Medi-Cal 变更

注册冻结

As of January 1, 2026, some adults can no longer sign up for full-scope Medi-Cal coverage because of their immigration status. 

这适用于哪些人

• 请参阅移民身份类别表

重要信息

• If you already have full-scope Medi-Cal, you can keep it, no matter your immigration status.
• You must renew on time and still meet Medi-Cal rules.
• If your Medi-Cal ends, you have three months to sign up again.
• If you miss the three-monthperiod, you must apply again. You will only be able to get restricted-scope Medi-Cal, which covers:
  • 急诊护理
  • Pregnancy care
  • 养老院护理

Who can still get full-scope Medi-Cal, no matter their immigration status

• Children ages 0-18
• Pregnant people (during pregnancy and for one year after)
• 26岁以下，在18岁生日时仍在寄养家庭的人

按服务收费过渡

Starting January 1, 2027, some members will get their care through Fee-for-Service (FFS) Medi-Cal instead of a health plan. This changes how you get care, not whether you can keep Medi-Cal.

这适用于哪些人

• 没有合法身份的人。
• 有些持有绿卡的人需要等待五年才能获得全面的联邦医疗补助。
• People considered Permanently Residing in the U.S. Under Color of Law (PRUCOL), meaning they are allowed to stay in the U.S. evn without formal immigration status.

See the Immigration Status Categories chart for details.

重要须知

• 只要按时续保，您的保险就仍然有效。
• You will not be in a health plan any more. Instead, you can go to any doctor or clinic that accepts FFS Medi-Cal.
• “Fee-for-Service” does not mean you pay. Medi-Cal still pays for your care.
• 专业心理健康和药物滥用治疗将继续通过县行为健康计划进行。
• 您的药品仍将由 Medi-Cal Rx 承保。
• Dental care is not changing for most members. How dental care works depends on your county.
• Enhanced Care Management and Community Supports (services only available in health plans) will not continue in FFS Medi-Cal.
• Other help is still available, like Community Health Workers, chronic care management, doula services, and county mental health programs.
• DHCS will offer new help during this change, including a nurse advice line and community navigators to guide you and answer questions.
• You will get more information before the change begins.

牙科保险

Starting July 1, 2027, some Medi-Cal members will stop getting full-scope dental services.

这适用于哪些人

• Your dental coverage depends on your immigration status.
• 请参阅移民身份类别表

重要信息

You can still get emergency dental care, including: 

• Bad tooth pain
• 感染
• Tooth removal

You will continue to get full dental benefits if you are:

• A child (ages 0-18)
• Pregnant (during pregnancy and up to one year after)
• 未满26岁，且在18岁生日时身处寄养家庭

移民身份变更

Starting October 2026, the federal government will change how it classifies some immigration statuses. These changes affect whether some adults can continue keep federally funded full-scope Medi-Cal. If you are affected, you will get tate-funded full-scope Medi-Cal until June 30, 2027.

这适用于哪些人

• 难民和寻求庇护者s: People who left their home country for safety and don’t yet have a Green Card.
• Humanitarian parolees: People allowed into the U.S. for urgent reasons for at least one year.
• Survivors of domestic violence or human trafficking who have with a pending immigration case.

Please see the Immigration Status Categories chart to see if you are in one of these groups.

重要须知

Starting July 1, 2027, people in this group will only be able to get pregnancy-related care and emergency services.

每月保费

从7 月1 、 2027起，一些 Medi-Cal 会员需要支付月费（称为保费）才能保留其全面的 Medi-Cal 福利。

这适用于哪些人

• 请参阅移民身份类别表

重要信息

如果您不缴费，您的加州医疗补助计划 (Medi-Cal) 将变更为受限范围，仅涵盖以下项目：

• 急诊护理
• 孕期相关护理
• 养老院护理

如果是这样，您就不必支付保险费：

• 儿童（0-18岁）
• 怀孕期间（从怀孕到产后一年内）
• 未满26岁，且在18岁生日时身处寄养家庭

工作规定

Starting January 1, 2027, some adults will need to work, volunteer, go to school, or be in training to get to keep their Medi-Cal. Medi-Cal will send you a letter if this applies to you.

这适用于哪些人

• Adults ages 19-64 who get Medi-Cal through the Affordable Care Act expansions, including adults covered under the new rules for immigrants.

以下情况不适用：

These work or volunteer rules do not apply to:

• 儿童（0-18岁）
• Adults 65 and older
• Pregnant people (during pregnancy and one year after)
• Parents of children ages 0-13
• 残疾人
• People with serious physical or mental health conditions, or substance use problems
• People released from jail or prison in the last 90 days
• 参加《医疗保险》A 部分或 B 部分的人员
• 美国印第安人或阿拉斯加原住民
• 26岁以下，在18岁生日时仍在寄养家庭的人

Your county Medi-Cal office will tell you if you need to follow the work rules of if they need more information to show you qualify for an exemption.

重要信息

会员必须满足以下一项或多项要求：

• Work at a job and earn at least $580 a month
• Be a seasonal worker and earn an average of $580 a month over the last six months
• Be in a job training program (that helps you learn skills to get a job) for at least 80 hours a month
• Volunteer or do community service for at least 80 hours a month
• Go to school at least half-time (usually two or three classes, or about six to eight credits each semester)
• Do a mix of the activities above so the total is at least 80 hours a month or at least $580 amonth

If you are required to meet the rules and do not, you could lose your Medi-Cal.

当你收到来自 Medi-Cal 或你所在县政府的信件时，请立即打开并尽快回复。

Medi-Cal 将在此规定生效前发送更多信息，包括帮助您遵守规定的方法。

获得帮助支付旧医疗账单的时间更少

Starting January 1, 2027, Medi-Cal will pay for fewer months of medical bills from before you applied. If this rule applies to you, Medi-Cal will send you a letter.

这适用于哪些人

• Adults ages 19-64 without children ages 0-18

重要信息

新规则：

• Adults without children: Medi-Cal will pay for one month of past medical bills.
• Everyone else: Medi-Cal will pay for two months of past medical bills.

六个月资格审核

从3 月1 、 2027起，部分 Medi-Cal 会员的资格检查将改为每年两次，而不是一次。

这适用于哪些人

• Adults ages 19-64 who get Medi-Cal through the Affordable Care Act (ACA) expansions, including those affected by the immigrant-related changes listed earlier.

以下情况不适用：

These members will continue to renew once a year:

• People not in the ACA new adult group
• Pregnant or postpartum people
• 阿拉斯加原住民或美洲印第安人成员
• 26岁以下，在18岁生日时仍在寄养家庭的人

重要信息

• If you miss deadlines, you could lose your Medi-Cal coverage.

共付额

Starting October 1, 2028, some adults on Medi-Cal may need to pay a fee (called a copayment) for certain services.

这适用于哪些人

19-64岁的成年人：

• 未怀孕的人员
• 未参加联邦医疗保险
• 年收入超过 15,560 美元

重要信息

• You may have to pay a fee for some types of care, like seeing a specialist doctor (for example, a heart doctor of skin doctor), or getting certain treatments or tests.
• You won’t pay more than 5 percent of your household’s income in a year.
• You will not have copayments for:
  • Community health centers or rural clinics
  • 急诊护理
  • 定期检查
  • 孕期护理
  • Care for children
  • Mental health and substance use treatment