Medi-Cal logo with two hands forming a heart, symbolizing accessible and compassionate healthcare.

Medi-Cal Information

Navigating healthcare can be overwhelming—but you don’t have to do it alone. Medi-Cal is California’s Medicaid program, offering free or low-cost health coverage for individuals and families with limited income or resources. Whether you’re seeking medical care, mental health services, or support for addiction recovery, Medi-Cal provides a pathway to the help you need.

The Archer Rivas Foundation is here to connect you with trusted Medi-Cal resources and guide you through the application process. On this page, you’ll find information about eligibility, enrollment, benefits, and local providers. We believe that everyone deserves access to quality healthcare—regardless of income, background, or circumstance.

Let this be your starting point toward a healthier, more supported life.

Medi-Cal Made Easy: A Step-by-Step Eligibility Guide

  • Medi-Calis California’s Medicaid program, designed to assist low-income individuals with health care costs.
  • Eligibilityinvolves specific income and asset criteria, which can be tricky to steer without expert help.

Understanding Medi-Cal

Medi-Cal is California’s version of Medicaid, a health care program that provides low-income assistance to individuals and families. This program is essential for those who need help covering medical expenses but lack the financial resources to pay for them.

What Is Medi-Cal?

Medi-Cal is designed to assist low-income Californians, including seniors, pregnant women, and people with disabilities. It covers a wide range of health services, from doctor visits to prescription medications.

Who Can Benefit?

The program is particularly crucial for seniors who require long-term care. Nursing home costs in California can exceed $8,000 per month, making Medi-Cal a vital resource for many families.

How Does It Work?

To qualify for Medi-Cal, individuals must meet specific income and asset limits. However, some assets, like your primary residence, may not count against these limits. Understanding these rules can be complex, which is why many turn to a Medi-Cal lawyer for assistance.

Why Is Medi-Cal Important?

Medi-Cal not only provides financial relief but also ensures access to necessary health care services. This program helps protect your assets while ensuring you or your loved ones receive the care needed.

For those navigating this intricate field, expert legal assistance is crucial to ensure compliance and maximize entitlements. With the right guidance, you can confidently manage the application process and secure the benefits you deserve.

Eligibility Criteria for Medi-Cal

Understanding the eligibility criteria for Medi-Cal is crucial if you’re considering applying. Let’s break down the key requirements you need to meet to qualify for this essential program.

Age Requirements

Medi-Cal is available to various groups, including children, adults, and seniors. However, certain programs within Medi-Cal are specifically targeted at individuals over the age of 65. If you’re a senior, you can benefit from specific provisions designed to assist with long-term care needs.

Income Limits

Income is a significant factor in determining eligibility for Medi-Cal. The program primarily targets low-income individuals and families. For adults aged 19-64, your income should be up to 138% of the Federal Poverty Level (FPL). For a single adult, this means an annual income cap of approximately $19,392. If you’re applying for children under 18, the income threshold is higher, up to 266% of the FPL.

Tip: Income limits can change, so verify the latest figures or consult a professional for accurate guidance.

Asset Limits

As of January 2024, the asset limit for Medi-Cal eligibility has been eliminated. This means that the value of your assets, such as savings or property, no longer affects your eligibility for the program. However, income produced by these resources will still count toward your share of cost.

While the asset limit has been removed, it’s still crucial to consider how your assets might impact your financial planning and potential Medi-Cal recovery claims. Consulting with a Medi-Cal lawyer can help you steer these complexities and protect your assets effectively.

By understanding these criteria, you can better assess your eligibility and take the necessary steps to apply for Medi-Cal. Next, we’ll explore the application process and how legal guidance can assist you in securing the benefits you need.

How to Apply for Medi-Cal

Applying for Medi-Cal doesn’t have to be overwhelming.

With a few steps, you can steer the process smoothly. Here’s how to get started:

Application Process

There are three main ways to apply for Medi-Cal:

1. Online through the Covered California Portal:

  1. This is often the fastest way. Start by visiting CoveredCA.com. You’ll find a user-friendly application that guides you through each step.

2. In-Person at Your Local County Social Services Office:

Prefer a face-to-face interaction? Visit your local office. No appointment is needed, but check their hours before going.

3. By Phone

Call Covered California at (800) 300-1506. They can help you apply over the phone, making it convenient if you can’t go online or visit in person.

Documentation

To apply for Medi-Cal, you’ll need several documents:

  • Proof of Income: Recent pay stubs or tax returns.
  • Proof of California Residency: Utility bill or lease agreement.
  • Identification and Legal Status: Passport, birth certificate, or green card.