California Medicaid or Medi-Cal is a benefits assistance program that helps limited-income individuals and families get access to healthcare. If you want to apply for Medi-Cal, you have to make sure you qualify and are eligible. There are strict eligibility requirements that you must follow to apply for California Medicaid. In this article, we will explain how Medi-Cal works and provide details on eligibility guidelines, including income limits, and how to apply.
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Medi-Cal is the name for the California Medicaid health care program. It provides medical services to low-income people at little or no cost.
It is administered by the Centers for Medicare and Medicaid Services (CMS) and the California Department of Health Care Services (DHCS).
If you qualify for Medi-Cal and are approved for benefits, you can get help to pay for doctor’s visits, medication, dental screenings, rehabilitation, surgery, visits to the hospital, and more.
There are three ways you can qualify for Medi-Cal:
First, you can qualify if you meet the income limits.
To see if you qualify based on income, look at the chart below. Income numbers are based on your annual or yearly earnings.
Second, you can also get Medi-Cal if you are:
Third, if you are enrolled in one of the following programs, you can also get Medi-Cal:
The California Medicaid Income Limit is calculated as a percentage of the Federal Poverty Line (FPL).
To be eligible for Medicaid, you cannot make more than the income guidelines outlined below:
Below are the California Medi-Cal income limit charts, one showing eligibility for children and the other showing eligibility for adults.
First is the income limit for children by age category.
Find the age category your child falls into and you will see the income limit by household size.
|California Medicaid Income Limit – Children|
|Children Medicaid Ages 0-1||Children Medicaid Ages 1-5||Children Medicaid Ages 6-18||Children Separate CHIP|
Next, you will find below the income limit for adults by category.
Find the category you fall into and you will see the income limit by household size.
|California Medicaid Income Limit – Adults|
|Pregnant Women Medicaid||Adults (Medicaid) Parent/ Caretaker||Seniors & People w/ Disabilities (Medicaid)||Adults (Medicaid) Expansion to Adults|
Californians have three ways to apply for Medi-Cal:
If you are trying to reach California Medi-Cal by phone, here is the number to call.
DHCS Medi-Cal Telephone Service Center – 1-(800) 541-5555
If you are calling outside of California, please call (916) 636-1980)
The DHCS Medi-Cal Telephone Service Center is open Monday through Friday from 8 a.m. to 5 p.m., except for holidays.
Here are some of the most frequently asked questions about California Medi-Cal:
Immigrants who have been legal residents for 5 years or longer or meet specific noncitizen requirements qualify for all of the same programs that citizens can get.
Some non-citizens who have legal immigration status in the United States do not qualify for full Medi-Cal coverage.
However, they may qualify for private coverage subsidized by the government.
Additionally, undocumented children and young adults who are 25 years old or younger can get Medi-Cal coverage, if they meet all other program requirements.
Furthermore, undocumented adults who are 26 years old and older do not qualify for full Medi-Cal coverage, though they may qualify for Medi-Cal coverage for emergencies or during pregnancy.
For many individuals who enroll in Medi-Cal, there is no premium, no co-payment, and no out-of-pocket cost.
However, some households will pay a low monthly premium.
Additionally, for some Medi-Cal children, the monthly premiums are $13 per child up to a family maximum of $39 per month.
In general, individuals in Medi-Cal will get the same health benefits available through Covered California at a lower cost.
If you qualify for private health insurance plans through Covered California, you can visit CoveredCA to easily shop and compare health insurance plans.
Covered California will offer choices of private health insurance plans and Medi-Cal plans.
If you qualify for Medi-Cal, the coverage and costs are different, and they may even be free.
If you are not happy with your Medi-Cal health plan, you have the right to:
The Medi-Cal website address is www.medi-cal.ca.gov.
We hope this post on California Medicaid was helpful.
If you have further questions about California Medicaid or Medi-Cal, please let us know in the comments section below.
Be sure to check out our other articles about Medi-Cal and CalFresh including:
$3,000 Child Tax Credit from 2021 Stimulus
California P-EBT Extension for 2020/2021
How much will I get in CalFresh in 2021?
How to Complete CalFresh SAR 7 Form
Get Printable CalFresh SAR 7 Form
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