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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.
 
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MediExcel’s Dental Plans offer care for a wide range of dental needs, with affordable premiums and treatment options.
  • Care Delivery in Mexico at State-of-the-Art Facility
  • Access to Preventive, Specialist and Orthodontic Services
  • Oral Exam
  • Full Mouth Digital X-Rays
  • Cleaning
  • Root Canal Therapy
  • Removal of Impacted Tooth
 
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MediExcel’s V100 Vision Plan offers quality eyecare with affordable premiums.
  • Care Delivery in Mexico at State-of-the-Art Facility
  • Access to Preventive and Specialist Services
  • Eye Exam
  • Frame Allowance
  • Lenses
  • Contact Lenses
  • Active MediExcel Heal Plan medical coverage is required
 
 
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Our Plans
 
MediExcel Health Plans are ACA Compliant and have been approved by the Department of Managed Healthcare.

Our Plans include Essential Health Benefits and meet the federal requirements for Minimum Essential Coverage and Minimum Value.
Evidence of Coverage
Summary of Benefits

The MediExcel Difference

Excel Hospital in Tijuana is Open 24 hours for all health care needs

One PCP copay per calendar month

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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

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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
 
Welcome to MediExcel Health Plan! We want to thank you for choosing MediExcel and reassure you that you have made the right choice.

To take advantage of your Plan’s covered benefits and services, please take a moment to read the following important information.
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Member Resources

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Take a Tour of Excel Hospital
 
What our Clients are saying
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Brokers
 
MediExcel Health Plan is an ACA compliant, binational health insurance plan that offers covered health benefits to employer groups in San Diego and Imperial County. Our innovative approach to healthcare has allowed us to be the leaders in quality of care, service and pricing.

We welcome independent brokers and agents to represent our full-line of high-quality affordable health, dental and vision products. Contact our Sales team to schedule training and get appointed.
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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:
 
  • View and Manage Your MediExcel Groups
  • Request Temporary ID Cards
  • Produce Instant Small Group Quotes
  • Submit/View Pending Large Group Quotes
  • Create Custom Marketing Kits
A User ID and Password is required to access. To request access, click on the Sign-Up button below and complete the form. If you are not an appointed broker for MediExcel Health Plan, please click on the Get Appointed button to get started.
 
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.

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Client Access
 
Through our Client Access Portal, your assigned representative
can perform the following user-friendly functions:
  • Submit Enrollment Applications
  • Confirm Coverage Information
  • Request Group Census & Eligibility
  • Request Terminations
You need a User ID and Password. To request access, click on the
Sign-Up button below and complete the form.
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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

Excel Hospital Tijuana

Paseo de los Héroes #2507

Zona Río, Tijuana B.C., 22010

MX (686) 633-8300

US (619) 565-2535

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Excel Medical Group Mexicali

Av. Madero 1290, Colonia Nueva

Mexicali B.C., 21100

MX (686) 552-5702

US (760) 529-4300

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© 2021 MediExcel Health Plan

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