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Medi-Cal
Medi-Cal is California’s public health insurance program. Currently, 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.

Health Care Reform: Medi-Cal Expansion
Under provisions in Health Care Reform, which will take effect on January 1, 2014, Medi-Cal eligibility will be expanded to include all adults whose annual income is under 138% of the federal poverty level—$15,856 for an individual and $32,499 for a family of four—who are citizens or who have been legal residents for 5 or more years.  Medi-Cal  coverage is free for those who qualify and is part of the Affordable Care Act.

For families with annual income under 250% of the poverty level (up to $58,874 for a family of four), children will be eligible for Medi-Cal and parents may qualify for financial assistance for health insurance plans purchased through Covered California.

For more information about health insurance programs, use Covered California's Shop & Compare Tool to explore details about local plan options, cost, and the availability of financial assistance.

Healthy Families Program Transitioning to Medi-Cal
Historically, Medi-Cal has not covered all low-income individuals as it has required additional eligibility criteria such as being a child, a senior, disabled, pregnant or diagnosed with other conditions, at differing financial eligibility levels depending on the program.  Under Health Care Reform in California, Medi-Cal will be expanded to include all adults under 138% of the federal poverty level who are citizens or who have been legal residents for 5 or more years.


Ventura County children enrolled in the Healthy Families Program  transitioned to the Medi-Cal program in August 2013.  For more information about the transition, click here.


Eligibility

To qualify for most no-cost Medi-Cal, your counted monthly income must be under a certain limit (see chart below).  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.

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.

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 $958 $2,000 6 $2,633 $3,600
2 $1,293 $3,000 7 $2,968 $3,750
3 $1,628 $3,150 8 $3,303 $3,900
4 $1,963 $3,300 9 $3,638 $4,050
5 $2,298 $3,450 10 $3,973 $4,200

Each extra person income 

+$335

Each extra person property

+$150
These figures are current as of April 2013


Many people who qualify for Medi-Cal also qualify for CalFresh.  Consider applying for both programs.  To learn more about CalFresh, click here.


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:

1) Fill out an application online
here

2) Download an application in English or Spanish complete it and either

  • Mail the completed form to:
    Oxnard Intake & Eligibility Center
    1400 Vanguard Drive
    Oxnard, CA  93030

3) Call an Intake & Eligibility Center or Community Service Center to request a paper application, which includes a return postage-paid envelope.

4) Apply in person at an Intake & Eligibility Center or Community Service Center.


Online Report Forms are Now Available
You may now complete your Mid-Year Status Reports (MSR) online anytime by clicking here, starting one month prior to the month they are due.


Forms & Documents
Medi-Cal Application - English
This item contains both the instructions and application for Medi-Cal (the application begins on page 6)
Aplicación de Medi-Cal
Incluye las instrucciones y la aplicación de Medi-Cal (la aplicación empieza en la página 6)
CalFresh & Medi-Cal Application English
Aplicación en Español para CalFresh y Medi-Cal
250 Percent Working Disabled Program Premium Payment Information


Useful Links

Physicians Accepting Medi-Cal
Dentists Accepting Medi-Cal
Medi-Cal Benefits Frequently Asked Questions
Long-Term Care Alternatives
Medicare and More
COBRA Information
Prescription Discount Card

Free cell phone (with 250 minutes & 250 texts) available to low-income individuals who participate in Medi-Cal, CalFresh, CalWORKs, SSI
(among other programs)
Apply online at: www.assurancewireless.com or www.reachoutmobile.com
Or mail in a completed Service Request Form by 6/6/2013
Or call (888) 898-4888 to request an application
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