Insurance

CALIFORNIA DEPARTMENT OF INSURANCE

1-800-927-4357

www.insurance.ca.gov

Description: Protects insurance consumers by regulating industry practices.  Call to file complaints on insurance companies.

LUMETRA – QUALITY IMPROVEMENT ORGANIZATION

(LQIO)

1-800-841-1602

www.cmri-ca.org

Description: Medicare peer review organization will review medical decisions of concern to consumers on Medicare.

HEALTH INSURANCE COUNSELING AND ADVOCACY PROGRAM     (HICAP)

(559) 224-9117

www.valleycrc.org

Description: Assists Medicare beneficiaries with Medicare and supplemental health insurance claims and policies, lays out comparisons of health insurance policies; gives facts about different kinds of coverage; advocates for seniors concerning problems with Medicare payments.  Analyzes long term care insurance policies.  No charge for services, no selling.

MEDICARE

1-800-633-4227

www.medicare.gov

Description: Health insurance program for people 65 years and older and some people with disabilities under the age of 65.

MEDI-CAL

(559) 253-9052          Fresno

(559) 675-2300          Madera

www.medi-cal.ca.gov

Description: State Medicaid program to pay for medical care for persons who are blind, disabled and on SSI, public assistance recipients and other low-income persons.

MEDI-CAL FIELD OFFICE - STATE OF CALIFORNIA

1-800-726-4326

Description: Out of state authorization for Medi-Cal treatment. Provider may call for billing information. If person is on Medicare and Medi-Cal he is covered. If only on Medi-Cal, he is covered for emergencies only.

To report Medi-Cal fraud, call

(559) 446-2440 or 1-800-822-6222