Medi-Cal provides health care coverage and services for California residents that meet the eligibility requirements for one of the Medi-Cal programs. Medi-Cal programs cover a wide range of people based on age, disability, income, citizenship, and medical needs. Medi-Cal is funded by both the federal and state government. It is run through the state, and the individual counties handle the eligibility approval process. Under Medi-Cal there are programs funded by the federal government and others funded completely by the state. Continue reading below for everything you need to know including how to login to Medical Eligibility Login portal – Medi-Cal – Ca.gov
Although overall Medi-Cal is for low-income individuals and families, income is not the only factor considered. There are multiple programs to cover children and pregnant women as well as the elderly. There are also special programs to cover those with dialysis needs, tuberculosis, breast and cervical cancer. Medi-Cal provides emergency and prenatal services for those without satisfactory citizenship status.
There are several enrollment options that work to make it as easy as possible for people to apply for Medi-Cal. These include automatic enrollment, presumptive enrollment, accelerated enrollment, and express late eligibility. You can apply online, through the mail, or in person. Applications, information, and help can be found through the county Medi-Cal offices.
Medi-Cal Eligibility Requirements
Medi-Cal eligibility requirements include reviewing your personal situation on all of the Medi-Cal criteria listed here. These requirements include:
- Income – Each program under Medi-Cal has set income limits based on a percentage of the Federal Poverty Level.
- Immigration – most Medi-Cal programs require individuals to have satisfactory immigration status. However, certain programs such as prenatal care and emergency services are available for those without satisfactory immigration status.
- Disability – Those receiving SSI can receive Medi-Cal coverage as well as those not receiving SSI but who are disabled under the definition of disability by the Social Security Administration.
- Property – Each program has property requirements with the exception of children’s percent programs, income disregard program, minor consent services, safe Arms for newborns, and programs for adoption assistance and former foster care children
How Apply for Medi-Cal Online
Where can you apply for Medi-Cal California? Can you apply for Medi-Cal online?
There are several enrollment options for Medi-Cal. Eligibility and approval are determined through the county Medi-Cal offices. Eligibility can take up to 45 days to determine; 90 days to determine eligibility for disabled individuals.
- You can be automatically enrolled when you are enrolled in SSI or CalWORKs.
- Babies born to mothers on Medi-Cal are automatically eligible.
- You can apply in person at a county office, hospital, or clinic.
- You can get immediate coverage while ongoing determination is being decided under certain programs.
- Families enrolled in food stamps or free school lunches can be automatically considered for Medi-Cal.
- When being transitioned off cash assistance programs, you can obtain Medi-Cal coverage.
Medical Eligibility Login: How To Login To Medi-Cal – Ca.gov
- Go to https://www.medi-cal.ca.gov/MCWebPub/Login.aspx
- Enter your user ID
- Enter your password
- Click Login
Medical Eligibility Login – Medi-Cal Member Services
As a Medi-Cal member, you have access to member services like anyone who has a private insurance plan. Since Medi-Cal members receive a commercial plan or a public plan, you receive this assistance through your plan. However, many plans have similar member services, and you can get some help through Covered California. These additional resources and information let you get the most out of your Medi-Cal coverage.
How Do I Change or Cancel My Medi-Cal Plan?
Depending on the county where you live, you may have multiple Medi-Cal plan options. If you want to try another plan available in your county, you can change it at any time. To switch your Medi-Cal plan, you can call Medi-Cal Managed Care Health Care Options at 1-800-430-4263. You may also complete a Medi-Cal Choice Form that you can find on the Health Care Options download page. Choose your county from the drop-down menu, then look for the form link under “Choice enrollment forms.” Learn more about the plans available in your county through the Medi-Cal Managed Care Health Plan Directory.
If you need to cancel your Medi-Cal coverage, call your local county office. Once you are released from Medi-Cal, call 1-877-752-4737 option 3 to be enrolled in a Covered California plan. Be aware that there are different income limits for Medicaid/Medi-Cal versus Covered California (the state exchange.)
Where Can I Access My Medi-Cal Member Services?
You can access your member services online through your plan’s website and the Covered California website. Each service manages different aspects of your coverage. Also, your local county office will take care of specific parts of your Medi-Cal membership. Your health insurance company handles:
- Premium payments: When you need to make a premium payment, your health insurance company will accept it online or by phone.
- ID cards: Your insurance company will issue your membership ID card. They can also send you a replacement card if you lose it.
- Benefits and eligibility: Every insurance plan has unique benefits and eligibility requirements. A representative from your insurance company can explain these details to you.
- Claims: The insurance company can inform you how you paid your service claims when you need to verify this information.
- Covered medical providers: Your plan’s company can help you find a covered medical provider or change your primary care physician.
Meanwhile, Covered California takes care of:
- Enrollment: You can determine if you qualify for a special enrollment period, learn when you can enroll or enroll in a Medi-Cal plan through Covered California.
- Application information: Covered California handles changes to application information such as income verification, proof of residency and citizenship.
- Eligibility: When you request a quote from Covered California, they will determine if you or a family member has Medi-Cal eligibility.
- Coverage cancellation: If you want to cancel your Medi-Cal plan, you can request this cancellation through Covered California.
- Changing to a private plan: You can enroll in a private plan through Covered California if you will lose your Medi-Cal coverage soon.
When you need to renew your Medi-Cal plan, your county social services office will assist. They will get in contact with you if they need any information or send you a renewal form. For further assistance, you can contact your county’s Medi-Cal office or the Medi-Cal Member Helpline (1-800-541-5555).
How Do I Access Member Services?
Medi-Cal members can receive member services through the Internet or by phone. Most insurance plans have online member assistance, and many companies also allow you to call them to receive direct help. Covered California also has online member services that you can access through an account. You can make a Covered California account even if you already submitted an application through another method.
Where Can I Find My Card Number and Member Number?
After you enroll in Medi-Cal, you will get an enrollment package in the mail from your insurance company. This package will include a membership card and information about your health insurance account. Your welcome letter from the insurance company may also mention your membership ID number. If you want to make an online account for member services with your insurance plan, you need these numbers to create an account.
Does Medi-Cal Member Services Have a Phone Number?
For general questions about Medi-Cal, members and medical providers can call the official helpline at 1-800-541-5555. Depending on the situation, you may also call Covered California at 1-800-300-1506 or your county’s Medi-Cal office.
How Do I Pay My Premium Online?
Your health insurance company will receive all premium payments. After you enroll in a plan, you should receive a bill that includes online payment instructions. Most companies require you to make an online account and provide information about your payment card or bank account. You may also have the option to set up recurring payments that automatically withdraw money from the account or card you specify. Covered California has information about each plan’s payment options on their member information website.
Where Can I Find My Medi-Cal Renewal Form?
County organizations handle Medi-Cal renewals. In most cases, your local agency will use your existing information to renew your Medi-Cal membership. If they can verify these details, they can take care of the process for you. However, they may need to send you a renewal form if your information doesn’t match your records. You can return this form to your county office to continue receiving coverage.
How Do I Check My Medicaid Status?
Contact your local county social services office to learn about your Medi-Cal status and eligibility. The California Department of Health Care Services has a full directory of each county’s agency.