The following documents will help provide additional information about our Cal MediConnect Plan. Select the language you would like to see the materials in. Each document is a PDF.


You can request to have health plan information sent to you (now and in the future) in your language or in other formats (Braille, audio, and large print). To make this request, call Member Services at 1-888-350-3447 (TTY 711), Monday through Friday from 8 am to 8 pm Pacific time, except on holidays. The call is free.

www.Medicare.gov (CMS forms)
Appointment of Representative form