Medi-Cal
Medi-Cal, launched in 1966, is the primary safety-net public insurance program in California. The Medi-Cal managed care program is free for children from birth to age 19, parents and pregnant women.
Parents, pregnant women and children may be eligible if they are
- a U.S. citizen or legal immigrant
- a California resident
- aged, blind, or otherwise disabled
- a member of a family whose annual income falls within the prescribed guideline, which currently is between 100% and 200% of the Federal Poverty Level; for children, the guideline is a sliding scale dependent on the size of the family and the age of the child.
For instance, income guidelines for a child in a family of four are as follows:
Child's Age Family's Monthly Income Birth to 1 year Up to $3,442 1 to 6 years Up to $2,289 6 to 19 years Up to $1,721
For more information on Medi-Cal, refer to the California Department of Health Care Services or the Medi-Cal Policy Institute.
Summary of Benefits
The Medi-Cal program offers many benefits to members, including:
- well baby, well child, and adult check-ups and immunizations
- access to specialty care
- doctors, clinics, and hospitals located near home or work
Review the Evidence of Coverage document for details of these and other benefits, particularly those health care Services covered through the Medi-Cal Fee-for-Service Program outlined in Section 5 (the section entitled Carve-Out Benefits).
Review the Medi-Cal/Healthy Families/Healthy Kids Formulary document for details of these and other benefits.
Review the VSP Provider Directory.
How To Apply
Apply by calling one of the following:
- Santa Clara Family Health Plan at 1-877-680-6144
- The Santa Clara County Social Services Medi-Cal Service Center at 1-800-753-0024