Is Medi-Cal Only in California?

Asked by: Mr. Rick Hansen  |  Last update: February 11, 2022
Score: 4.5/5 (27 votes)

Medi-Cal is health coverage, just like the coverage offered through Covered California. ... All of the health plans offered through Covered California or by Medi-Cal include the same comprehensive set of benefits known as "essential health benefits.”

Can Medi-Cal be used outside of California?

Yes. To bill Medi-Cal, a provider must complete the appropriate enrollment forms. For questions on which forms to use, contact the Out-of-State Provider Unit at (916) 636-1960. If a provider chooses not to enroll, they may bill the patient.

Do other states take Medi-Cal?

Q. Can I use my Medicaid coverage in any state? A: No. Because each state has its own Medicaid eligibility requirements, you can't just transfer coverage from one state to another, nor can you use your coverage when you're temporarily visiting another state, unless you need emergency health care.

Can I use Medi-Cal in another county?

You may apply for Medicaid in the state you move to. If you are moving to a new county in California, you also need to tell the county you live in or the county you are moving to. This is to make sure you keep getting Medi-Cal benefits. You should tell your local county office within 10 days of moving to a new county.

Does Kaiser accept Medi-Cal?

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 qualify for Medi-Cal in California?

21 related questions found

Does Medi-Cal check your bank account?

Yes. Asset tests are a part of Medicaid eligibility requirements. Medi-Cal is the State of California's Medicaid program. Bank accounts are one of the easier tests for the government to make.

Is Medi-Cal state or federal?

Medi-Cal—California's Medicaid program—is a state-federal program that offers free or low-cost health coverage to Californians with low family incomes. Prior to the Affordable Care Act (ACA), Medi-Cal served low-income families and children, the elderly, and people with disabilities.

What is Medi-Cal called in California?

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 is the difference between Medicaid and Medi-Cal in California?

Actually, the good news is – there is no difference between the two. Medi-Cal health insurance is merely California's Medicaid program, which is paid for with federal and state tax revenues.

What is the difference between Medi-Cal and Covered California?

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.

What is regular 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.

Does unemployment affect Medi-Cal?

For MAGI and Non-MAGI Medi-Cal, the federal supplemental unemployment benefit shall be disregarded and are not counted in the income eligibility determination. For Non-MAGI, PUC is counted as property if retained into the following month for the purposes of Non-MAGI Medi-Cal eligibility determinations.

Do I have Medi-Cal?

You can also check on your Medi-Cal status by calling the Medi-Cal hotline at (800) 541-5555. ... Since you don't have your BIC yet, you can get information on your Medi-Cal status by entering the last four digits of your Social Security number and month and year of birth (Ex.

Do I have to pay Medi-Cal back?

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.

Is CalOptima the same as Medi-Cal?

Medi-Cal — also known as Medicaid — is a public health insurance program for low-income people offered by the state. ... CalOptima provides health care coverage for Orange County residents who are eligible for full Medi-Cal.

Is Medi-Cal PPO or HMO?

Medi-Cal is health insurance for people with low incomes. Some counties have Medi-Cal Managed Care, in which the State contracts with HMO plans to provide health care services to Medi-Cal members.

What is the difference between Medi-Cal and Medicare?

Medicare provides health coverage to individuals 65 and older or those with a severe disability regardless of income, whereas Medi-Cal (California's state-run and funded Medicaid program) provides health coverage to those families with very low income, as well as pregnant women and the blind, among others.

Is CareSource in California?

Top 10 CareSource Provider Specialties in California:

Family Doctor (187 providers) Emergency Doctor (162 providers) Dermatologist (Skin Specialist) (83 providers)

How many types of Medi-Cal are there?

This guidebook explains the two kinds of Medi-Cal: Regular Medi-Cal and Medi-Cal Health Plans. This guidebook can help you choose which kind of Medi-Cal is right for you.

How much is Medi-Cal per month?

How much are the premiums? The premiums for Medi-Cal for Families are $13 for each child and no more than $39 per family per month. What can I do if I disagree with paying a monthly premium? Monthly premiums must be paid for the child(ren) to remain eligible for this Medi-Cal program.

How much money can you have in the bank and still qualify for Medi-Cal?

You may have up to $2,000 in assets as an individual or $3,000 in assets as a couple. Some of your personal assets are not considered when determining whether you qualify for Medi-Cal coverage.

How much money can you make and still qualify for Medi-Cal?

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.

Do you have to repay Medi-Cal after your income increases?

Many of these people fear they will have to repay Medi-Cal for the months they were really ineligible for the no cost health insurance. Do you have to repay Medi-Cal after your income increases and you were no longer eligible? The short answer is usually not.

How do I find a doctor that accepts Medi-Cal?

Call CalOptima's Customer Service department at the numbers below, if you have questions or need help finding a provider.
  1. Contact Medi-Cal Customer Service. 1-888-587-8088 Toll-free. 1-800-735-2929 TDD/TTY.
  2. Get interpreter services.