Can I go to any ER with Medi-Cal?

Asked by: Ervin Medhurst  |  Last update: January 8, 2024
Score: 4.9/5 (14 votes)

Emergency Rooms: As stated above, if you have an emergency and you cannot find a doctor right away, you can go to the emergency room at any hospital. If you show your BIC to staff at the emergency room, Medi-Cal will pay for the services you receive.

Can I use Medi-Cal in another state for emergency?

CCR, Title 22, Chapter 3, Article 1.3, Section 51006, allows reimbursement for medically necessary emergency services that need to be provided by an out-of-state provider to California Medicaid (Medi-Cal) recipients temporarily in another state. Note that some services require authorization.

Does Medi-Cal cover surgery?

medications. Inpatient hospital services • Anesthesiologist services • Surgical services (bariatric, reconstructive surgery, etc.) Organ & tissue transplantation • Outpatient laboratory and X-ray services o Various advanced imaging procedures are covered based on medical necessity.

Do I have to pay Medi-Cal back?

The Medi-Cal program must seek repayment from the estates of certain deceased Medi-Cal beneficiaries. Repayment only applies to benefits received by these beneficiaries on or after their 55th birthday and who own assets at the time of death. If a deceased beneficiary owns nothing when they die, nothing will be owed.

What is regular Medi-Cal?

Medi-Cal is California's Medicaid program. This is a public health insurance program that provides free or low cost medical services for children and adults with limited income and resources.

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What exactly does Medi-Cal cover?

Medi-Cal covers most medically necessary care. This includes doctor and dentist appointments, prescription drugs, vision care, family planning, mental health care, and drug or alcohol treatment. Medi-Cal also covers transportation to these services.

What does full Medi-Cal cover?

Medi-Cal provides free or low-cost health care for some people who live in California. Full scope Medi-Cal covers more than just care when you have an emergency. It provides medical, dental, mental health, and vision (eye) care. It also covers alcohol and drug use treatment, drugs your doctor orders, and more.

Do I have to re enroll in Medi-Cal every year?

Medi-Cal members must renew their coverage each year to keep their health care benefits. For most members, coverage is renewed automatically. Sometimes the county will send you a renewal form that you must review and return, along with any additional required information. Want to get started with Covered California?

Does Medi-Cal pay Medi-Cal bills?

If you meet the requirements of the program, Medi-Cal will help pay for doctor visits, hospital stays, prescription drugs, rehabilitation, and other medical services.

Will I lose my Medi-Cal if I get a job?

If you get Medi-Cal coverage and then get a job, you have a couple of options for keeping your Medi-Cal benefits. If you got Supplemental Security Income (SSI) cash benefits before you got your job, Social Security's 1619(b) program lets you earn up to $56,758 annually and still keep Medi-Cal coverage at no cost.

Does Medi-Cal cover hospital?

​​Medi-Cal currently provides a core set of health benefits, including doctor visits, hospital care, immunization, pregnancy-related services and nursing home care.

Do all pharmacies take Medi-Cal?

Almost all pharmacies in California are part of the RX network. This means you probably do not need to find a new pharmacy. But if you would like to see all RX pharmacies near you, please use the pharmacy locator on

Who pays for surgery in Canada?

The universal healthcare system covers essential medical visits, such as doctors' visits, hospital services (surgeries, both in-patient and out-patient), prescription drugs provided in hospital and immunizations.

Who qualifies for emergency Medi-Cal in California?

To qualify for HPE, individuals must meet the rules below.
  • Have income below the monthly limit for household size.
  • Be a California resident.
  • Not already have Medi-Cal.

Does California Medi-Cal cover dental implants?

Medi – Cal generally does not cover implants.

However, check out Dental for Everyone they have plans that will cover implants! Remember though, there is no free lunch. Insurance Companies have to take in more money in premiums than the pay in claims…

How do I get proof of Medi-Cal coverage?

You will get a Form 1095-B for your Medi-Cal coverage from DHCS and you will also get a Form 1095‑A from Covered California. Each form will show the months of coverage that met the requirement for MEC for any months of coverage you got from either Medi‑Cal or Covered California.

What is emergency Medi-Cal?

What is Emergency Medi-Cal? The purpose of Emergency Medi-Cal is to provide medical care for people who are in need of sudden treatment in emergency situations. Emergency Medi-Cal is only available for serious and sudden medical emergencies.

How far back does Medi-Cal pay?

How long before applying for Medi-Cal can a person transfer assets? The Medi-Cal "Look-Back" period in California is 30 months.

What age does Medi-Cal stop?

All California residents under the age of 26 who meet the eligibility requirements can qualify to receive Medi-Cal, regardless of U.S. citizenship or immigration status.

What is California Medi-Cal changing to in 2023?

Starting January 2023, Medi-Cal health coverage for most remaining dually eligible beneficiaries changed from Fee-For-Service (FFS) Medi-Cal to Medi-Cal Managed Care.

How often does Medi-Cal audit?

In accordance with California Welfare and Institutions Code ​§14456, the Department of Health Care Services (DHCS) conducts medical audits of Medi-Cal managed care plans (MCPs) on an annual basis.

Is Medi-Cal really free?

For many individuals who enroll in Medi-Cal, there is no premium, no co-payment, and no out of pocket cost. Effective July 1, 2022, all monthly premiums were reduced to $0.00.​ In general, individuals in Medi-Cal will get the same health benefits available through Covered California at a lower cost.

How much is Medi-Cal monthly?

Medi-Cal monthly premium amounts have been reduced to $0.00 effective July 1, 2022. Monthly billing and collection of premiums for the Medi-Cal for Families program will no longer be required.

Who pays for Medi-Cal?

Medi-Cal is California's Medicaid health care program. This program pays for a variety of medical services for children and adults with limited income and resources. Medi-Cal is supported by federal and state taxes.