Who can become a Medi-Cal Beneficiary? A Guide for California Residents

Are you wondering who can get Medi-Cal benefits? In general, Medi-Cal is a program that is intended for families with children, adults with low income, pregnant women, people with disabilities, elderly, former foster youth (up to 26 years old), and children in foster care.

But even though you have a house, a spouse, and a job, you may qualify for Medi-Cal services. Before you apply for one, you have to check first if you are eligible. Here are the categories identified as eligible patients under the Medi-Cal program:

Public assistance groups

  • Seniors aged 65 and above and persons with disability who get Supplemental Security Income/State Supplementary Payment programs
  • People who get California Work Opportunity and Responsibility to Kids
  • California residents who are beneficiaries of other kinds of public assistance programs

Medically needy groups

  • Seniors aged 65 and above and persons with disability
  • California residents who meet the requirements for CalWORKS, e.g., children under 21 who are not supported by at least one parent because of death, absence, incapacity, and other reasons

Medically indigent groups

  • Adults aged 21 to 65 who are in a nursing care facility
  • Pregnant women without connection to a public assistance program
  • Children under 21, including kids in foster care
  • Children who qualify for the State-only Aid for Adoption Assistance Program

Special programs

  • Children aged 1 to 18
  • Children under age 21 who receive assistance from the Former Foster Child Program
  • Pregnant women who cannot afford the cost of health care for themselves and their unborn child
  • Refugees who are not eligible for the medically needy or medically indigent programs
  • Non-U.S. citizens who are victims of human trafficking and other serious crimes
  • People under the age of 21, unmarried, and living with parents can avail of confidential medical services relating to pregnancy, family planning, drug abuse, mental health, sexually transmitted diseases, and sexual assault.
  • People who need parenteral hyperalimentation services or dialysis treatment
  • Immigrants who satisfy all Medi-Cal eligibility requirements

For more information regarding your eligibility, you can contact your county eligibility worker.

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