Medi-Cal California Medicaid Eligibility



 

California Medicaid (Medi-Cal) Income Guidelines

Medi-Cal is the state-funded medical assistance program for low-income, uninsured children and families, and individuals who are entitled to a government health plan. Persons who receive SSI and TANF benefits automatically qualify for Medi-Cal due to their low-income and/or disabled status. In California, low-income individuals who do not have children cannot receive Medi-Cal, regardless of their life situation or income level.

Medi-Cal covers a variety of health care services, with programs designed for specific needs, including Breast and Cervical Cancer Treatment and Long Term Care. Individuals and families can receive care from a variety of health care professionals throughout the state of California for little or no cost. Covered care includes preventive care, hospitalization, doctor’s office visits, outpatient services, and more. Pregnant women also have tremendous coverage from prenatal care to delivery and afterwards through the Medi-Cal program.

 

Group                                       Income (percent of FPL)

Infant                                                    200%

Child age 1-5                                        133%

Child age 6-19                                      100%

Parent (unemployed)                            100%

Parent (employed)                                106%

Pregnant Women                                  200%

Single Aged/Blind/Disabled                   100%

Aged/Blind/Disabled Couple                  100%

 

Other Eligible Groups

  • Families who receive Temporary Assistance for Needy Families (TANF) benefits
  • Supplemental Security Income (SSI) beneficiaries
  • Disabled individuals who no longer qualify for SSI benefits
  • Low-income Medicare recipients
  • Qualified Medicare Beneficiary (QMB) program: Medicaid pays your Medicare monthly premium, deductibles, and coinsurance if your income is below the poverty level.
  • Specified Low-Income Medicare Beneficiary (SLMB) program: Medicaid pays your monthly premiums only if your income is below 120% FPL.
  • Medically Needy program: Medicaid for those who have high medical expenses that when subtracted from your income deem you eligible for Medicaid.

 

Federal Poverty Level 2012

 

Resources

Medi-Cal Phone Suport: 800-541-5555

California Department of Health Care Services: Medi-Cal

Apply for Medi-Cal online

Medi-Cal Contacts