Is Kaiser part of Medi Cal?

Asked by: Prof. Della Grimes  |  Last update: April 11, 2023
Score: 4.7/5 (48 votes)

Kaiser Permanente participates in Medi-Cal in many counties. This means that, if you are a current Kaiser Permanente member and your situation changes, you may be able to keep your same doctor and continue your care with Kaiser Permanente if you qualify for Medi-Cal.

How do I get Medi-Cal Kaiser insurance?

Apply for Medi-Cal

You can go to www.coveredca.com for an application, or contact your county Health and Human Services. Check the status of your application by contacting the county where you applied. Once you are approved by the county, select your health care plan and/or provider through the State.

What type of healthcare is Kaiser?

Unlike a traditional insurance company, we are a membership-based, prepaid, direct health care system.

Who owns Kaiser?

Ownership: Kaiser Permanente is a privately held, notfor-profit organization. Principal Subsidiary Companies: Kaiser Permanente is an organization of three business segments that are linked by exclusive contracts: Kaiser Foundation Health Plans, Inc.; Kaiser Foundation Hospitals; and Permanente Medical Groups.

Can I go to any hospital with Kaiser insurance?

As a Kaiser Permanente member, you're covered for emergency and urgent care anywhere in the world. * Whether you're traveling in the United States or internationally, this brochure will explain what to do if you need emergency or urgent care while away from home.

Kaiser Permanente health insurance plans in California all you need to know to get the best insuran

17 related questions found

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

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

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).

Does Kaiser Medi-cal have dental?

Medi-Cal offers comprehensive preventative and restorative dental benefits to both children and adults. You can find a Medi-Cal dentist on the ​ Medi-Cal Dental Provider Referral List, or by calling 1-800-322-6384.

What is straight 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.

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.

What is the maximum income to qualify for Medi-Cal 2021?

For dependents under the age of 19, a household income of 266 percent or less makes them eligible for Medi-Cal. A single adult can earn up to $17,775 in 2021 and still qualify for Medi-Cal. A single adult with one dependent can earn up to $46,338 annually and the child will still be eligible for Medi-Cal.

What disqualifies 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 I have money in the bank and still get Medi-Cal?

For example: A Medi-Cal applicant whose total non-exempt property consists of a savings account with a balance of $3,300 in a month must reduce the savings account to $2,000 in that month. In this same situation, where there is a couple, the savings must be reduced to $3,000.

Can you have Medicare and Medi-Cal at the same time?

The short answer to whether some seniors may qualify for both Medicare and Medi-Cal (California's Medicaid program) is: yes.

How much can you make and keep Medi-Cal?

Need Medi-Cal coverage to continue working, and. Have less than $54,082 in gross earnings ($55,439, if blind) or have high medical expenses that will be evaluated on a case by case basis. Note that this program does not use the countable income calculation.

Is Medi-Cal the same as Medicaid?

Medi-Cal is California's part of a national health coverage program called Medicaid. Each state runs its own Medicaid program. The states have to follow certain national Medicaid rules, but they have flexibility in how they run their programs.

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 do I check my Medi-Cal coverage?

​(800) 541-5555
  1. The Medi-Cal Member's beneficiary ID number. or.
  2. The last 4 digits of the Member's Social Security Number.
  3. And the Member's date of birth (2 digit month and 4-digit year) i.e. 12/1961.

Is Covered California the same as Medi-Cal?

Medi-Cal offers low-cost or free health coverage to eligible Californian residents with limited income. Covered California is the state's health insurance marketplace where Californians can shop for health plans and access financial assistance if they qualify for it.

Is Kaiser only in California?

Kaiser Permanente service areas include all or parts of: • California • Colorado • Georgia • Hawaii • Maryland • Oregon • Virginia • Washington • Washington, D.C. As a Kaiser Permanente member, you're covered for emergency and urgent care anywhere in the world.

What happens if you don't have health insurance and you go to the hospital?

However, if you don't have health insurance, you will be billed for all medical services, which may include doctor fees, hospital and medical costs, and specialists' payments. Without an insurer to absorb some or even most of those costs, the bills can increase exponentially.

Is Kaiser in all 50 states?

As of 2017, Kaiser Permanente operates in eight states (Hawaii, Washington, Oregon, California, Colorado, Maryland, Virginia, Georgia) and the District of Columbia, and is the largest managed care organization in the United States.

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.