What Does Medi-Cal Cover?


Quick Answer

Medi-Cal covers standard health services, including immunizations, hospital care, emergency services, prescription drugs and doctor visits. Other Medi-Cal benefits include ambulatory and laboratory services, pediatric services, maternity and newborn care, and chronic disease management.

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Full Answer

Dental benefits, which include cleanings, x-rays, full dentures and fluoride treatments, were brought back to the Medi-Cal program on May 1, 2014. Medi-Cal also offers coverage for mental and substance abuse treatments, including detoxification programs and psychiatric evaluations. Vision benefits under Medi-Cal include routine eye exams every 24 months and eyeglasses for individuals under the age of 21 or those living in nursing homes. Medi-Cal benefits adhere to the standards set forth by the Affordable Care Act and the categories in the Act's Essential Health Benefits.

Medi-Cal is a health care program in California funded by federal and state taxes for low-income adults and children. Beneficiaries can receive low-cost or free health care through Medi-Cal. People with certain diseases, such as breast cancer or HIV/AIDS, can apply for Medi-Cal if they are low-income.

To apply for Medi-Cal, individuals must meet guidelines which are based on household size, income and age. Applicants may be required to send verification materials to their county's human services agency. Medi-Cal and Covered California both offer health care plans to people who might not be able to get coverage otherwise.

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