Medi-Cal Eligibility and Covered California - Frequently Asked Questions
Back to Medi-Cal FAQs 2014
Below you will find the most frequently asked questions for current and potential Medi-Cal coverage recepients. If you do not find an answer to your question, please contact your local county office from our County Listings page or email us at Medi-Cal Contact Us.
Medi-Cal Health Coverage
1. What is Medi-Cal?
Medi-Cal is California’s version of the federal Medicaid program. It is free or low-cost health insurance for California residents who qualify.
2. What is full-scope Medi-Cal coverage?
When an individual is eligible for full scope Medi-Cal they can receive all of the medical services that the Medi-Cal program covers.
3. What is the difference in coverage between Medi-Cal and private coverage?
Medi-Cal offers no-cost and low-cost health insurance to those individuals that meet eligibility requirements. To qualify for Medi-Cal, an individual must be a California resident and have income at or below the allowable income limits. Medi-Cal offers a comprehensive set of benefits knows as "essential health benefits;. Essential health benefits consists of:
Ambulatory Patient Services
Maternity and Newborn Care
Mental Health and Substance Use Disorder Services
Rehabilitation and Habilitative Services and Devices
Preventative and Wellness Services and Chronic Disease Management
Pediatric Services, Including Oral and Vision Care.
4. Will my family and I qualify for the same program?
Depending on your household size or family income, you or your family may qualify for different programs. For example, you may qualify for affordable private health insurance available through Covered California. However, your child may qualify for free Medi-Cal. We will tell you which health insurance you and other members qualify for.
5. I just found out I am pregnant. Can I apply for health insurance that will cover me during my pregnancy?
Yes. Make sure to answer yes to the application question “Are you pregnant?” or tell the person helping you to fill out your application. You can apply for health insurance that can cover pre-natal care, labor and delivery, and postpartum care. Health insurance plans can no longer deny you health insurance if you are pregnant.
6. I just had a new baby. What should I do about health insurance?
If you did not have Medi-Cal or Access for Infants and Mothers (AIM) at the time of delivery, fill out this application for your newborn. If you did have Medi-Cal or AIM during your pregnancy, you do not need to fill out this application. Call your county worker to make sure your baby is covered from birth, or fill out a newborn referral form. Print the form at www.dhcs.ca.gov/formsandpubs/forms/Forms/mc330.pdf. If you had AIM, call 1-800-433-2611, or go to www.aim.ca.gov to register your baby.
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