欢迎加入Medi-Cal Access Program (西班牙语)
为了生一个健康的宝宝,你能做的最好的事情之一就是尽早并经常去看医生
Medi-Cal Access Program ( Medi-Cal Access Program )为孕妇提供全面的免费医疗保障,涵盖的服务无需支付任何费用或自付额。 他们的新生儿可能享受Medi-Cal婴儿医疗补助Program保障。 Medi-Cal Access Program适用于没有医疗保险且收入过高而无法享受免费Medi-Cal中等收入家庭。 Medi-Cal Access Program也适用于其他健康保险计划不涵盖生育服务或生育自付额或共同支付额超过 500 美元的个人。 您可以在术语表中阅读更多关于您的其他健康保险计划与Medi-Cal Access Program Health Plan之间的福利协调的信息。 如果您参加了Medi-Cal Access Program ,您的宝宝将有资格享受Medi-Cal Access Infant Program长达两年的保障,除非您的宝宝参加了雇主提供的保险或免费的Medi-Cal ,或者在您的宝宝一周岁生日时您的收入不再符合资格。
通过 DHCS Medi-Cal 管理式医疗服务系统为您的宝宝提供的服务
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.
其他资源
获得 MCAP 资格
申请 MCAP
为您的孩子注册 MCAP
My MCAP – What You Need to Know After Applying
MCAP 下载
计划和提供商
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联系 MCAP
电话:
我们的电话号码是 (800) 433-2611。您可以周一至周五上午 8 点至下午 7 点以及周六上午 8 点至中午 12 点致电。
。传真:
我们的传真号码是 (888) 889-9238,每周 7 天,每天 24 小时可用。
。邮寄地址:
Medi-Cal Access Program
P.O. Box 15559
Sacramento, CA 95852-0559