Plans and Providers

Who Will Provide Health Care Services for You and Your Baby?

When you apply for AIM, you will choose a health plan from a list of plans in your county. Then, when your AIM coverage starts, your health plan will manage your health care. The plan will let you know what doctors, midwives, medical groups, hospitals and other providers you can use and what services there are. The plan will let you know how to get the services you need.

If you are in AIM, your baby automatically qualifies to be in the Healthy Families Program, unless your baby is enrolled in employer-sponsored insurance or no-cost full scope Medi-Cal. Your baby will not be covered until registered as explained here. Your baby would be in the same health plan as you and would have the same health coverage.

The baby will remain enrolled in the same plan you had in AIM, unless you have other children already enrolled in the Healthy Families Program. If you have other children in the Healthy Families Program, the baby will be transferred to the other children’s plans on the third month after birth. Please call the Healthy Families Program if your baby has special health care needs and you do not want the baby transferred to another plan.

Your baby will stay enrolled in Healthy Families if at the first Annual Eligibility Review you meet AIM Program guidelines. To stay enrolled in Healthy Families, on the baby’s second Annual Eligibility Review you must be within Healthy Families Program guidelines which has a lower income limit than AIM.

All plans in AIM and Healthy Families offer the same health coverage. Differences among plans are their lists of providers and their special services. To see which doctors and hospitals work with a plan, call the plan directly. To see the special services a plan has, see the plan descriptions here. Wellness classes or a phone helpline are examples of special services.

Many providers work with AIM and with the health plans in AIM. If you want to use the same doctor, hospital or pharmacy that you use now, you may be able to. Call the health plans in your county to see if they work with a provider that you want.

Health Plans may download the Immediate Health Care Services Request.

Learn about health plans in your county