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California Medicaid (Medi-Cal) Benefits

California Medicaid pays for a variety of medical services for children and adults with limited income and resources.

Medi-Cal is California's Medicaid health care program. This program pays for a variety of medical services for children and adults with limited income and resources. 

California Medicaid is supported by federal and state taxes. It is a large program made up of many separate programs designed to assist Californians in various family and medical situations.

Program Name Medi-Cal
Expanded Medicaid Yes
Website https://www.medi-cal.ca.gov
Phone 800-541-5555
Apply Online coveredca.com/apply
Appeal a Denial Request a Medi-Cal Appeal
Find a Local Office County Offices

Eligibility Requirements

To be eligible for California Medicaid, you must be a resident of the state of California, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income.

You must also be one of the following:*

  • Pregnant
  • Be responsible for a child 21 years of age or younger
  • Blind
  • Have a disability or a family member in your household with a disability
  • Be 65 years of age or older

* ACA Medicaid expansion covers eligible low-income adults.

Annual Household Income Limits (before taxes)

Household Size* Maximum Income Level (Per Year)
1 $17,131
2 $23,169
3 $29,207
4 $35,245
5 $41,284
6 $47,322
7 $53,360
8 $59,398

*For households with more than eight people, add $6,038 per additional person.

Available Services Include:

Acupuncture Laboratory services
Allergy care Maternity and newborn care
Ambulance services Mental health services
Anesthesiologist services Organ & tissue transplantation
Children’s pediatric services Orthotics/prostheses
Chiropractic Outpatient (ambulatory) services
Dental Physician services
Dialysis/hemodialysis Podiatry
Emergency room services Prescription drugs
Emergency services Preventive and wellness services
Family planning services Rehabilitative services and devices
Hearing aids Smoking cessation services
Home health services Surgical services
Hospitalization Treatment therapies
Inpatient hospital services Vision

Copayments

For most individuals who enroll in Medi-Cal, there is no premium, no copayment, and no out-of-pocket cost.

For some Medi-Cal households, there is a monthly premium of $13 per child up to a family maximum of $39 per month.

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