Full Scope Medi-Cal provides health care services to low-income individuals, including:

  • Children (under 18)
  • Children in foster care and former foster youth up to age 26
  • Pregnant women
  • Blind or Disabled people
  • People 65 and over
  • People who get CalWORKs (AFDC) or Supplemental Security Income (SSI) get Medi-Cal automatically

Questions Full Scope Medi-Cal
Who is eligible? This is California’s Medicaid program. It provides health care services to low-income individuals, including:

  • Children (under 18)
  • Children in foster care and former foster youth up to age 26
  • Pregnant women
  • Blind or Disabled people
  • People 65 and over
  • People who get CalWORKs (AFDC) or Supplemental Security Income (SSI) get Medi-Cal automatically

Minors under 19 (or 21 if full-time student) may apply through Medi-Cal Minor Consent

What services are covered? Full-scope Medi-Cal covers:

o   Medical office visits, hospitalizations, and prescription medicines

o   Mental health, substance abuse services, and needed medical tests

o   Family planning and contraception

o   Pregnancy-related healthcare, including pregnancy testing, prenatal care and delivery, post-partum care, and abortion

Individuals on Medi-Cal get the same general health benefits available through Covered Ca.

Does it cover baby? Yes. If you are receiving Medi-Cal when your baby was born your baby is automatically enrolled in Medi-Cal. The County will complete a Medi-Cal redetermination at the baby’s first birthday.
What does it cost? Typically, there are no monthly premiums, deductibles, or copayments.Some families may make too much money to qualify for free Medi-Cal and may have to pay a low monthly premium. Others may be required to pay a “Share of Cost” for medical services. “Share of Cost” is an amount that you agree to pay before Medi-Cal starts to pay.
Where can families apply? You can apply:

  • Online at CoveredCA.com
  • Over the phone by calling (800) 300-1506
  • In person by visiting your local county human services agency.

Once enrolled in Medi-Cal you will need to renew your coverage annually.

What documents are needed to apply? The person applying will be asked to provide:

  • Identification
  • Proof of income, California residency, and pregnancy
  • Immigration status and Social Security number (SSN)

Common types of documents that you can use to verify this information are:

  • CA Driver’s License or ID card
  • Birth certificate, passport, social security card
  • Immigration documents (naturalization documents, alien registration card)
  • Wage or income information like pay-stubs, tax forms, bank statements, disability insurance, unemployment insurance
  • Medical proof of pregnancy

Children are included in their parents’ household until their 19th, or 21st birthday if they are full-time students. But if you are 18 or older, you can apply independently.

Does immigration status matter? Yes, if you are 18+. No, if you are under 18. Undocumented California residents under 18 are eligible for full scope Medi-Cal. Undocumented adults are not eligible for full-scope Medi-Cal. BUT, if you are DACA-eligible and are 21 years or age or younger, you may also be eligible for full-scope Medi-Cal. Also, you must be a California resident.
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