Medi-Cal provides medical, vision and dental services for people with full-scope benefits. A person can be eligible for full-scope Medi-Cal benefits if she/he is a U.S. citizen or a legal permanent resident alien and meets other eligibility criteria. Restricted benefits provide emergency services to individuals without satisfactory immigration status. Restricted benefits allow a person to use her/his Medi-Cal for emergency services only.
For a pregnant woman with restricted benefits, Medi-Cal will cover pregnancy-related services only. Based on a person's family size and income, a person may have to pay a share of cost (SOC) to the provider each month if Medi-Cal is used. A person with zero SOC pays no portion of the medical expenses whether or not Medi-Cal is used.
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There are four ways that you can apply for Medi-Cal in Placer County. You can apply online, by phone, in person at one of the Placer County Human Services offices, or by mail. To apply for Medi-Cal by phone call 1-888-385-5160. If you want to apply by mail, please call 1-888-385-5160 and request an application be sent to your home.
Forty-five days are allowed to process a Medi-Cal application not involving a disability. If you are applying for Medi-Cal based on a disability, your application process may take up to 60 days or longer depending on how quickly you complete the disability information and how quickly your doctors and hospitals submit your medical records.
To avoid delays in the processing of your case, submit all information requested of you as soon as possible. Ask your program specialist for help if you are having trouble obtaining information.
It depends if the following apply:
If one spouse lives in a nursing home, Medi-Cal allows the spouse remaining in the home to keep all of the income he/she receives in his/her name regardless of the amount. You can find more information on the Medi-Cal Information Notice 007 (English) and 007 (Spanish).
Yes. Individuals who are Medicare beneficiaries may apply for Medi-Cal. If Medi-Cal eligibility is established, the State may begin paying the Part B premium and the Part A and B coinsurance and deductibles. The State will also pay the Part A premium for Medicare beneficiaries who are not qualified for free Part A benefits. Medi-Cal may also provide medical services that are not covered by Medicare.
Yes. Medicare is different from Medi-Cal. Medicare is a federal health insurance program run by the Centers for Medicare and Medicaid Services. It is available to most people 65 years of age or older and certain disabled or blind persons, regardless of income. Medicare Part "A" covers hospitalization. Medicare Part "B" covers doctor bills. If you receive Medicare, you may qualify for the following special Medi-Cal programs:
Even if you don't qualify for the above assistance programs, your Medicare A and B premiums can be used as allowable deductions in the Medi-Cal share of costs calculation.
For information about the services Medi-Cal covers:
Yes. Pregnant women and children may have more income and property than other people and still qualify for no-cost Medi-Cal services. The income guidelines are different for children under age 1, children 1 to 6, and children 6 to 19. Your family property, such as savings accounts or cars, is not used to determine eligibility if monthly income falls within certain limits.
The Child Health and Disability Prevention (CHDP) Program is a health promotion and prevention program serving California’s infants, children, and teens. The CHDP Program provides periodic preventive health assessments to:
Children identified with suspected problems after a health assessment are referred for necessary diagnosis and treatment. Many problems can be prevented, corrected, or reduced in severity by prompt diagnosis and treatment. Early, Periodic, Screening, Diagnosis and Treatment (EPSDT) services are a benefit provided through the CHDP Program.
For more information about services, contact:Placer County Child Health and Disability Prevention Program11484 B AvenueAuburn, CA 95603Phone: 530-886-3620Fax: 1-530-889-7140
The Medi-Cal Access Program (MCAP) provides health care to uninsured pregnant women whose income is too high to qualify for no-cost Medi-Cal. Benefits include:
For more information and an application, call 1-800-433-2611 or visit the MCAP website
The WIC program is for low to medium income families who have:
The WIC program provides:
For more information in Placer County, please contact the Placer County WIC Program and the various county offices or by calling 530-889-7211 or 916-784-6447
With Family Planning Services you will:
With Family Planning Services you can:
Family Planning Services can give you:
If you are low-income or are receiving Medi-Cal, Family Planning Services are available at no cost. You can get Family Planning Services from:
To contact the California Office Family Planning Services, call 1-800-942-1054.
Yes. Individuals who are not eligible for Medi-Cal may qualify for a health care program offered by Placer County. Check out information on Placer County’s Medical Care Services Program.
California Children’s Services (CCS) is a statewide program that arranges, directs, and pays for medical care, equipment, and rehabilitation, when these services are authorized by the program. Services can be authorized for children and young adults less than 21 years of age who have eligible medical conditions and whose families are unable to pay for all or part of their care.
CCS defines eligibility and selects the most qualified professionals to treat the child’s CCS-eligible condition. However, it is important for you to know that CCS is not a health insurance program. It will not meet all of the child’s health needs, only those related to the CCS-eligible condition. To find out more information about CCS contact:Placer County CCS11484 B AvenueAuburn, CA 95603Phone: 530-886-3630Fax: 530-886-3613Email CCS
The In-Home Supportive Services (IHSS) program helps pay for services which enable individuals to remain safely in their own homes instead of entering a nursing home or board and care facility. To be eligible, you must be over 65 years of age, disabled, or blind, and eligible for Medi-Cal. Disabled children are also eligible for IHSS. The types of services IHSS can help pay for include:
To apply for IHSS in Placer County, call the IHSS office at 530-889-7115.