Medical Benefits
PHC California covers the services listed below when medically necessary. There are no copays or deductibles.
| Covered Services |
| Acupuncture |
| Alcohol Abuse Treatment (available through the Drug Medi-Cal Treatment Program) |
| Allergy Care |
| Ambulance Services – for emergencies only |
| Ambulatory and Outpatient Surgery |
| Anesthesiologist Services |
| Audiology Services and Hearing Aids |
| Case Management and Disease Management Services |
| Chemotherapy and Radiation Therapy |
| 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 |
| Inpatient Mental Health Services (available through Los Angeles County Department of Mental Health) |
| Investigational Services |
| Laboratory/X-Ray/Imaging Services |
| Long Term Care |
| Maternity Services |
| Medical/Drug Therapies |
| Ophthalmology Services |
| Optometric and Vision Services including Eyeglasses |
| Outpatient Hospital Services |
| Outpatient Mental Health Services |
| Physician Primary Care and Specialty Services |
| Podiatry Services |
| Prescription Drugs |
| Prosthetic and Orthotic Appliances |
| Pulmonary Rehabilitation |
| Sexually Transmitted Disease Testing, Counseling and Treatment |
| Skilled Nursing Facility Services |
| Specialty Mental Health Services (available through Los Angeles County Department of Mental Health) |
| Substance Abuse Treatment (covered through the Drug Medi-Cal Treatment Program) |
Therapy Services:
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| Transgender Services |
| 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