While you have this temporary Medi-Cal eligibility,
you can get health care services from an enrolled Medi-Cal provider
. Those who accept Medi-Cal fee-for-service (FFS) will be able to help you. Make sure you ask if they accept FFS before you make your appointment.
How do I get retroactive for Medi-Cal?
You must
contact the county social services office
to request retroactive Medi-Cal coverage within one year of the month in which covered services were provided to you.
Does Medi-Cal cover pre existing conditions?
Yes, you can get health insurance regardless of any current or past health conditions. Starting in 2014,
most health insurance plans can't refuse to cover you or charge you more just because you have a pre-existing health condition
.
Can you apply for Medi-Cal at any time?
You can apply for Medi-Cal at any time of the year
by mail, phone, fax, or email. You can also apply online or in person. You can only apply for Covered California coverage on certain dates. To learn when you can apply, go to www.coveredca.comor call1-800-300-1506 (TTY 1-888-889-4500).
Does Medi-Cal check your bank account?
Because of this look back period,
the agency that governs the state's Medicaid program will ask for financial statements (checking, savings, IRA, etc.) for 60-months immediately preceeding to one's application date
.
How long does Medi-Cal last?
Medi-Cal members must renew their coverage each year
to keep their health care benefits. Some members may be renewed automatically, but a packet will be mailed to members annually if the county is not able to verify all your information.
Can you have Covered California and Medi-Cal at the same time?
These two-program families are called “mixed-program families.”
Your family can apply for both through Covered California application
. Individuals in a mixed-program family will face different, but typically lower, costs due to their eligibility for both Covered California and Medi-Cal.
What counts as a pre-existing condition?
Preexisting condition is a term that refers to
a known illness, injury, or health condition that existed before someone enrolls in or begins receiving health or life insurance
. This includes illnesses such as heart disease, diabetes, cancer, and asthma.
What is a Medi-Cal precondition?
A health problem, like asthma, diabetes, or cancer, you had before the date that new health coverage starts
. Insurance companies can't refuse to cover treatment for your pre-existing condition or charge you more.
Can Medi-Cal take my house?
Can the State Take My Home If I Go on Medi-Cal?
The State of California does not take away anyone's home per se
. Your home can, however, be subject to an estate claim after your death. For example, your home may be an exempt asset while you are alive, and not counted for Medi-Cal eligibility purposes.
What is MC 219 form?
2. MC 219 (11/15) ENG2. •
To verify immigration status with the Department of Homeland Security (DHS), if required
. Information shared with DHS cannot be used for immigration enforcement unless you are committing fraud.
What is MC 604 IPS?
MC 604 IPS (5/14) Page 2.
Tell Us About Your Income And Expenses
. Tell us about your income and expenses for you, your spouse and any of your children under 21 years of age who are living in the home, or are temporarily absent from the home for reasons such as attending school or work or is hospitalized.
How do I switch to straight Medi-Cal?
To change your medical plan,
call Health Care Options at 1-800-430-4263 (TTY 1-800-430-7077)
. Or you can complete a Medi-Cal Choice Form. You can find the form on the Download forms page. Mail the completed choice form.
How do I check my Medi-Cal eligibility?
(800) 541-5555
You can also find this information and more through our Medi-Cal Eligibility Frequently Asked Questions, If you do not find an answer to your question, please contact us at Medi-CalNow, or contact your local county office from our County Listings page.
Does Kaiser accept Medi-Cal?
Kaiser Permanente participates in Medi-Cal in many counties
. This means that, if you are a current Kaiser Permanente member and your situation changes, you may be able to keep your same doctor and continue your care with Kaiser Permanente if you qualify for Medi-Cal.
Can I have money in the bank and still get Medi-Cal?
To qualify for Medi-Cal, the applicant must demonstrate that they have limited resources available.
California law allows the applicant to have up to $2,000 in countable assets
. hand, uncashed checks and anything you might have in your safe deposit box that you could cash in to pay for care.
How much money can you have in the bank and still get Medicaid?
Your assets must be
$2,000 or less
, with a spouse allowed to keep up to $130,380. Cash, bank accounts, real estate other than a primary residence, and investments, including those in an IRA or 401(k), all count as assets.
Do you have to repay Medi-Cal after your income increases?
Many of these people fear they will have to repay Medi-Cal for the months they were really ineligible for the no cost health insurance. Do you have to repay Medi-Cal after your income increases and you were no longer eligible? The short answer is
usually not
.
Do I have to reapply for Medi-Cal every year?
Frequently Asked Questions. If I already have Medi-Cal benefits, do I need to reapply? No.
If you already have Medi-Cal coverage, your Medi-Cal benefits will continue until your next regularly scheduled annual redetermination date
.
Does Medi-Cal include dental?
Medi-Cal offers comprehensive preventative and restorative dental benefits to both children and adults
. You can find a Medi-Cal dentist on the Medi-Cal Dental Provider Referral List, or by calling 1-800-322-6384.
Is Medi-Cal Covered California?
Medi-Cal is health coverage, just like the coverage offered through Covered California
. Medi-Cal provides benefits similar to the coverage options available through Covered California, but often at lower or no cost to you or your family.
What is the difference between Medi-Cal and Covered California?
Medi-Cal offers low-cost or free health coverage to eligible Californian residents with limited income. Covered California is the state's health insurance marketplace where Californians can shop for health plans and access financial assistance if they qualify for it.
How much is Medi-Cal per month?
How much are the premiums? The premiums for Medi-Cal for Families are
$13 for each child and no more than $39 per family per month
.
What is the Medi-Cal income limit for 2020?
To qualify for free Medi-Cal coverage, you need to earn less than 138% of the poverty level, based on the number of people who live in your home. The income limits based on household size are:
One person: $17,609
.
Two people: $23,792
.
Which pre-existing conditions are not covered?
Examples of pre-existing conditions include
cancer, asthma, diabetes, and even pregnancy
. Under the Affordable Care Act (Obamacare), health insurance companies cannot refuse to cover you because of any pre-existing conditions nor can they charge you more money for coverage or subject you to a waiting period.
When did pre-existing conditions begin?
In
March of 2010
, President Obama signed the Affordable Care Act. The law created the Pre-Existing Condition Insurance Plan (PCIP) to make health insurance available to people who've been denied coverage by private insurance companies because of a pre-existing condition.
How long after getting health insurance can you claim?
Within 30 to 90 days of purchase of health insurance, the customers do not receive any claim benefit from the insurer in case of any form of hospitalisation; planned and emergency. In order to make any claim, the customers need to wait till
30 to 90 days after purchase of the policy
.
