Medi-Cal Benefits
- Medi-Cal. Medi-Cal provides a core set of health benefits, including doctor visits, hospital care, immunization, pregnancy-related services and nursing home care.
- Dental Benefits. Medi-Cal also provides dental benefits for adults and children. ...
- Vision Benefits. Vision benefits are covered for those with full-scope Medi-Cal benefits. ...
What are the advantages of Medicaid versus Medi Cal?
Medi-Cal, the Medicaid program in California, provides health coverage to people with low-income and asset levels who meet certain eligibility requirements.Medi-Cal can supplement Medicare services and help pay Medicare premiums, deductibles and copayments.In certain cases, Medi-Cal may also be used to pay private health insurance premiums.
Does Medi Cal cover home health care?
Medi-Cal covers home health services that are medically necessary, like skilled nursing care and medical equipment. For individuals who need ongoing, non-skilled care like assistance with bathing, cooking, and chores, California has the In-Home Supportive Services (IHSS) Program.
How to verify my Medi Cal coverage?
Your health insurance company handles:
- Premium payments: When you need to make a premium payment, your health insurance company will accept it online or by phone.
- ID cards: Your insurance company will issue your membership ID card. ...
- Benefits and eligibility: Every insurance plan has unique benefits and eligibility requirements. ...
Do you qualify for Medi-Cal benefits?
While eligibility for Medi-Cal is highly dependent on income levels and assets, Medicare is not. If you are over 65 years old or you have a long-term disability, you will likely qualify for Medicare. If you are low-income, you may qualify for both.
What type of benefit is Medi-Cal?
What are the Medi-Cal Benefits? 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 are known as Essential Health Benefits (EHB).
What does Medi Medi cover?
People with Medi-Cal may get coverage for services that Medicare may not or may partially cover, like basic vision and hearing, dental, non-emergency transportation, incontinence supplies, personal care, and home-and community-based services.
What is the difference between Medi-Cal and Medi-Cal?
Actually, the good news is – there is no difference between the two. Medi-Cal health insurance is merely California's Medicaid program, which is paid for with federal and state tax revenues.
Is everything free with Medi-Cal?
For many individuals who enroll in Medi-Cal, there is no premium, no co-payment, and no out of pocket cost. Some households will see affordable costs, such as a low monthly premium. For some Medi-Cal children, the monthly premiums are $13 per child up to a family maximum of $39 per month.
What are the two types of Medi-Cal?
This guidebook explains the two kinds of Medi-Cal: Regular Medi-Cal and Medi-Cal Health Plans.
How much does Medi-Cal cover?
Californians who qualify may be able to receive Medi-Cal by paying a small monthly premium based on their income. Premiums range from $20 to $250 per month for an individual or from $30 to $375 for a couple. To qualify, you must: Meet the medical requirements of Social Security's definition of disability.
Who is eligible for Medi Medi?
Medi-Cal covers a wide variety of people, including people who are under 65, living with a disability, as well as children under 19, parents, or other adults caring for a child, and even adults without dependent children in some locations as long as they demonstrate financial need.
Does Medi-Cal cover blood work?
Medicaid pays for blood tests when they are ordered by a doctor as part of needed medical treatment. Laboratory tests are included as a mandatory benefit in all 51 Medicaid programs in the United States as a covered benefit.
Does Medi-Cal cover surgery?
With Medicaid for California, if you qualify and apply, can help you pay for doctor's visits, medication, dental screenings, rehabilitation, surgery, visits to the hospital and more.
How much is Medi-Cal per month?
How much are the premiums? The premiums for Medi-Cal for Families are $13 for each child and no more than $39 per family per month.
Do I have to pay back Medi-Cal?
The Medi-Cal program must seek repayment from the estates of certain deceased Medi-Cal members. Repayment only applies to benefits received by these members on or after their 55th birthday and who own assets at the time of death. If a deceased member owns nothing when they die, nothing will be owed.
Does Medi-Cal check your bank account?
Because of this look back period, the agency that governs the state's Medicaid program will ask for financial statements (checking, savings, IRA, etc.) for 60-months immediately preceeding to one's application date. (Again, 30-months in California).
What is the Alliance for Medi-Cal?
The Alliance covers most health care services provided by your PCP, doctors, hospitals and licensed allied health care providers. There are some services that are covered by Medi-Cal but not through the Alliance. For a high-level summary of plan benefits, read the Benefits Matrix. For full details, read the Member Handbook.
What is a PCP referral?
Your PCP will provide you with all of your regular health care needs. If you need to see any other doctor, your PCP will send a request to the Alliance. This is called a PCP referral. A PCP referral is not needed for emergency care and family planning services.
Medi-Cal Learning Portal
The Medi-Cal Learning Portal (MLP) is the new, easy-to-use, one-stop learning center for Medi-Cal billers and providers.
Medi-Cal Subscription Service
The Medi-Cal Subscription Service (MCSS) is a free service that keeps you up-to-date on the latest Medi-Cal news. Subscribers receive subject-specific emails for urgent announcements and other updates shortly after they post to the Medi-Cal website.
