Medi-Cal - PHC is a managed care organization that contracts with the State of California to ensure that Medi-Cal recipients in Solano, Yolo, Napa, Sonoma, Marin and Mendocino counties have access to quality medical care. PHC ensures access by contracting with medical providers and then assigning our members to a primary care provider (PCP). The PCP is responsible for providing medical care to those members assigned to him/her. The PCP is also responsible for referring his/her patients to a specialist when there is a medical need.
A provider is a doctor, nurse, nurse practitioner, physician assistant, hospital, clinic or other health care professional.
Healthy Kids - The Healthy Kids Health Plan is a locally developed and funded comprehensive health care coverage program for eligible children residing in Solano, Sonoma, Yolo and Marin Counties. Partnership HealthPlan of California is the health plan for Healthy Kids. Families pay low monthly premiums, which are based on family size and income. Benefits include medical, dental, vision and mental health services.
The Healthy Kids Health Plan covers children if they are ineligible for full-scope, no share of cost Medi-Cal.
PartnershipAdvantage (HMO SNP) - PartnershipAdvantage is a Medicare Advantage program offered by PHC. This program combines PHC Medi-Cal, Medicare Parts A and B and Medicare Prescription Drug Coverage ("Part D"). PartnershipAdvantage coordinates your Medicare and PHC Medi-Cal benefits, creating a seamless health plan where all of a beneficiary's covered health benefits are in one plan.
To be eligible for the PartnershipAdvantage program, you must be eligible for Medicare Part A, and enrolled in Medicare Part B, and have full-scope PHC Medi-Cal. This program is only available to members in the following counties: Solano County, Yolo County, and Napa County.
The PartnershipAdvantage program is offered through a contract between Partnership HealthPlan of California (PHC) and the Centers for Medicare and Medicaid Services (CMS).