Is Covered California considered Medi-Cal?

Asked by: Alexis Schuppe  |  Last update: October 19, 2023
Score: 4.9/5 (21 votes)

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.

What kind of insurance is Covered California?

Covered California is a free service that connects Californians with brand-name health insurance under the Patient Protection and Affordable Care Act. It's the only place where you can get financial help when you buy health insurance from well-known companies.

What is considered 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.

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.

What does Covered California include?

Hospitalization. Maternity and newborn care. Mental health and substance use disorder services, including behavioral health treatment. Prescription drugs.

What are the differences between Covered California, health insurance companies, and Medi-Cal?

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Does everyone qualify for Covered California?

Covered California income limits are a household income of up to 400% of the Federal Poverty Level (FPL). Households who make more than that do not qualify for financial assistance with their health insurance plans.

What is the difference between Medi-Cal and 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.

Is Covered California private insurance?

Covered California offers four groups of private health insurance plans: platinum, gold, silver, and bronze, plus a minimum coverage plan. Each group offers a different level of coverage, from high to low.

What is the income limit for Covered California 2023?

So according to the Covered California income guidelines and salary restrictions, if an individual makes less than 47,520 dollars a year or if a family of four earns wages less than 97,200 per year, they will qualify for government assistance based on their income.

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.

Is Covered California the same as Obamacare?

Obamacare health insurance plans are available through the Covered California insurance marketplace and Health for California. If you sign up for insurance through Covered California, you are covered by Obamacare. Since these two options are the same, you do not have to worry about choosing between the two.

What is the minimum income to qualify for Medi-Cal in California?

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.

Is Covered California Medi-Cal or Medicaid?

Medi-Cal is California's Medicaid program. Medi-Cal serves California's low-income people – children, adults, and seniors. Medi-Cal plans are available through the Covered California marketplace to those who qualify.

Is Covered California HMO or PPO?

If you're going PPO, that usually means you'll be looking at Anthem Blue Cross Covered California and Covered California Blue Shield. In the PPO world, you'll find more options and you'll likely end up paying more money in monthly premiums to have this choice.

What if I have Medi-Cal and private insurance?

Even if you have other health coverage such as health insurance from your work, you may still qualify for Medi-Cal. If you qualify, Medi-Cal will cover allowable costs not paid by your primary insurance. Under federal law, Medi-Cal beneficiaries' private health insurance must be billed first before billing Medi-Cal.

What's the difference between Medicaid and Medi-Cal?

Medi-Cal is what we call the joint Federal-State Medicaid program in California (just like Covered California is what we call Obamacare in California). Medi-Cal and Medicaid are essentially the same thing.

Is California health and Wellness the same as Medi-Cal?

California Health & Wellness provides the same benefits as Medi-Cal, plus more. In this section, you can learn about the health benefits, pharmacy services and value added services California Health & Wellness offers. Need help understanding these benefits and services?

Who funds Medi-Cal in California?

Medi‑Cal provides health care coverage to over 14 million Californians with low incomes. As a joint state‑federal program, costs are shared between the federal and state as well as local governments.

What is the limit for Medi-Cal in California?

On July 1, 2022, Medi-Cal asset limits increased to $130,000 for individuals, $195,000 for couples.

What if I can't afford Covered California?

If you or anyone in your tax household has offers of health coverage from a job or through Covered California that you cannot afford, you can apply for an affordability hardship exemption.

Can you have Covered California with no income?

Get Coverage

Covered California, was created under healthcare reform to help the uninsured and people with low to moderate incomes get health insurance. Low or No-income? Medi-Cal covers comprehensive health benefits including doctor visits, hospital care, prescription drugs, vision care, and hearing care.

How do you pay for Covered California?

Pay Online

For first-time payment: log into your CoveredCA.com account and follow the payment instructions. If you are a current member, go to https://www.hioscar.com/. Log in as a member and click "Pay My Bill."