Full-Scope of benefits Medi-Cal

Depending on how you qualify for Medi-Cal, the program may provide a

Full-Scope of benefits Teen Health Rights.org

 

Medi-Cal pays for all of these services
 
or just some of them (partial-scope Medi-Cal).  DB 101

 

Primary Medical Care

  • Doctor visits
  • Diagnostic testing
  • Emergency services
  • Surgery
  • Hospitalization
  • Prescription drugs
  • Dental services
  • Health screenings for kids

Ongoing Care & Recovery

  • Personal care services (IHSS)
  • Occupational & physical therapy
  • Outpatient drug abuse services
  • Nursing facility stays
  • Adult day health care

Other medical related costs

  • Medical supplies
  • Durable medical equipment
  • Transportation to doctor visits
  • Transportation costs for children with disabilities

More Details

My Medi-Cal brochure

dhcs.ca.gov/Medi-Cal_EHB_Benefits

dhcs.ca.gov/Benefits_services.aspx

dhcs.ca.gov/Benefits-Chart

Check with your HMO Providers Evidence of Coverage

Insure Me Kevin.com – Medi Cal HMO same coverage as Covered CA HMO!  Provider list may differ!

Medi Cal Additional Coverages

Links & References

Medicaid.gov

Learn More ==>

Disability Benefits 101

Western Poverty Law Center Guide

Medi-Cal enrollees not sure how to use coverage california health line.org

Medi Cal only covers outside of CA for emergencies and very special circumstancesCornel LawMedi Cal Treatment Authorization Request

Medi-Cal pays $415 to $575/month or MORE to HMO’s to take care of you  Learn More⇒ Insure Me Kevin.com    3.4.2016   5.11.2014

If you are over 55, Medi-Cal will? bill your estate for the premiums?

 

Historical

Problems with Medi-Cal Computer system to process payments in Fee For Service Program  CA HealthLine 2.20.2015

Too much Income for Medi-Cal?

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10 comments on “Full Scope Medi-Cal – Benefits & Coverages

    • We are unable to find anything online about high schools requiring health insurance. Please send us they letter from your school.

      3. What is the difference in coverage between Medi-Cal and Covered California?​​​​

      Medi-Cal is health coverage, just like the coverage offered through Covered California. Medi-Cal provides benefits similar to the coverage options available through Covered California, but often at lower or no cost to you or your family. All of the health plans offered through Covered California or by Medi-Cal include the same comprehensive set of benefits known as “essential health benefits.”

      Essential health benefits consist of:

      Outpatient (Ambulatory) services
      Emergency services
      Hospitalization
      Maternity and Newborn care
      Mental Health and Substance Use Disorder Services, including Behavioral Health Treatment
      Prescription Drugs
      Programs such as physical and occupational therapy (known as Rehabilitative & Habilitative Services) and devices
      Laboratory services
      Preventive and wellness services & chronic disease management
      Children’s (Pediatric) services, including oral and vision care.

      A recent survey of Medi-Cal members by the California Healthcare Foundation (CHCF) found that 90% of respondents rate Medi-Cal as a good or very good program. Medi-Cal emphasizes prevention-oriented health care that promotes health and well-being and works to ensure members receive the right care at the right time.​ https://www.dhcs.ca.gov/services/medi-cal/eligibility/Pages/Medi-CalFAQs2014a.aspx

    • Depends on what you mean by “supplemental?” The “health” insurance portion of Medi-Cal is pretty comprehensive. Most everything is zero co-pay. Even dental is covered. Take a look at the Summary of benefits for the HMO you get assigned to. See if there are any gaps your concerned about.

      I don’t know why they want Medicare for All, with 30 percent of California’s on Medi-Cal, it might look more like Medi Cal for all. Did we get to keep our doctors?

      You might want to look at:

      Life Insurance, you can get a quote right on this page.

  1. My son is disabled, he has a developmental and mental condition. He receives medicare and medi-cal. Could you please let me know if he is eligible for Full Scope Medicare [Medi-Cal].

    He needs dental work and according to the dentist he is not covered.

    Mother and care taker.

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