What services are covered under California's managed healthcare?

Asked 3 months ago
California's managed healthcare system offers a comprehensive range of services designed to provide residents with access to necessary medical care while promoting well-being. Within this system, various types of healthcare services are typically covered under health plans, which include hospital care, outpatient services, preventive care, mental health services, prescription medications, and rehabilitation services. Hospital care typically covers inpatient services, such as surgeries, diagnostic tests, and emergency room visits. Outpatient services include visits to primary care physicians, specialists, and urgent care facilities, allowing individuals to receive care without being admitted to a hospital. Preventive care is an essential component of managed healthcare, encompassing routine check-ups, vaccinations, screenings, and counseling aimed at preventing health issues before they escalate. This emphasis on prevention promotes a healthier population and reduces future healthcare costs. Mental health services are also a vital part of the benefits offered. These services can include therapy, counseling, and psychiatric care, addressing the rising concerns related to mental well-being. Substance use disorder treatment is often part of mental health benefits as well. Lastly, managed care organizations typically cover prescription medications, ensuring that individuals have access to necessary drugs, as well as rehabilitation services, which may include physical therapy, occupational therapy, and specialized care to help patients recover from injuries or surgeries. It is important for consumers to review their specific health plan to understand the exact services covered, as offerings may vary. For up-to-date details, consulting the relevant sections on the California Department of Managed Healthcare’s website can provide further insights into the scope of services available.
Jeff Whelpley is the editor / author responsible for this content.
Answered Sep 4, 2025

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