Otros beneficios y servicios

Equipo Médico

¿Qué tipo de equipo médico está cubierto?

TotalCare covers certain medical supplies and equipment. This includes items like orthotics and prostheses, ostomy and urological supplies, hearing aids and more. Some medical equipment you use at home to help with daily activities and improve your quality of life may also be covered. This is called “durable medical equipment” (DME). For details on this benefit, refer to your Evidencia de Cobertura (Manual del Miembro).

Out-of-Area Coverage

Ofrecemos servicios a los miembros que viven en los condados de Mariposa, Merced, Monterey, San Benito y Santa Cruz. Si usted va a viajar fuera de esos condados y necesita acceder a los servicios, siga las siguientes instrucciones.

• Para cuidado de emergencia, llame al 911 o vaya a la sala de emergencia más cercana.
• Para cuidado de urgencia, vaya al centro de cuidado de urgencia más cercano.
• For medical care that is not an emergency or urgent, you must get pre-approval from the plan when you’re out of the area.
• If you are temporarily out of the service area and need kidney dialysis, the service is covered.

You do not need pre-approval, known as prior authorization, for out-of-area emergency or urgent care in the United States. If you travel outside of the country and need emergency services, TotalCare will cover your care, up to $50,000.