Medi-Cal (Health Coverage)

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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. This is a public health care program for California residents with low income and resources


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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 2023 figures)
    Family Size138% Poverty Level
    1
    		$20,121 Gross/Annually
    2
    		27,214
    3
    		34,307
    4
    		41,400
    5
    		48,494
    6
    		55,587
    7
    		62,680
    8
    		69,773
    9
    		76,866
    10
    		83,960

 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
    • Outpatient
    • Emergency Services
    • Hospitalization
    • Prescription Drugs
    • Laboratory Services
    • Maternity and Newborn Care
  • Dental
  • Vision (children)