What benefits do I get with Medi-Cal?

• Outpatient (Ambulatory) services.
• Emergency services.
• Hospitalization.
• Maternity and Newborn care.
• Mental Health and Substance Use Disorder Services.
• Prescription Drugs.
• Programs such as physical and occupational therapy (known as Rehabilitative & Habilitative Services) and devices.

What are the new rules for Medi-Cal 2024?

Basic Information. Beginning January 1, 2024, a new law in California will allow adults ages 26 through 49 to qualify for full-scope Medi-Cal, regardless of immigration status. All other Medi-Cal eligibility rules, including income limits, will still apply.

What income disqualifies you from Medi-Cal?

You must financially qualify for 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.

Why don t doctors accept Medi-Cal?

Why doctors say they don't see Medi-Cal patients. While low reimbursement rates are the most common reason California doctors say they limit the number of Medi-Cal patients they see, the program's administrative burden is also daunting. Source: California Health Care Foundation.

How long can you keep Medi-Cal?

Medi-Cal members must renew their coverage each year to keep their health care benefits.

Can I have both Medi-Cal and Medicare?

Can a person have both Medicare and Medi-Cal? Yes. Sometimes that's callled “Medi-Medi”, or “dual eligible.” Medicare is billed first for services and Medi-Cal is billed last. Medical providers are famliar with “Medi-Medis."“

Do I have to pay anything with Medi-Cal?

Medi-Cal offers free or low-cost health coverage for California residents who meet eligibility requirements. Most applicants who apply through Covered California and enroll in Medi-Cal will receive care through managed health plans.

How do I check my Medi-Cal benefits?

Does Medi-Cal cover glasses for adults?

All Medi-Cal members are eligible for a routine eye exam, which checks the health of the eyes and tests for an eyeglass prescription. Only members under 21 years old and residents of a nursing home receive coverage for eyeglasses (frames and lenses).

What are the two types of Medi-Cal?

Medi-Cal is health coverage for low-income children and adults. There are two kinds of Medi-Cal, the expanded Modified Adjusted Gross Income (MAGI) coverage and classic coverage. Some Medi-Cal programs have a Share of Cost, but most do not.

Does Medi-Cal pay for dental implants?

Currently, Medi-Cal covers implants only when "exceptional medical conditions are documented," according to the state's 2024 benefits guide.

Can I see a chiropractor with Medi-Cal?

Chiropractic services are covered and reimbursable by Medi-Cal when provided by FQHCs and RHCs, as mandated by California Association of Rural Health Clinics, et al. v. Douglas.

What is the new law for Medi-Cal in 2024?

Beginning January 1, 2024, a new law in California will provide adults 26 through 49 years of age access to full scope Medi-Cal services and immigration status does not matter. All other Medi-Cal eligibility rules, including income limits, will still apply.

Can I own a house and get Medi-Cal in California?

First, if you own a home, you can still qualify for Medi-Cal. California has one of the best health services in this regard because California does not ask that you sell your home and pay for your medical needs, but rather it will front all the medical bills for you while you are alive.

Do I have to pay back Medi-Cal?

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 those who owned assets at the time of death.

Is Medi-Cal as good as Covered California?

Covered California health plans require payment of premiums and other costs such as copays and coinsurance, while Medi-Cal can provide health coverage at low- to no-cost.

What are the limitations of Medi-Cal?

For 2024, the income limits are generally expressed as a percentage of the FPL and vary by the individual's category. For example, an individual may qualify for Medi-Cal if their yearly income is at or below $20,783. A couple may qualify for Medi-Cal if their annual income is at or below $28,208.

Can I go to any ER with Medi-Cal?

Emergency Rooms: As stated above, if you have an emergency and you cannot find a doctor right away, you can go to the emergency room at any hospital. If you show your BIC to staff at the emergency room, Medi-Cal will pay for the services you receive.

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

➢ Do assets affect my eligibility? Starting on January 1, 2024, assets, such as bank accounts, cash, a second vehicle, and homes, will no longer be counted when determining Medi-Cal eligibility. Income and income from assets, such as income from property, will continue to be counted.

What does Medi-Cal not cover?

Restricted scope Medi-Cal covers limited services. It does not cover medicine or primary care. If you have pregnancy-related limited scope Medi-Cal, you will have the full scope of Medi-Cal benefits, if the service is medically necessary.

What is the highest income to qualify for Medicaid 2024?

Parents of Dependent Children: Income limits for 2024 are reported as a percentage of the federal poverty level (FPL). The 2024 FPL for a family of three is $25,820. Other Adults: Eligibility limits for other adults are presented as a percentage of the 2024 FPL for an individual is $15,060.