How do I know if I qualify for Medi-Cal dental?

Asked by: Jesus Dickinson  |  Last update: January 9, 2024
Score: 4.2/5 (34 votes)

Eligibility for the Medi-Cal Dental Program is determined by a County Social Services office and reported to the State of California. To find out if you are eligible, call your local County Social Services office. A complete list of county offices is on the Department of Health Care Services website here.

Do you automatically get dental with Medi-Cal?

Full-scope Medi-Cal beneficiaries are automatically enrolled in Medi-Cal Dental. You do not need to apply separately to get dental services. 3 The only exception is for beneficiaries in Sacramento County and for individuals enrolled in the Health Plan of San Mateo.

Is Medi-Cal and Medi-Cal dental the same?

California's Medicaid program, Medi-Cal, currently offers dental services as one of the program's many benefits. Medi-Cal Dental is the program that provides free or low-cost dental services to eligible children and adults.

How do I know if I have Medi-Cal?

You can visit your local county human services office. You can use your information to confirm your Medi-Cal eligibility and get a temporary identification card.

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 qualify for Medi-Cal in California?

29 related questions found

How much are dental implants in California?

Normally, the cost of dental implants in Sacramento is about $3,000 to $4,500 to replace one tooth. That includes the surgery, implant crown and all the components. Replacing just 28 of 32 teeth costs $84,000 to $126,000.

Does Medi-Cal cover braces?

Does Medi-Cal or Denti-Cal Cover Braces? Yes. But, not everyone with Medi-Cal/Denti-Cal qualifies for these benefits. A patient must first be evaluated to rate the degree of the malocclusion, which is a problem in the way the upper and lower teeth fit together in biting or chewing, such as an overbite or under bite.

How does Medi-Cal check income?

The Modified Adjusted Gross Income (MAGI) Medi-Cal method uses Federal tax rules to decide if you qualify based on how you file your taxes and your countable income. Property rules: No property limits. Non-MAGI Medi-Cal includes many special programs.

What does Medi-Cal coverage include?

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.

How much can you make to get Medi-Cal?

Most single individuals will qualify for Medi-Cal if there income is under $1,676 per month. Most couples will qualify if their income is under $2,267 per month. If you have disabilities, your income can be slightly higher. You can qualify for Medi-Cal even if you have assets.

What is the new name for Medi-Cal?

On January 1, 2023, Cal MediConnect plans transitioned to Medicare Medi-Cal plans (MMPs or Medi-Medi plans) provided by the same companies that provided Cal MediConnect plans.

What are the different types of Medi-Cal?

​​​Find Out More About Medi-Cal Programs​​​
  • Medi-Cal Dental Program. Dental services are currently provided as one of the many benefits under the Medi-Cal program.
  • Fair Hearing. ...
  • Health Insurance Premium Payments. ...
  • Medi-Cal. ...
  • Medi-Cal Eligibility. ...
  • Medi-Cal Estate Recovery. ...
  • Medi-Cal Managed Care.

Does Medi-Cal count as insurance?

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.

Does Medi-Cal pay for crowns?

​​​​Medi-Cal Dental Program

Tooth extractions; Fillings; Root canal treatments (anterior/posterior); Crowns (prefabricated/laboratory);

Does Denti-Cal cover partial dentures?

Restored benefits will include, for example, laboratory processed crowns, posterior root canal therapy, periodontal services, and partial dentures, including denture adjustments, repairs, and relines. The list of dental benefits is available in the dental Manual of Criteria posted on the Denti-Cal website.

What is denti-cal number?

For questions regarding this article or other topics please call the Denti-Cal Provider Customer Service line at 800-423-0507.

Does Medi-Cal check your assets?

4. How to Qualify. To find out if you qualify for one of Medi-Cal's programs, look at your countable asset levels. As of July 1, 2022, you may have up to $130,000 in assets as an individual, up to $195,000 in assets as a couple, and an additional $65,000 for each family member.

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.

What income disqualifies you from Medi-Cal?

Adults qualify for Medi-Cal with a household income of less than 138% of FPL. However, according to the Covered California income guide, children who enroll on Obama Care California plans may qualify for Medi-Cal when the family has a household income of 266% or less.

Does Medi-Cal look at your savings account?

Medi-Cal limits seniors and people with disabilities to assets of no more than $2,000 for individuals and $3,000 for couples — a restriction that has not changed since 1989. Assets include cash on hand, money in a checking or savings account, a second car, and other resources.

What is the highest income to qualify for Medicaid?

Federal Poverty Level thresholds to qualify for Medicaid

The Federal Poverty Level is determined by the size of a family for the lower 48 states and the District of Columbia. In 2023 these limits are: $14,580 for a single adult person, $30,000 for a family of four and $50,560 for a family of eight.

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.

Is Invisalign covered by Medi-Cal?

Invisalign is covered by Medi-Cal, Medicare or a stand-alone dental policy. If your insurance covers Invisalign, it will pay anywhere between 20% - 50% of the costs.

How much do braces cost in California with Medi-Cal?

Angie's List estimates that the average cost of metal braces for a patient without dental insurance is $4,937. For a patient with dental insurance, that price drops to $3,407. Ceramic braces cost on average $4,572 without insurance and $2,570 with insurance. Invisalign treatment can cost on average around $5,600.