What is Medi-Cal?
Medi-Cal is California’s public health care insurance program. Medi-Cal is administered through the Department of Health Care Services supported by federal and state funding. Since the implementation of the Affordable Care Act, on January 1, 2014, Medi-Cal has expanded and is available to eligible individuals of all ages.
What are some of the eligibility requirements?
Medi-Cal is available to eligible California residents and is primarily based on income, property and household tax filing status. Your eligibility worker will make the determination based on your unique situation whether property is countable or exempt. Medi-Cal may be free of cost, with a share of cost or with a monthly premium.
If you are not eligible to receive Medi-Cal benefits your application may also be reviewed for other health insurance coverage through Covered California.
What does Medi-Cal cover?
Medi-Cal covers health, dental and vision services. Coverage is available for individuals who meet eligibility criteria …. (must be a resident of California and be a US Citizen Naturalized Citizen, Legal Permanent Resident or child under age 19. Restricted benefits (limited to pregnancy/emergency) services may be available for adults 19 years of age or older without satisfactory immigration status assuming all other eligibility criteria are met.
If you are determined eligible your coverage begins on the first day of the application month. A Benefit Issuance Card (BIC) will be issued to you. Your BIC is a white card with blue lettering. This card should be retained and must be presented at time of service. If you are found eligible to full medical coverage you will also receive an additional card from Central California Alliance. Make sure to present both cards at the time of service including pharmacy/prescription services.
Here is a list of some of the services Medi-Cal can cover:
- Outpatient (Ambulatory) services
- Emergency services
- Maternity and Newborn care
- Mental Health and Substance Use Disorder Services, including Behavioral Health Treatment
- Prescription Drugs
- Programs such as physical and occupational therapy (known as Rehabilitative & Facilitative Services) and devices
- Laboratory services
- Preventive and wellness services & chronic disease management
- Children’s (Pediatric) services, including oral and vision care
- Voluntary Inpatient Detoxification
- Intensive Outpatient Treatment Services
- Residential Treatment Services
- Outpatient Drug Free Services
- Narcotic Treatment Services
Dental Benefits include:
- Exams and x-rays
- Fluoride treatments
- Anterior root canals (front teeth)
- Prefabricated crowns
- Full dentures
- Other medically necessary dental services
Helpful tips to retain/continue benefits:
- Complete your annual renewal
- On your application or at time of renewal elect to have eligibility renewed automatically for 1 to 5 years
- Complete all reports in a timely manner
- Provide verification requested by the due date
- Report changes within 10 days such as: new employment, increase or decrease in income, birth or death, household member leaves or enters the home, tax filing status, address, residency
Ways to apply:
- Preferred method is online at C4Yourself.com
- In person at the nearest Department of Social Services, Community Benefits branch located in Salinas, King City or Seaside.
- By telephone, you may call us at 1-866-323-1953.
- By mail, complete a State of California Health Insurance Application and mail it to your nearest Department of Social Services Office. An application can be requested by phone from the Department of Social Services, please call (831) 784-5964.
- Application assistance is available at outreach sites throughout Monterey County. To locate an outreach worker near you please call 1-866-361-0477.