What does Medi-Cal cover for adults?
Asked by: Ms. Otha Pollich DVM | Last update: June 30, 2025Score: 4.2/5 (12 votes)
What other benefits can 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 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.
Does Medi-Cal pay for glasses for adults?
Are eyeglasses covered under Medi-Cal? Medi-Cal does not cover eyeglasses for adults over the age of 21.
What is full Medi-Cal coverage?
Medi-Cal provides free or low-cost health care for some people who live in California. Full scope Medi-Cal covers more than just care when you have an emergency. It provides medical, dental, mental health, and vision (eye) care. It also covers alcohol and drug use treatment, drugs your doctor orders, and more.
What Is Medi-Cal? (Part 1)
What does Medi-Cal for adults include?
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.
What counts as expenses for Medi-Cal?
Some examples include: purchase of medical equipment, • purchase of prescription drugs, • payment for medical services (including dental, mental health, and other services).
Does Costco accept Medi-Cal?
Now Medi-Cal members can fill their prescriptions at one of Costco's 122 pharmacy locations across California. The best part is that no Costco membership is required for Medi-Cal members wishing to access pharmacy services. Apply for Medi-Cal year-round by contacting Mrs.
How to get free eyeglasses?
Some clubs may also provide eyeglasses. New Eyes provides prescription eyeglasses to children and adults who can't afford them. A social worker or someone at a community health center may be able help you apply. Mission Cataract USA offers free cataract surgery to people of all ages who can't afford it.
Does Medi-Cal cover braces?
Yes, Medi-Cal covers braces for children under 21 if the treatment is deemed medically necessary, such as for severe misalignments or dental issues that affect health.
What is the disadvantage of Medi-Cal?
The perception that Medi-Cal offered poorer coverage or less respectful treatment than other types of insurance. Concerns among noncitizen respondents that applying for Medi-Cal might affect their immigration status.
What will disqualify you from 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.
Why do some doctors not 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 much money can you have in the bank if you have Medi-Cal?
For new Medi-Cal applications only, current asset limits are $130,000 for one person and $65,000 for each additional household member, up to 10.
Does Medi-Cal cover dental implants?
Currently, Medi-Cal covers implants only when “exceptional medical conditions are documented,” according to the state's 2024 benefits guide.
Does Medi-Cal cover CT scans?
Medi-Cal reimburses providers for mobile CT scan services at the same reimbursement rate as for non-mobile CT scans. No additional reimbursement is made for mileage or out-of-office calls.
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).
Who qualifies for free prescription glasses?
are aged 60 or over. are registered blind or partially sighted. have been diagnosed with diabetes or glaucoma. are aged 40 or over and have a close relative (parent, sibling or child) with a history of glaucoma.
How much is an eye exam at Walmart without insurance?
A. A comprehensive eye health and vision exam starts at $75.00. A basic contact lens exam starts at $110.00. If you have astigmatism or need bifocal correction and want to wear contact lenses, there is a modest additional cost.
Does Medi-Cal cover all prescriptions?
Most of the prescription drugs you get from a pharmacy are covered by the plan. Other drugs, such as some over-the-counter (OTC) medications and certain vitamins, may be covered by Medi-Cal Rx. Please visit Medi-Cal Rx website (www.medi-calrx.dhcs.ca.gov) for more information.
Does Covered California cover vision?
Vision care benefits for children are included in all of the health plans we offer. Vision care for adults isn't included in our health plans, but we work with three vision insurance companies, EyeMed, VSP and Superior Vision, to offer vision coverage directly to consumers. Want to get started with Covered California?
What are the benefits of buying glasses from Costco?
“What you're getting at Costco is a good price, and hopefully, really good customer service,” says money expert Clark Howard. The warehouse club chain's optical department earned winning marks on price, service after the sale, quality of frames and lenses and more.
What are not qualified Medi-Cal expenses?
Medical care expenses must be primarily to alleviate or prevent a physical or mental disability or illness. They don't include expenses that are merely beneficial to general health, such as vitamins or a vacation.
What Medi-Cal expenses would cover?
It typically covers doctor visits, hospital stays, surgery, X-rays and other medical bills. Medical payments coverage can also help cover medical expenses if you or a family member are injured in another car or as a pedestrian.
What is the income limit for Medi-Cal 2024-2023?
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.