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More children are now eligible for Medi-Cal!

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More children are now eligible for Medi-Cal!

May 24, 2016

Medi-Cal has expanded to cover more kids! Under a new law, Medi-Cal now provides health coverage to all eligible children younger than 19, regardless of immigration status.

When does this change take effect?

Coverage begins May, 2016.

Who is eligible for Medi-Cal under this new law?

Children are eligible, regardless of immigration status, if they:

  • Live in California
  • Are younger than 19 years old
  • Have family income no higher than 266% of the Federal Poverty Level

What does this mean for SCFHP Healthy Kids members?

Most children enrolled in the Healthy Kids program are now eligible to apply for Medi-Cal. If your child is eligible for Medi-Cal, you must change from Healthy Kids to Medi-Cal. You should apply for Medi-Cal now.

What if my child already has restricted scope “emergency” Medi-Cal?

If your child already has restricted scope “emergency” Medi-Cal, you should not need to reapply. Your child will receive full Medi-Cal coverage as of May 1, 2016. The California Department of Health Care Services and Santa Clara County Social Services will send you more information.

What if I have family members already enrolled in Medi-Cal?

If someone in your family already has Medi-Cal, you may not need to reapply. Your newly eligible child may be added to the application. Contact Santa Clara County Social Services to add your child to the application. Go to www.mybenefitscalwin.org or call 1-877-962-3633.

If my child moves to Medi-Cal, can they stay with Santa clara Family Health Plan (SCFHP) and keep the same doctor?

Yes. When you apply for Medi-Cal, you can choose to stay with SCFHP and keep the same doctor. If your child has been enrolled in full Medi-Cal, to select a plan, call Health Care Options at 1-800-430-4263. Tell them the name of the health plan and your doctor. Or, you can make your selection on the form that will be mailed to you from the state in the next several weeks.

Where can I get help applying for Medi-Cal?

There are many organizations that can help you. Click here for more information English or Español.

What does full-scope Medi-Cal cover?

Medi-Cal coverage includes a full set of health care benefits, including:

  • Doctor visits
  • Preventive care and immunizations
  • Prescriptions
  • Hospital stay
  • Emergency services, including ambulance
  • Family planning
  • OB/GYN services and pregnancy care
  • Lab and x-ray services
  • Health education
  • Vision care (some restrictions apply)
  • Dental care (available through Denti-Cal)
  • Behavioral health services (mental health and substance abuse)
  • Transportation to medical appointments

Who can I contact for more information?

Call SCFHP Member Services at 1-800-260-2055 or visit www.health4allkids.org.