Benefits
As an Alliance member, you have access to the benefits and services described in the Get Care section of this website.
You will pick one doctor to see for all your medical needs. We call that doctor your Primary Care Provider or PCP. Use the Provider Directory to find a PCP.
Your PCP will provide you with all of your regular health care needs. If you need to see any other doctor, your PCP will send a request to the Alliance. This is called a PCP referral. A PCP referral is not needed for emergency care and family planning services. There are some services and medical equipment that must be approved by the Alliance before you can get them. This is called prior authorization. Your PCP or other doctor will send referral and prior authorization requests to the Alliance for approval.
The Alliance covers most health care services provided by your PCP, doctors, hospitals and licensed allied health care providers. There are some services that are covered by Medi-Cal but not through the Alliance.
For a high-level summary of plan benefits, read the Benefits Matrix.
For full details, read the Member Handbook.