Medi-Cal Medi-Cal is California’s public health insurance program. The Medi-Cal Program provides needed health care services for low-income individuals, including families with children, seniors, persons with disabilities, children in foster care, pregnant women, and low-income people with specific diseases such as tuberculosis, breast cancer, or HIV/AIDS. Eligibility
Family Size
Monthly Gross Income Limit for No-Cost Medi-Cal
Property Limit for No-Cost Medi-Cal
Family Size
Monthly Gross Income Limit for No-Cost Medi-Cal
Property Limit for No-Cost Medi-Cal
1
$903
$2,000
6
$2,461
$3,600
2
$1,215
$3,000
7
$2,773
$3,750
3
$1,526
$3,150
8
$3,085
$3,900
4
$1,838
$3,300
9
$3,396
$4,050
5
$2,150
$3,450
10
$3,708
$4,200
Each extra person
+$312
These figures are current as of October 2011
When you apply, you will be asked for information about your residency, identity, citizenship (to qualify for Medi-Cal that covers more than just emergencies), Social Security Number, income, property, and other health care coverage. Children from birth up to 21 years may be eligible for Medi-Cal, as are people 65 years or older, unemployed or low-income parents, and those who are blind or have disabilities, require In-Home Support Services, or live in a board and care or long-term care facility. Recipients of SSI/SSP, CalWORKs and Foster Care are automatically eligible for Medi-Cal.
To qualify for most no-cost Medi-Cal, your counted monthly income must be under a certain limit (see chart above). If your income is higher, you may still be eligible but will have to pay for part of your medical expenses. You must also be under property limits. Examples of property include cash, bank accounts, vehicles, and homes, although your home and one vehicle are not counted. There are many other property exemptions.
Long-Term Care Many long-term care residents may have all or part of their care paid for by Medi-Cal if their income and resources meet Medi-Cal standards. Click here for more information.
250 Percent Working Disabled Program The 250% Working Disabled Program is a full-scope, zero share-of-cost Medi-Cal program designed for those who are working at least one hour per month with pay and who meet the Social Security Administration federal disability definition. Applicants must meet eligibility requirements, such as California residency, and pay a monthly premium to the Department of Health Care Services (DHCS). After enrollment and payment of the monthly premium, if medical services are covered by Medi-Cal, those services will be paid by the Medi-Cal program. Click here for more information.
How to Apply There are several ways to apply for Medi-Cal benefits: