pregnant women through postpartum)
Outpatient Hospital Services
Physician Primary Care and Specialty Services
Podiatry Services
Prescription Drugs
Prosthetic and Orthotic Appliances
Sexually Transmitted Disease Testing, Counseling and Treatment
Skilled Nursing Facility Services
Substance Abuse Treatment (covered through the Drug Medi-Cal Treatment Program)
Therapy Services:

  • Physical Therapy
  • Occupational Therapy
  • Speech Therapy
Transplant Services
Transportation (Non-Emergency) – plan must book transportation to and from plan-approved locations.

 

Note that PHC California does not cover dental services.  Dental services are available through the Denti-Cal program through a Denti-Cal dentist(By clicking on these links, you will be taken to the Denti-Cal website, which is operated by the California Department of Health Care Services and not PHC California.)

Next, take a look at PHC California’s prescription drug coverage.

The benefit information provided is a brief summary, not a complete description of benefits. Limitations and restrictions apply.  Benefits, formulary, and/or pharmacy network may change.


DHCS 030716 PHC Form 1.0