Goal

The goal of Medi-Cal is to respond to the health care coverage needs of a growing number of uninsured individuals, and to address the need of supplemental coverage for individuals whose insurance premiums and deductibles are too costly.

About the Program

In California, each county is responsible for administering Medi-Cal eligibility and for interpreting state regulations. In general, individuals who are eligible for Medi-Cal benefits are low-income or have limited means to pay for the cost of health care. Medi-Cal has multiple programs one or a family may qualify for, please see Program Requirements below for some general guidelines. 

Program Requirements
Medi-Cal - Modified Adjusted Gross Income

• This program is income based by family size (Year 2020 figures)

  ​Family Size​	​138% Poverty Level
  ​1	$​17,609 Gross/Annually
  ​2	​​23,792
  3	29,974
  4	36,156
  5	42,339
  6	48,521
  7	54,704
  8	60,886
  9	67,068
  10	73,251

Medi-Cal - Non-Modified Adjusted Gross Income (Full Hierarchy)

• Age 65 or older
• Meet Social Security’s definition of a blind or disabled individual
• Families with children by qualify as long as deprivation exists such as meeting one of the following criteria:
  • Absent parent
  • Incapacitated parent (disabled more than 30 days, but not permanent)
  • Disabled parent
  • Deceased parent
  • Primary wage earner working less than 100 hours or income less than 100% of federal poverty level
• Children under the age of 21
• Pregnant women

Covered Services

• Medical
• Dental
• Vision (children)
• Prescription