Our mission is to ensure health plan members have access to equitable, high-quality, timely & affordable health care within a stable health care delivery system
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ALT Graphic from the Department of Managed Health Care showing a person talking on a cellphone with text reading "Health Care Denied, Changed or Delayed?
ALT Graphic from the Department of Managed Health Care stating "You have the right to appeal." Includes website DMHC.CA.GOV, phone number 888-466-2219, and note that help is available in all languages. Background is a solid bright blue with white and green text.
ALT KNOW YOUR HEALTH CARE RIGHTS. In California, health plan members have the right to: Request an Independent Medical Review.
ALT Image showing a healthcare professional holding a clipboard and consulting with a patient, with text stating, “Felicia's health plan denied coverage for breast cancer surgery.” The Department of Managed Health Care logo is in the upper left corner.
ALT Person smiling, wearing a pink ribbon, with text stating, “She filed a complaint with the DMHC, and the plan reversed its decision and covered her treatment.” The Department of Managed Health Care logo is in the upper left corner.
ALT Text on a blue background stating, "You have the right to appeal if your health plan denies your care," with the logo of the Department of Managed Health Care at the bottom.
ALT Graphic with white text on a blue background stating "For more information, go to www.DMHC.ca.gov or call the DMHC Help Center at 1-888-466-2219." The DMHC logo is at the bottom of the image.
ALT Woman sitting with her hand on her head in pain. Text overlay: Myriam couldn't get an appointment to treat her chronic pain.
ALT A doctor taking notes. Text overlay: The DMHC worked with her health plan to get her a timely appointment.
ALT If you have an issue with your health plan, the DMHC is here to help.
ALT For more information, go to www.DMHC.ca.gov or call the DMHC Help Center at 1-888-466-2219.
ALT 30.2 Million Californians' health care rights are protected by the DMHC.
ALT Graphic titled “Protecting Health Care Rights” describing a health plan member helped by the California Department of Managed Health Care (DMHC). The text reads: Liam, a child enrolled in a Preferred Provider Organization (PPO) Plan in the small group market, was seen in a hospital emergency room, and hospitalized for two days to treat a swollen mass on his neck. Liam’s parents received a denial from their health plan for Liam’s hospital stay and a bill of over $16,000. The health plan denied the stay as not medically necessary. Liam’s parents appealed the denial and applied for an IMR through the DMHC Help Center. The IMR overturned the plan’s denial finding the hospital stay was medically necessary for Liam’s treatment. The IMR determination saved Liam’s parents from a large hospital bill.
ALT KNOW YOUR HEALTH CARE RIGHTS. In California, health plan members have the right to: File a complaint with your health plan.
ALT Help available in all languages.
ALT Myriam no podía conseguir una cita para tratar su dolor crónico.
ALT El DMHC trabajó con su plan de salud para conseguirle una cita a tiempo.
ALT Si usted tiene un problema con su plan de salud, el DMHC está aquí para ayudarle.
ALT Para más información, visite www.DMHC.ca.gov o llame al Centro de Ayuda del DMHC al 1-888-466-2219.
ALT KNOW YOUR HEALTH CARE RIGHTS. In California, health plan members have the right to: See a specialist when medically necessary.
ALT Man talking on the phone. Text overlay: YOUR HEALTH, YOUR VOICE.
ALT $227.1 Million dollars in payments recovered to physicians and hospitals.
ALT An air ambulance helicopter parked in a forest clearing. Text overlay: Riley's health plan denied coverage of air ambulance services.
ALT An image featuring an airplane and an ambulance gurney with text stating. Text overlay: She filed a complaint with the DMHC, and the plan's denial was overturned, requiring coverage of the $83,000 bill.
ALT You have the right to appeal if your health plan denies your care.
ALT For more information, go to www.DMHC.ca.gov or call the DMHC Help Center at 1-888-466-2219.
ALT KNOW YOUR HEALTH CARE RIGHTS. In California, health plan members have the right to: Understand your health problems and treatments.
ALT Help available in all languages.
ALT Man talking with his health care provider.