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Health
Dental
Vision
MediExcel Health Plan is a California licensed, ACA compliant HMO, specializing in binational healthcare. We offer health benefit coverage for companies in San Diego and Imperial County, with care delivery in Mexico. We cover Emergency and Urgent Care services worldwide, including; Tijuana, Tecate, Mexicali, San Diego and Imperial County.
Our healthcare network has been serving the Baja California community for over 25 years, with highly-trained bilingual physicians, state-of-the-art facilities, and the quality care that employees and their families deserve.
MediExcel’s Dental Plans offer care for a wide range of dental needs, with affordable premiums and treatment options.
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Care Delivery in Mexico at State-of-the-Art Facility
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Access to Preventive, Specialist and Orthodontic Services
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Oral Exam
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Full Mouth Digital X-Rays
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Cleaning
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Root Canal Therapy
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Removal of Impacted Tooth
MediExcel’s V100 Vision Plan offers quality eyecare with affordable premiums.
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Care Delivery in Mexico at State-of-the-Art Facility
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Access to Preventive and Specialist Services
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Eye Exam
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Frame Allowance
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Lenses
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Contact Lenses
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Active MediExcel Heal Plan medical coverage is required
Our Plans
MediExcel Health Plan is the fastest growing HMO in the
region. We offer nine different health plan options, dental
and vision plan options, with the most affordable rates in
both San Diego and Imperial County.
Our plans are ACA compliant, have been approved by the
Department of Managed Healthcare, and are designed to give
you the flexibility in care that you and your family need, at a
price you can afford.
If you renewed your coverage with MediExcel in 2020, please
click below to find your Plan documents.
If you renewed your coverage with MediExcel in 2019, please
click below to find your Plan documents.
The MediExcel Difference
Excel Hospital in Tijuana is Open 24 hours for all health care needs
One PCP copay per calendar month
Accepted at all CA MinuteClinics ®
inside select CVS/Pharmacies © for
urgent care services
Mobile App available for appointment
management, plan & benefit information,
urgent care locations
Doctor Line: direct access to a physician
U.S. prescription refill program available
Accepted by heal ® for urgent care
house or office calls
Direct Access to Member Services Team via
WhatsApp #(619) 565-2570
Virtual care services available for
primary and specialist care
U.S. mail order pharmacy program available
Accepted by AFC Urgent Care ®
in San Diego County for
urgent care services
75% SENTRI Pass reimbursement for
primary subscriber
Members
As a MediExcel Health Plan member, you’ll receive personal, quality care from our highly-trained doctors at our state-of-the-art facility in Mexico and through our medical network providers in San Diego and Imperial County.
Please browse through the following for information to some of the most frequently asked questions.
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Formulary
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SENTRI Reimbursement Program
Member Resources
Additional information regarding
your coverage and benefits:
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Take a Tour of Excel Hospital
Broker Resources
MediExcel Health Plan is an ACA compliant plan that offers covered health benefits to employers in San Diego and Imperial County. Our innovative approach to healthcare has allowed us to become the leader in quality of care, service, and pricing.
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We welcome independent brokers and agents. For questions or to schedule training, contact our Sales Team at (619) 421-1659.
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If you are not an appointed broker, click on the button below to get started.
Request for Proposal
New Group Documentation
What our Clients are saying
Broker Portal
As an appointed broker for MediExcel Health Plan and its family of products, our Broker Portal allows you to perform the following user-friendly functions:
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View and Manage Your MediExcel Groups
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Request Temporary ID Cards
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Produce Instant Small Group Quotes
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Submit/View Pending Large Group Quotes
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Create Custom Marketing Kits
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A User ID and Password is required to access. To request access, click on the Sign-Up button below and complete the form.
Providers
If you are a contracted provider for MediExcel Health Plan, please click the button below.
If you are NOT a contracted provider, please click below for Non-Contracted Provider Dispute Resolution and Appeal Process (PDR) Instructions and form.
Client Access
Through our Client Access Portal, your assigned representative can perform the following user-friendly functions:
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Submit Enrollment Applications
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Confirm Coverage Information
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Request Group Census & Eligibility
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Request Terminations
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You need a User ID and Password. To request access, click on the Sign-Up button below and complete the form.
Contact Us
Please let us know how we can help you. Fill out the information below and we’ll get back to you as soon as possible.
Sales
US (619) 421-1659
Member Service Line
US (619) 365-4346
MX (686) 633-8555
News
For the latest information on our healthcare plans and/or
services, please browse through our news section .
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Healthcare options during the COVID-19 pandemic
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COVID-19 and antibody testing​
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Drive-thru antibody testing
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Mail order pharmacy
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Virtual care services
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Accepted at all AFC Urgent Care® locations in San Diego
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Doctor Line; direct access to a physician
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Accepted by Heal® for urgent care services at home or office
2019
Summary of Benefits
Health
Coverage for large employers with 101 or more employees.
Dental
Coverage for employers with 100 or fewer employees. Mirrored benefit plans are identical to the plans offered on the Covered California ® exchange.
Vision
Evidence of Coverage
Health
Coverage for large employers with 101 or more employees.
Dental
Coverage for employers with 100 or fewer employees. Mirrored benefit plans are identical to the plans offered on the Covered California ® exchange.
Vision
2020
Summary of Benefits
Health
Coverage for large employers with 101 or more employees.
Dental
Coverage for employers with 100 or fewer employees. Mirrored benefit plans are identical to the plans offered on the Covered California ® exchange.
Vision
Evidence of Coverage
Health
Coverage for large employers with 101 or more employees.
Dental
Coverage for employers with 100 or fewer employees. Mirrored benefit plans are identical to the plans offered on the Covered California ® exchange.
