Medi-Cal is California’s Medicaid program. This is a public health insurance program which provides needed health care services for low-income individuals including families with children, seniors, persons with disabilities, foster care, pregnant women, and low income people with specific diseases such as tuberculosis, breast cancer or HIV/AIDS. Medi-Cal is financed equally by the State and federal government.
You’re Qualified for Medi-Cal Benefits if your Family’s Income is below 138% Poverty Level or you’re under special circumstances such as: 65 or older, blind, Disabled, Under 21, Pregnant, In a skilled nursing or intermediate care home, On refugee status for a limited time, have been screened for breast and/or cervical cancer, Parents or caretakers of disadvantaged children under 21.
Medi-Cal currently provides a core set of health benefits, including doctor visits, hospital care, immunization, pregnancy-related services and nursing home care. The Affordable Care Act ensures all Medi-Cal health plans offer what is known as Essential Health Benefits (EHB). These ten comprehensive services include the following categories:
1. Outpatient (Ambulatory) services
2. Emergency services
4. Maternity and Newborn care
5. Mental Health and Substance Use Disorder Services, including Behavioral Health Treatment
6. Prescription Drugs
7. Programs such as physical and occupational therapy (known as Rehabilitative & Habilitative Services) and devices
8. Laboratory services
9. Preventive and wellness services & chronic disease management
10. Children’s (Pediatric) services, including oral and vision care.
11. Dental benefits for adults 21 and older have been restored by the Center for Medicare and Medicaid Services
Source: Covered California