What Is Medicaid In Ca? Get Covered

Medicaid in California, also known as Medi-Cal, is a public health insurance program that provides comprehensive medical coverage to low-income individuals and families. The program is designed to ensure that Californians have access to essential healthcare services, including doctor visits, hospital stays, prescription medications, and more. With the Affordable Care Act (ACA) in place, Medi-Cal has expanded its eligibility criteria, making it possible for more people to get covered.

To be eligible for Medi-Cal, applicants must meet specific income and eligibility requirements. These requirements vary based on factors such as family size, income level, and disability status. Generally, individuals with incomes at or below 138% of the federal poverty level (FPL) may be eligible for Medi-Cal. This means that a single person with an annual income of 17,774 or less, or a family of four with an annual income of 36,570 or less, may qualify for the program.

One of the most significant benefits of Medi-Cal is its comprehensive coverage. The program covers a wide range of essential health benefits, including:

• Doctor visits and hospital stays
• Prescription medications and medical equipment
• Mental health and substance abuse treatment
• Dental and vision care for children and adults
• Maternity and newborn care
• Preventive care services, such as vaccinations and health screenings

In addition to these benefits, Medi-Cal also offers specialized services for specific populations, such as:

• Children’s Health Insurance Program (CHIP) for children under 19
• Medi-Cal Access Program for pregnant women
• Medi-Cal for the Aged, Blind, or Disabled (ABD) for individuals with disabilities or older adults

To apply for Medi-Cal, individuals can visit the Covered California website or contact their local county social services office. The application process typically involves providing documentation, such as proof of income, identity, and citizenship or immigration status. Once the application is submitted, it will be reviewed to determine eligibility.

It’s essential to note that Medi-Cal is not the same as Medicare, which is a federal health insurance program for people 65 or older, certain younger people with disabilities, and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant). While both programs provide health insurance coverage, they have different eligibility criteria, benefits, and application processes.

In California, there are several ways to get covered through Medi-Cal, including:

• Apply through Covered California: This is the official health insurance marketplace for California, where individuals can apply for Medi-Cal, as well as other health insurance plans.
• Contact a local county social services office: Each county in California has a social services office that can assist with Medi-Cal applications and provide information about eligibility and benefits.
• Use the Medi-Cal online application portal: This is a convenient way to apply for Medi-Cal from the comfort of your own home.

If you’re unsure about your eligibility or have questions about the application process, you can:

• Call the Medi-Cal hotline: 1-800-541-5555
• Visit the Medi-Cal website: www.medical.ca.gov
• Contact a certified enrollment counselor: These are trained professionals who can help you navigate the application process and answer any questions you may have.

Getting covered through Medi-Cal can provide peace of mind and access to essential healthcare services. Don’t hesitate to explore your options and apply for Medi-Cal if you’re eligible.

By understanding the benefits and application process of Medi-Cal, you can make informed decisions about your healthcare coverage and get the medical care you need to stay healthy. Remember to explore your options, ask questions, and seek help when needed to ensure you get covered through Medi-Cal.