Who Qualifies for Medi-Cal?


Quick Answer

There are specific rules regarding who can qualify for Medi-Cal in California, including ones based on income, family size, age and disability. As of 2014, if an individual has an annual income of 138 percent of the federal poverty level, he can qualify.

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Who Qualifies for Medi-Cal?
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Full Answer

Although income is the most prevalent way of qualifying for low-cost health insurance, the additional avenues through which to receive Medi-Cal are specific to the state of California. Individuals who are at least 65 years old can qualify, as can those who are in a nursing home or intermediate care home. Individuals who are disabled, blind, pregnant or under the age of 21 can also receive benefits, subject to qualifying criteria. Women who have been screened for either breast or cervical cancer may qualify.

A California resident with refugee status may also qualify for Medi-Cal depending on how long he has been in the United States. Enrollment in some state and federal programs also make an individual eligible for Medi-Cal. These programs include foster care or adoption assistance, refugee assistance, CalFresh, CalWorks or SSI/SSP.

Residents of California can apply for Medi-Cal coverage at their local Department of Human Services office or through the state's online application program, Covered California.

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