The Alliance will also mail your member ID card and member materials 7-10 business days after your coverage starts. Your coverage will always begin on the first day of the month.   

To learn more about your plan benefits and covered services, please view your Alameda Alliance Wellness Member Handbook.

It’s quick and easy for Alameda Alliance Wellness members to print a temporary member ID card or to request a new one.  

To request for a new card, please log in to your online Alameda Alliance Member Portal or call:  

Alameda Alliance Wellness Member Services Department 

Seven (7) days a week, 8 am – 8 pm, including holidays 

Toll-Free: 1.888.88A.DSNP (1.888.882.3767) 

People with hearing and speaking impairments (CRS/TTY): 711/1.800.735.2929 

If you do not have access to a printer, you can request to have a new card mailed to you at no cost.  

When you get your Alameda Alliance Wellness member ID card, please check all information to make sure it is correct.  

Having a doctor (also called a primary care provider or PCP) that you can trust and talk to is very important to your health. You can find a list of PCPs who are in our network in the Alliance Provider Directory. You can choose any PCP who is accepting new patients.  

To submit your choice, please log in to your online Alameda Alliance Wellness Member Portal or call: 

Alameda Alliance Wellness Member Services Department 

Seven (7) days a week, 8 am – 8 pm, including holidays 

Toll-Free: 1.888.88A.DSNP (1.888.882.3767) 

People with hearing and speaking impairments (CRS/TTY): 711/1.800.735.2929 

Your new choice will become your PCP on the first day of the next month after you make the change.  

You can choose a new PCP at any time for any reason. The PCP you pick must be taking new patients. If you need help choosing a PCP, please let us know. 

You may also choose a county clinic or a community health clinic that is part of the Alliance network as your PCP. All Federally Qualified Health Centers (FQHCs) in Alameda County are part of our network. 

If you change PCPs, you will get a new Alameda Alliance Wellness member ID card in the mail within 10 business days. It will have the name of your new PCP. 

Choosing a PCP is very important. If you do not choose a PCP within 30 days of becoming an Alameda Alliance Wellness member, we will assign one to you. You can choose a new PCP at any time, for any reason. The PCP you choose must be taking new patients. We will let your PCP know of your choice within 10 days after you are assigned or choose a PCP. 

If you receive a bill from your provider, please contact the provider to make sure they did not send it to you by mistake. Medi-Cal providers should send the bill directly to the Alliance for payment. However, due to reasons such as not having the correct coverage information, they may not know where to submit the bill. 

If you cannot resolve the problem directly with the provider, please call:  

Alameda Alliance Wellness Member Services Department 

Seven (7) days a week, 8 am – 8 pm, including holidays 

Toll-Free: 1.888.88A.DSNP (1.888.882.3767) 

People with hearing and speaking impairments (CRS/TTY): 711/1.800.735.2929

We will need the following information:  

• Full name and Alameda Alliance Wellness member ID number of the person who received the service 

• Date of the medical service 

• The doctor’s/hospital name 

• A copy of the itemized bill, and bill total amount 

Once we receive a copy of the bill, we will review it. If you were eligible for the service, we will send the payment to the provider. 

Please Note: If you receive bills for Alpha-fetoprotein (AFP) screenings, or Mental Health services provided by ACCESS, please do not send them to the Alliance. These services are covered through other programs.  

For payment information, please call: 

Alpha-fetoprotein (AFP) screenings
Toll-Free: 1.866.718.7915 

Mental Health services provided by ACCESS
Toll-Free: 1.800.491.9099 

For Residents of the City of Berkeley: 

Berkeley Mental Health services provided by ACCESS
Toll-Free: 1.510 981 5244 

The first thing you should do if you need to see a specialist is talk with your primary care provider (PCP). Your PCP will be able to decide whether you need a referral to a specialist in the Alliance network, or an authorization for a specialist outside of the Alliance network. 

If you are temporarily outside of Alameda County (such as on vacation), you are eligible to get emergency services at any hospital in the United States. Please show your Alameda Alliance Wellness  member ID card to the hospital so they know who to bill. 

To learn more about your plan benefits and covered services, please select your health care program: 

Alameda Alliance Wellness 

If you have Alliance Medi-Cal or Group Care and you are temporarily outside of Alameda County (such as on vacation), you are eligible to receive emergency services at any hospital in the United States. Please show your Alameda Alliance Wellness member ID cards to the hospital so they know who to bill. 

To learn more about after-hours care, the Nurse Advice Line, or urgent care, please click here. 

To learn more about your plan benefits and covered services, please select your health care program.

As an Alameda Alliance Wellness member, you have access to eye care services. The vision care network for Alameda Alliance Wellness is provided by Vision Service Plan (VSP). Please visit: www.vsp.com/advantageonly 

To learn more about your plan benefits and covered services, please view your Alameda Alliance Wellness Member Handbook.  

As an Alameda Alliance Wellness member, you have access to dental care services.  

• The dental care network for Alameda Alliance Wellness members is provided by Liberty Dental. Please visit: www.libertydentalplan.com 

• Additionally, you receive services through the Medi-Cal dental program. Please visit: smilecalifornia.org/ 

 To learn more about your plan benefits and covered services, please view your Alameda Alliance Wellness Member Handbook.  

As an Alameda Alliance Wellness member, you have access to routine hearing benefits. The hearing network for Alameda Alliance Wellness members is provided by Nations Hearing. Please visit: www.alliancewellness.nationsbenefits.com/hearing 

To learn more about your plan benefits and covered services, please view your Alameda Alliance Wellness Member Handbook.  

This health plan provides comprehensive health care coverage for those who meet eligibility criteria.  

General services and benefits include: 

• Hospital care 

• Interpreter services 

• Lab tests 

• Prescription medication 

• Routine care with your own doctor 

• Specialty care 

• Transportation 

• Over-the-counter (OTC) allowance  

• Vision care 

• Dental care 

• Hearing aids 

To learn more about your plan benefits and covered services, please view your Alameda Alliance Wellness Member Handbook. 

• Visit the Alliance Member Portal. 
• Select: Click here to create your user account.
• Choose a username and password. 

If you would like more help, please call: 

Alameda Alliance Wellness Member Services Department 

Seven (7) days a week, 8 am – 8 pm, including holidays 

Toll-Free: 1.888.88A.DSNP (1.888.882.3767) 

People with hearing and speaking impairments (CRS/TTY): 711/1.800.735.2929 

• Visit the Alliance Member Portal. 

• Select: If you forgot your username or password, click here. 

• Select what you have forgotten. 

If you would like more help, please call: 

Alameda Alliance Wellness Member Services Department 

Seven (7) days a week, 8 am – 8 pm, including holidays 

Toll-Free: 1.888.88A.DSNP (1.888.882.3767) 

People with hearing and speaking impairments (CRS/TTY): 711/1.800.735.2929 

The Alliance Medication Formulary is a list of approved medications. This list of medications is approved by the Alliance Pharmacy and Therapeutics (P&T) Committee. These medications are selected based on safety and quality. These medications are a part of your covered benefits and do not require prior authorization. A medication that is not on the list is called a non-formulary medication. A non-formulary medication may be approved if your doctor request a prior authorization and provides the reason why you need a non-formulary medication. 

For more information, please view the Alameda Alliance Wellness Medication Formulary. 

If you need a medication that is not on the Alameda Alliance Wellness Medication Formulary, you or your doctor must request prior authorization (PA) from the Alliance. Please ask your doctor to submit a Request for Medicare Prescription Drug Coverage Determination to the Alliance. 

If this happens, be sure the pharmacist has seen your Alameda Alliance Wellness member ID card.  

If you do not have your card, please ask the pharmacist to call: 

Alameda Alliance Wellness Member Services Department 

Seven (7) days a week, 8 am – 8 pm 

Toll-Free: 1.888.88A.DSNP (1.888.882.3767) 

People with hearing and speaking impairments (CRS/TTY): 711/1.800.735.2929 

If this happens, ask for specific reasons why it is not covered.  

Please ask the pharmacist to call: 

PerformRx 

Monday – Friday, 8 am – 5:30 pm  

Toll-Free: 1.855.508.1713 

If PerformRx is unable to assist, please ask the pharmacist to call: 

Alliance Pharmacy Services Department 

Monday – Friday, 8 am – 5 pm  

Phone Number: 1.510.747.4541 

You can select the Alameda Alliance Wellness as your health plan if: 

• You are a resident of Alameda County 

• You are eligible for both Medicare and Medi-Cal 

Medicare Advantage (also called Part C) is a type of Medicare health plan offered by private companies approved by Medicare. It combines your Medicare Part A (hospital insurance) and Part B (medical insurance) benefits into one plan.  

D-SNP stands for Dual Eligible Special Needs Plan. This means the plan is designed specifically for people who qualify for both Medicare and Medi-Cal (California’s Medicaid program). An HMO D-SNP helps coordinate your benefits from both programs, so you get extra support and services tailored to your needs. 

No, you do not need to enroll every year. Once you join a Medicare Advantage plan like Alameda Alliance Wellness HMO D-SNP, your coverage will continue automatically as long as you remain eligible.