Who Is Eligible for Medi-Cal?


Quick Answer

There are several eligibility categories under Medi-Cal; however, the most common requirements revolve around individual or family income, age and disability status. Depending on qualifying status, Medi-Cal may extend coverage for all or just some of the covered health care services under the program.

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Full Answer

Aside from citizenship status, individual or family income is the primary eligibility requirement for receiving Medi-Cal benefits. Income levels determine the type of coverage received under the program. Families with an income at or below 138 percent of the federal poverty level are eligible for income-based Medi-Cal benefits. Individuals who qualify for Supplemental Security Income are automatically eligible for SSI-linked Medi-Cal benefits.

In addition to income levels, an individual’s disability status also determines eligibility. Individuals who are blind, pregnant, aged or disabled, but possess income above the baseline amount, may be eligible for Medically Needy Medi-Cal benefits. Moreover, parents or relative caretakers, or children under the age of 21 years may be eligible for the program if the child’s biological parent is deceased or does not live with the child, if the child is incapacitated or if the child’s biological parent is unemployed or underemployed.

The Medi-Cal program provides medical benefits for low-income California residents. Benefits are extended to the elderly, disabled or those with high medical costs. If eligible, Medi-Cal helps pay for a number of medical services, including doctor visits, prescription drugs, rehabilitation, hospital stays and other medical services.

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