Para sa mga Miyembro ng Medi-Cal
Ang pahinang ito ay nagbibigay ng impormasyon at mga mapagkukunan para sa mga miyembro ng Medi-Cal tungkol sa pagiging karapat-dapat sa Medi-Cal at mga saklaw na serbisyo.
The Department of Health Care Services (DHCS), Benefits Division (BD) is responsible for developing, implementing, and overseeing Medi-Cal medical coverage policy for most health care services provided by California’s federal Medicaid program (called Medi-Cal), which includes both the fee-for-service (FFS) and managed care delivery systems.
Pagiging Karapat-dapat sa Medi-Cal
For more information about how to apply for Medi-Cal, please visit Medi-Cal Eligibility Division‘s (MCED’s) website. On this website, there is a dedicated page for Medi-Cal members where you can find general information, resource documents, forms, and a link to the application for health insurance, including Medi-Cal. You can also find out if you qualify for Medi-Cal or other programs, including:
- Presumptive Eligibility for Pregnant Women (known as “PE4PW”)
- Buong Saklaw ng Medi-Cal Coverage at Affordability and Benefit Program para sa Mga Babaeng Buntis na Mababang Kita
- Every Woman Counts (EWC)
- Family Planning, Access, Care and Treatment (FPACT)
- Prostate Cancer Treatment Program (PCTP)
- Saklaw ng Hearing Aid para sa mga Bata Programa
Makakahanap ka rin ng impormasyon tungkol sa kung paano makipag-ugnayan sa Helpline ng Medi-Cal para sa mga karagdagang katanungan.
Mga Benepisyo ng Medi-Cal
Once you are determined to be eligible for Medi-Cal, you will have access to a core set of health benefits (known as Essential Health Benefits (EHBs)), including doctor visits, hospital care, immunization, pregnancy-related services, prescription drugs, mental health and substance use disorder services, dental, laboratory services, nursing home care, and more. You can learn more about specific EHB categories and the services that fall within each on the DHCS’ website.