Is L.A. Care only for low income?
Asked by: Prof. Lowell Terry DDS | Last update: August 21, 2025Score: 4.9/5 (72 votes)
Is L.A. Care for low income?
L.A. Care Health Plan is the nation's largest publicly operated health plan serving. Its mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income residents and to support the safety net required to achieve that purpose.
What kind of insurance is L.A. Care?
L.A. Care offers a Medi-Cal plan built with our community in mind. Medi-Cal is a public health care program for those with limited income. This free or low-cost public health insurance program pays for medical services for eligible California residents.
What is the difference between Medi-Cal and L.A. Care?
L.A. Care is the health plan for Medi-Cal members in Los Angeles County. The California Department of Health Care Services (DHCS) works with L.A. Care to provide your Medi-Cal health care.
Is California care based on income?
When determining eligibility for premium tax credits and cost-sharing reductions, Covered California uses a specific financial metric known as Modified Adjusted Gross Income, or MAGI. Understanding MAGI is critical because it's the yardstick by which financial assistance is measured and granted.
L.A. Care Health Plan Discusses Medi-Cal Redeterminations
Who gets free healthcare in California?
Californians under 26 years of age, or over 50 years of age, are already eligible for full Medi-Cal. You do not need to fill out a new application for full Medi-Cal. You will automatically be enrolled into full Medi-Cal on January 1, 2024.
How good is a L.A. Care Health Plan?
L.A. Care Health Plan is the highest-rated Medi-Cal managed care plan in Los Angeles County, as shown by the National Committee for Quality Assurance's (NCQA) Medicaid Health Insurance Plan Ratings 2019–2020.
How does L.A. Care work?
L.A. Care is a managed care health plan contracted with DHCS. L.A. Care works with doctors, hospitals, and other health care providers in the L.A. Care service area to give health care to our members. As a member of L.A. Care, you may qualify for some services provided through FFS Medi-Cal.
Does L.A. Care cover gym memberships?
SilverSneakers® is a no-cost fitness benefit for L.A. Care Medicare Plus members. This exciting program gives you a free basic gym membership at more than 15,000 fitness center locations across the country.
Does L.A. Care have a copay?
Aside from the monthly premium, you may be responsible for paying a charge when you receive a covered service. This charge is called a copayment and is outlined in the Summary of Benefits. If you review your Summary of Benefits, you'll see that the amount of the copayment depends on the service you receive.
Why is L.A. insurance so expensive?
There are many reasons why car insurance in Los Angeles is expensive, including the high number of cars on the road, population density and car accident and theft rates. Minimum-coverage car insurance in LA costs 49% more than the California average and 33% more than the national average.
What disqualifies you from Medi-Cal?
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). Have countable income less than 250% of the federal poverty level (in 2024, this equates to $3,158/mo.
What type of plan is L.A. Care?
L.A. Care is a health plan for people who have Medi-Cal in Los Angeles County. L.A. Care works with the State of California to help you get the health care you need.
What is the highest income to qualify for Medi-Cal?
You are 19-64 years old and your family's income is at or below 138% of the Federal Poverty Level (FPL) ($21,597 for an individual; $44,367 for a family of four).
What is the best Medi-Cal health plan in California?
Kaiser Permanente is also the only Medicare health plan in California to receive a 5-star rating, according to the Centers for Medicare & Medicaid Services' 2023 Medicare Star Ratings.
Does L.A. Care cover hospital visits?
L.A. Care covers medically necessary inpatient hospital care when you are admitted to the hospital.
How do I switch from L.A. Care to Medi-Cal?
You can leave L.A. Care and join another health plan in your county of residence at any time. To choose a new plan, call Health Care Options at 1-800-430-4263 (TTY: 1-800-430-7077 or 711). You can call between 8:00 a.m. and 6:00 p.m. Monday through Friday.
Is Blue Cross part of L.A. Care?
Medi-Cal Managed Care (Medi-Cal)
are independent licensees of the Blue Cross Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc. Blue Cross of California is contracted with L.A. Care Health Plan to provide Medi-Cal Managed Care services in Los Angeles County.
Is L.A. Care Medi-Cal free?
L.A. Care serves people who qualify for Medi-Cal. In most cases, L.A. Care members do not have to pay for covered services, premiums or deductibles. If you are an American Indian, you do not have to pay enrollment fees, premiums, deductibles, co-pays, cost sharing, or other similar charges.
What is the most expensive health insurance in California?
The most expensive health insurance in California is a platinum plan for an elderly adult, with an average monthly rate of $1982.
Which is better, L.A. Care or Health Net?
You'll notice that LA Care is generally one of the lowest 1-2 carriers listed at each benefit level. For many people, it's a function of being able to afford their health insurance at all! Health net is generally a notch or two above LA Care for HMO. But very close.
Who is not eligible for Covered California?
Who is Not Eligible for Covered California? If you are not lawfully present in California, you are not eligible for a Covered California plan. However, you can still apply through Covered California to find out if you are eligible for Medi-Cal or to find coverage for family members who are lawfully present.
Do seniors get free healthcare in California?
Yes. Medi-Cal offers free or low-cost health care for people who live in California. Full scope Medi-Cal is different from the restricted scope Medi-Cal coverage you have now. Restricted scope Medi-Cal only covers some services, but it does not cover things like medications and primary care.