Maligayang pagdating sa Medi-Cal Access Program| En Español
Para magkaroon ng malusog na sanggol, isa sa mga pinakamagandang bagay na maaari mong gawin ay magpatingin sa doktor nang maaga at madalas
Medi-Cal Access Program (Medi-Cal Access Program) ay nagbibigay sa mga buntis ng komprehensibong saklaw nang walang bayad, walang mga copayment o deductible para sa mga sakop nitong serbisyo. Ang kanilang mga bagong silang na sanggol ay maaaring sakop ng Medi-Cal Access Infant Program. Medi-Cal Access Program ay para sa mga pamilyang may katamtamang kita na walang health insurance at ang kita ay masyadong mataas para sa libreng Medi-Cal. Medi-Cal Access Program ay makukuha rin ng mga indibidwal na may iba pang plano sa segurong pangkalusugan na hindi sumasaklaw sa mga serbisyo sa pagbubuntis o may deductible o copayment para lamang sa pagbubuntis na higit sa $500. Maaari kang magbasa nang higit pa tungkol sa Koordinasyon ng mga Benepisyo sa pagitan ng iyong iba pang plano sa segurong pangkalusugan at ng Health Plan ng Medi-Cal Access Program sa Glossary of Terms. Kung ikaw ay naka-enroll sa Medi-Cal Access Program, ang iyong sanggol ay may karapatan para sa saklaw sa Medi-Cal Access Infant Program nang hanggang dalawang taon, maliban na lang kung ang iyong sanggol ay naka-enroll sa employer sponsored insurance o no-cost Medi-Cal o kung ang iyong kita ay hindi na kwalipikado sa unang kaarawan ng iyong sanggol.
Available ang mga serbisyo para sa iyong sanggol sa pamamagitan ng DHCS Medi-Cal Managed Care Delivery System
Medi-Cal currently provides a core set of health benefits, including doctor visits, hospital care, immunization, pregnancy-related services and nursing home care, if medically necessary. For a majority of enrollees, Medi-Cal provides covered services through the managed care delivery system in all 58 counties, although services may be accessed on a fee-for-service basis.
The Affordable Care Act (ACA) ensures all Medi-Cal health plans offer a comprehensive package of services, known as Essential Health Benefits (EHB). The ten EHBs include the following categories of services: Ambulatory Patient Services; Emergency Services; Hospitalization; Maternity and Newborn Care; Mental Health and Substance Use Disorder Services including Behavioral Health Treatment, Prescription Drugs; Rehabilitative and Habilitative Services and Devices; Laboratory Services; Preventive and Wellness Services & Chronic Disease Management and Pediatric Services (including oral and vision care). Medi-Cal currently meets the requirements to cover all of the ten EHBs.
Beginning in 2014, all enrolled individuals, those already on Medi-Cal as well as newly eligible adults, may receive an expanded array of mental health and substance use disorder services. The following mental health benefits will be available through Medi-Cal managed care plans or the fee-for-service delivery system: Individual and group mental health evaluation and treatment (psychotherapy); Psychological testing when clinically indicated to evaluate a mental health condition; Outpatient services for the purposes of monitoring drug therapy; Outpatient laboratory, drugs, supplies and supplements; Psychiatric consultation; Specialty mental health services currently provided by County Mental Health Plans will continue to be available.
The following substance use disorder services will also be made available to eligible Medi-Cal beneficiaries: Voluntary Inpatient Detoxification; Intensive Outpatient Treatment Services; Residential Treatment Services; Outpatient Drug Free Services and Narcotic Treatment Services. Dental care and vision services are available with some limitation. Dental services will become available to all adults starting May, 2014.
Karagdagang Mga Mapagkukunan
Kwalipikasyon para sa Programa sa Pag-access ng Medi-Cal
Pag-aaplay para sa Programa sa Pag-access ng Medi-Cal
Pagrerehistro ng Iyong Sanggol para sa Programa sa Pag-access ng Medi-Cal
My MCAP – What You Need to Know After Applying
Programa sa Pag-access ng Medi-Cal Downloads
Mga Plano at Provider
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Makipag-ugnayan sa Programa sa Pag-access ng Medi-Cal
Telepono:
Ang aming numero ng telepono ay (800) 433-2611. Maaari kayong tumawag mula Lunes hanggang Biyernes, 8:00 AM hanggang 7:00 PM at Sabado, 8:00 AM hanggang 12:00 PM. Libre ang tawag.
Fax:
Ang aming numero ng fax ay (888) 889-9238 at available kami 24 oras sa isang araw, 7 araw sa isang linggo. Libre ang tawag.
Tirahan sa Koreo:
Medi-Cal Access Program
P.O. Box 15559
Sacramento, CA 95852-0559