Medi-Cal is California’s public health insurance program and provides needed health care services for low-income individuals, including families with children, seniors, persons with disabilities, children in foster care, pregnant women, and low-income people with specific diseases such as tuberculosis, breast cancer, or HIV/AIDS. Recipients of CalWORKs and Foster Care are automatically eligible for Medi-Cal.
Health Care Reform: Medi-Cal Expansion
As a result of the Affordable Care Act, eligibility requirements for Medi-Cal have expanded to include all adults whose annual income is under 138% of the federal poverty level—$16,105 for an individual and $32,913 for a family of four—who are citizens or legal residents. Medi-Cal coverage is free for those who qualify.
For families with annual income under 250% of the poverty level (up to $58,874 for a family of four), children will be eligible for Medi-Cal and parents may qualify for financial assistance for health insurance plans purchased through Covered California. Medi-Cal premiums are required for children who are age 1 up to 19 years of age with family incomes between 160 and 266% of the poverty level. The monthly premium is determined by family size and income. The premiums for Medi-Cal are $13 for each child, and no more than $39 per family per month. Single adults and families with annual earnings at or below 400% of the federal poverty level may be eligible for financial assistance to help with the cost of insurance and services.
Pending Applicants and Newly Enrolled Medi-Cal Members
The following information is provided by the California Department of Health Care Services (DHCS) for pending applicants and newly enrolled Medi-Cal members. Click here to access the information.
When you apply for Medi-Cal and other health insurance programs offered through Covered California, you will be asked for information about your residency, identity, citizenship, Social Security number, income, and other health care coverage you may have. The chart below includes income eligibility information for health insurance as well as CalFresh, a nutrition assistance program. If you and/or your family are eligible for CalFresh benefits you are most likely also eligible for Medi-Cal health coverage and may apply for both programs by completing this combination application.
|1||$14,940||$16,105||$16,105 - $46,680|
|2||$20,172||$21,708||$21,708 - $62,920|
|3||$25,392||$27,311||$27,311 - $79,160|
|4||$30,624||$32,913||$32,913 - $95,400|
|5||$35,844||$38,516||$38,516 - $111,640|
Many long-term care residents may have all or part of their care paid for by Medi-Cal if their income and resources meet Medi-Cal standards. Click here for more information.
250 Percent Working Disabled Program
The 250% Working Disabled Program is a full-scope, zero share-of-cost Medi-Cal program designed for those who are working at least one hour per month with pay and who meet the Social Security Administration federal disability definition. Applicants must meet eligibility requirements, such as California residency, and pay a monthly premium to the Department of Health Care Services (DHCS). After enrollment and payment of the monthly premium, if medical services are covered by Medi-Cal, those services will be paid by the Medi-Cal program. Click here for more information.
Free Health Coverage for Former Foster Youth
If you were in foster care on your 18th birthday, you are eligible for free Medi-Cal benefits until your 26th birthday (regardless of your income). Attached is a quick guide and one page form you can use to sign up and take to any Human Services Intake & Eligibility or Community Services Center. You are encouraged to call Laura Pariseau - (805) 654-3451 or Laura Wuertele, Supervisor - (805) 654-3427 for assistance.
How to Apply for Medi-Cal
First, use this easy online tool to check your eligibility.
There are several ways to apply for Medi-Cal benefits:
1) Fill out an application online here
Drop it off at an Intake & Eligibility Center or Community Service Center
Mail the completed form to:
Oxnard Intake & Eligibility Center
1400 Vanguard Drive
Oxnard, CA 93030
3) Call an Intake & Eligibility Center or Community Service Center to request a paper application, which includes a return postage-paid envelope.
New CalWIN Mobile Application
Have an Android, iPhone, or iPad? For those who do, a mobile application ("app") is now available allowing easy access to:
- Check Your Case Status
- Get Current Benefit Amounts
- Check Your Renewal Dates and Renew CalFresh Benefits
- View Your EBT Balance
- Request a Replacement BIC Card
The CalWIN Mobile "app" will also help find the nearest Human Services Agency Intake & Eligibility Center, Community Service Center, or Job & Career Center (JCC) using GPS or zip code lookup.
Forms & Documents
- Medi-Cal Application - English
- Aplicación de Medi-Cal
- CalFresh & Medi-Cal Application English
- Aplicación en Español para CalFresh y Medi-Cal
- 250 Percent Working Disabled Program Premium Payment Information
- Doctors Accepting Medi-Cal
- Dentists Accepting Medi-Cal
- Medi-Cal Benefits Frequently Asked Questions
- Long-Term Care Alternatives
- COBRA Information
- Prescription Discount Card
Free cell phone (with 250 minutes & 250 texts) available to low-income individuals who participate in Medi-Cal, CalFresh, CalWORKs, SSI (among other programs). Apply online at: www.assurancewireless.com or www.reachoutmobile.com or mail in a completed Service Request Form. Call (888) 898-4888 to request an application.