Medi-Cal and Health Insurance Resources

Aliados Health has a team of Certified Enrollment Counselors (CECs) who can assist you with your Medi-Cal application or renewal. Our CECs can explain the documentation that is required, assist you with the application process, and let you know what to expect once the process is completed. Services are confidential and provided at no cost.

Medi-Cal

Public health insurance program that provides needed healthcare services to individuals, families, and older adults.

Medi-Cal Eligibility

Medi-Cal has eligibility requirements.

Medi-Cal Benefits

Medi-Cal has medical, dental, and behavioral health benefits.

Medi-Cal

What is Medi-Cal?

Medi-Cal is California’s Medicaid program. This is a public health insurance program that provides needed healthcare services for low-income individuals including families with children, seniors, persons with disabilities, children in foster care, pregnant women, and low-income people.

Medi-Cal coverage must be renewed every year. For more information about how to stay covered click on the Stay Covered link: Medi-Cal Stay Covered

You can also watch a video about how to renew your Medi-Cal coverage:
How to Complete a Medi-Cal Renewal! – YouTube (English only)

Who is eligible for Medi-Cal?

Eligibility is open to California residents, individuals must meet Medi-Cal income guidelines

You can apply for Medi-Cal benefits regardless of:

sex
race
religion
color
national origin
sexual orientation
gender identity
marital status
age
disability
veteran status

If you are enrolled in one of the following programs, you may also be eligible for Medi-Cal:

CalFresh
SSI/SSP
CalWORKs (AFDC)
Refugee Assistance
Foster Care or Adoption Assistance Program

Extended Eligibility for Medi-Cal:

According to the California Department of Healthcare Services

People who have any of the following circumstances may also be eligible for Medi-Cal:

65 years or older
Blind
Disabled
Under 21 years of age
Pregnant
In a skilled nursing or intermediate care home
On refugee statues for a limited time, depending on the length of time in the U.S.
A parent or caretaker relative of an age-eligible child
Have been screened for breast and or cervical cancer

Must meet income guidelines

Source: DHCS Medi-Cal Elgibility

Immigrant Eligibility

In California, immigration status does not affect Medi-Cal benefits. You may qualify for full Medi-Cal benefits regardless of immigration status. However, income limits still apply.

Source: My Medi-Cal: How to Get the Health Care You Need

For more information

What documents do I need?

People who have any of the following circumstances may also be eligible for Medi-Cal:

Proof of California residency
Income tax filing information
Photo identification
Social Security numbers for applicants
Income information
Income verification

For the full list of verification documents, please visit BenefitsCal.

Source: BenefitsCal

Medi-Cal Benefits

Out Patient Services

Hospitalization

Maternity & New Born Care

Emergency Services

Rehabilitation & Habilitative Services & Devices

Dental

Mental Health & Substance Use Disorder Services

Full Benefits List

Out Patient Services:

Physician services
Hospital outpatient & Outpatient clinic services
Outpatient surgery (includes anesthesiologist services)
Podiatry
Chiropractic
Allergy care
Treatment therapies (chemotherapy, radiation therapy, etc.)
Dialysis/ hemodialysis

Source: https://www.dhcs.ca.gov

Hospitalization

Hospitalization
Inpatient hospital services
Anesthesiologist services
Surgical services (bariatric reconstructive surgery, etc.)
Organ & tissue transplantation

Source: https://www.dhcs.ca.gov

Maternity & New Born Care

Prenatal care
Delivery and postpartum care
Breastfeeding education
Nurse midwife services
Licensed midwife services
Doula services

Source: https://www.dhcs.ca.gov

Emergency Services:

Emergency Room services
All inpatient and outpatient services that are necessary for the treatment of an emergency
Medical condition, including dental services, as certified by the attending physician or other appropriate provider
Ambulance services

Source: https://www.dhcs.ca.gov

Rehabilitation & Habilitative Services & Devices:

Physical therapy
Speech therapy / Audiology
Occupational therapy
Acupuncture
Cardiac rehabilitation
Pulmonary rehabilitation
Skilled nursing facility services (90 days)
Disposable Medical supplies (Continuous Glucose Monitoring “CGM” Systems and disposable insulin delivery systems for diabetics, self-monitoring blood pressure devices and blood pressure cuffs). Equipment and appliances (including implanted hearing devices)
Durable medical equipment
Orthotics/prostheses
Hearing aids
Home Health services
Rehabilitation & Habilitative Services & Devices:

Source: https://www.dhcs.ca.gov

Dental:

Diagnostic and preventive dental hygiene (e.g. Exams, x-rays, and teeth cleanings, molar sealants)
Orthodontics for children who qualify
Tooth extractions
Sedation for dental services
Fillings and crowns
Root canal treatments (anterior/posterior)
Scaling and root planning
Complete and partial dentures, and denture repair

Source: https://www.dhcs.ca.gov