Does Medi-Cal count as health insurance?
Asked by: Amparo Smitham | Last update: December 13, 2025Score: 5/5 (65 votes)
Does Medi-Cal count as insurance?
Medi-Cal is California's version of the Federal Medicaid program. Medi-Cal offers no-cost and low-cost health coverage to eligible people who live in California. The Department of Health Care Services (DHCS) oversees the Medi-Cal program. Your local county office manages most Medi-Cal cases for DHCS.
Is medical insurance considered health insurance?
Health insurance or medical insurance (also known as medical aid in South Africa) is a type of insurance that covers the whole or a part of the risk of a person incurring medical expenses. As with other types of insurance, risk is shared among many individuals.
What is the disadvantage of Medi-Cal?
The perception that Medi-Cal offered poorer coverage or less respectful treatment than other types of insurance. Concerns among noncitizen respondents that applying for Medi-Cal might affect their immigration status.
Does Medi share count as health insurance?
This program is not traditional health insurance; instead, it functions as a cooperative, where members contribute monthly “shares” that are used to help pay the eligible medical bills of other members. These funds can be used by any member to payfor paying their medical bills.
What You NEED TO KNOW About New Medi-Cal Eligibility Rules
Does paying for health insurance count as medical expenses?
You can include health insurance premiums in your medical expense calculations. However, certain premiums are not eligible for medical expense deductions. You cannot include the following premiums in your tax deductions: Life insurance policies.
What is the difference between health sharing plans and health insurance?
Unlike ACA-compliant health insurance plans, health share plans have specific coverage limits. They may not cover pre-existing conditions, maternity care, or certain preventive services. This could leave some healthcare costs unshared and uncovered, making it crucial to understand what's included.
Why don t doctors accept Medi-Cal?
Why doctors say they don't see Medi-Cal patients. While low reimbursement rates are the most common reason California doctors say they limit the number of Medi-Cal patients they see, the program's administrative burden is also daunting. Source: California Health Care Foundation.
Does Medi-Cal check your income?
Most people who apply for Medi-Cal can find out if they qualify based on their income. For some types of Medi-Cal, people may also need to give information about their assets and property.
Do you have to renew 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. Medi-Cal renewals can be completed online.
Is Medi-Cal better than Covered California?
What is the difference in coverage between Medi-Cal and Covered California? Medi-Cal is health coverage, just like the coverage offered through Covered California. Medi-Cal provides benefits similar to the coverage options available through Covered California, but often at lower or no cost to you or your family.
Can you have Medi-Cal and private insurance at the same time?
You can have Medi-Cal even though you have Other Health Coverage (OHC) through individual or group private health (or dental) insurance coverage. See the email we rec'd May 17th from Medi Cal to clarify some of these issues. Read the rest of the page on which plan pays first, etc. namely, the other plan.
How much is medi cal per month?
If eligible, as of July 1, 2022 a California law allows you to receive full Medi-Cal coverage with $0 monthly premium. To qualify, you must: Meet the medical requirements of Social Security's definition of disability. Be working and earning income (this can be part-time work).
What will disqualify you from Medi-Cal?
The Medi-Cal program determines eligibility for benefits on a “means” tested basis. If a Medi-Cal applicant's property/assets are over the Medi-Cal property limit, the applicant will not be eligible for Medi-Cal unless they lower their property/assets according to the program rules.
Can you use Medi-Cal at any hospital?
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.
Do I have to pay back Medi-Cal?
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 those who owned assets at the time of death.
What does Medi-Cal not cover?
Restricted scope Medi-Cal covers limited services. It does not cover medicine or primary care. If you have pregnancy-related limited scope Medi-Cal, you will have the full scope of Medi-Cal benefits, if the service is medically necessary.
Does Medi-Cal look at your bank account?
Starting on January 1, 2024, Medi-Cal applications will no longer ask for asset information.
What are the new rules for Medi-Cal 2024?
Basic Information. Beginning January 1, 2024, a new law in California will allow adults ages 26 through 49 to qualify for full-scope Medi-Cal, regardless of immigration status. All other Medi-Cal eligibility rules, including income limits, will still apply.
How long does Medi-Cal last?
If you do still qualify, the letter will indicate that your Medi-Cal is renewed for one year. If you do not still qualify, the letter will indicate when the your Medi-Cal coverage ends.
How many months can you go without health insurance in California?
As a California resident, you should carry insurance throughout the year with no gaps in coverage of 90 days or more. Otherwise, you may face a tax penalty when you file your tax return. There are some exemptions to California's penalty, which we'll discuss later.
Is Medi-Cal for poor?
Medi-Cal provides comprehensive health coverage for children and families. Depending on income and family size, you and your family may be eligible to free or low-cost Medi-Cal. Your income must be within the limits for the appropriate family size based on the Federal Poverty Levels (FPL).
What are the disadvantages of medi-share?
While Medi-Share can be more affordable than traditional insurance premiums for some, a member's total cost may end up being costlier due to several factors. Unlike an insurance plan, there can be uncertainty about what is covered, especially if a pre-existing condition or a medical necessity is under debate.
Can I have two types of health insurance?
You may have two separate premium and deductible responsibilities, which can add up over time and outweigh the benefits of having multiple insurance plans. Even with two plans, your expenses may not be entirely covered, since the combined coverage can't exceed 100% of your health costs.
Is a health plan the same as health insurance?
At a fundamental level, a health plan refers to the strategic approach taken to ensure the health needs of an individual or group, while health insurance is a financial tool that covers or subsidizes the cost of medical care.