Renew my health card 2025

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  1. Click ‘Get Form’ to open the renew my health card in the editor.
  2. Affix your patient label within the designated box at the top of the form.
  3. Enter the date and time in the specified format (yyyy-Mon-dd for date and hh:mm for time).
  4. Select the appropriate Goals of Care Designation by checking one of the options (R1, R2, R3, M1, M2, C1, C2) and write your initials on the line provided.
  5. If applicable, check if this GCD Order is interim and provide any necessary clarifications in the space provided.
  6. Indicate the patient's location of care where this order was made (Home, clinic, or facility name).
  7. Specify involvement details regarding conversations with the patient or alternate decision-maker by checking relevant boxes.
  8. Complete history/current status by selecting one of the options regarding previous GCD Orders.
  9. Fill in your name, discipline, and sign at the bottom of the form along with today's date.

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2023 4.4 Satisfied (39 Votes)
2014 4.8 Satisfied (138 Votes)
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If your local Medi-Cal office has all of your information, they will mail you a letter saying your Medi-Cal coverage is renewed. You dont need to do anything.
Local Medi-Cal offices review each members eligibility once a year or when they report changes to their household. Everyones renewal date is different.
If you do not report changes to your personal information right away, and then receive Medi-Cal benefits that you do not qualify for, you may have to repay DHCS.
You can request a benefit replacement card through BenefitsCal.com or through an automated system at 888-472-4463. Please allow about seven days to receive a new card in the mail.
You can complete your renewal using any of the methods below. Visit dhs.pa.gov/COMPASS. Call DHS at 1-866-550-4355 (TTY: 711). Get in-person help at your local County Assistance Office (CAO). Mail your paperwork to your CAO. You will be mailed a renewal packet from the CAO.
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