About us
We are a non-profit organization whose advocacy is to ensure consistent and maximized federal funding for California residents through the Medi-Cal program.
3 Main Medi-Cal Benefits You Need to Know
Caring for California residents for five decades, Medi-Cal is a health care program that provides free or affordable medical coverage for children, adults, and senior citizens who have low incomes and limited resources.
Essential health benefits
If you or a loved one is eligible for this health care program in California, you can enjoy a range of services in accordance with the Affordable Care Act that enjoins all Medi-Cal plans to provide the essential health benefits, including these general services:
- Laboratory services
- Outpatient services
- Hospitalization
- Emergency services
- Prescription drugs
- Care for pregnant woman and newborns – including baby products (ex: diapers, baby wipes)
- Vision and oral health care for children
- Behavioral treatment and other substance abuse disorder and mental health services
- Management of chronic diseases
- Occupational and physical therapy
Eye care benefits
For patients with full Medi-Cal benefits, vision benefits are included.
- Medi-Cal members can avail of a routine eye exam every other year, including eyeglass prescription testing.
- Coverage for frames and lenses are given only to nursing home patients and Medi-Cal members below 21 years old.
- Patients with impaired vision that cannot be corrected by standard eyeglasses (or surgery or contact lenses) can avail of low-vision testing. Those whose eye health problems hinder their ability to do their day-to-day tasks, especially the elderly with age-related macular degeneration, can enjoy this benefit as well.
- If an eye condition or health issue obstructs the use of glasses, Medi-Cal may cover contact lens testing.
- For patients who have lost their eyes to an injury or disease, they can avail of artificial eye services and materials.
Dental benefits
Available for children and adults, the dental benefits cover the following services:
- Cleanings
- Fillings
- Fluoride treatments
- X-rays and exams
- Full dentures
- Prefabricated crowns
- Root canals for the front teeth
- Tooth decay treatment with home remedies, remineralize cavities and repair teeth naturally.
- Other needed dental services
For an appointment, contact a Med-Cal health care provider, which you can find by checking the online directory of the California Department of Health Care Services website.
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.
How to Apply for Medi-Cal Program: A Guide for Health Care in California
Looking for information on Medi-Cal application procedures? You can apply personally in the social services office of your county or in a hospital or health clinic where Medi-Cal county eligibility workers are based.
Typically, here are the steps you need to take to apply for the Medi-Cal program:
1. Get a Medi-Cal application.
Contact or visit the social services office of your county to request for sending a Medi-Cal application to your home address. If you have an urgent need or medical emergency, you will have to fill out the form and bring it to the nearest social services office in your county. Inform the office that you are in need of immediate medical attention. Your Medi-Cal application will then be processed as soon as possible.
2. Complete the application form.
Make sure you answer all entries and check out the list of required documents for Medi-Cal applications.
3. Request for a Medi-Cal retroactive coverage.
This step is applicable to if you have unpaid medical bills within 3 months before you apply for Medi-Cal, and you need funding assistance for those bills. If you have paid the bills already, you can ask for reimbursement.
4. Send the completed application form and required documents.
You can do so personally or via mail to the county social services office.
5. Wait for your Medi-Cal application processing to be completed.
It may take a maximum of 45 days to process your application. It may take longer (90 days) if your Medi-Cal application is based on disability.
6. You will receive the results of your application via mail.
The letter will inform you whether your Medi-Cal application is approved or declined. However, if you have not received a feedback about your application after 45 days, contact the county social services office.
If you need more information regarding Medi-Cal applications, call the social services office in your county.
Image Source: www.pharmacist.com
Healthcare Coverage in California: A Comprehensive Overview
If you are a resident of California, it is important to be aware of the healthcare coverage options available to you. In this blog post, we will provide a comprehensive overview of the different types of coverage available in the Golden State. We will also discuss the eligibility requirements for each type of coverage, and highlight some of the benefits and drawbacks of each option. So whether you are uninsured and looking for coverage, or you are simply trying to learn more about your options, this blog post is for you!
California has three main types of healthcare coverage. They are private insurance plans, government-sponsored programs like Medicare and Medi-Cal as well as HMOs or “health maintenance organizations” which provide preventive care at low cost but limit access to emergency services unless you pay extra for them
The following list includes all these options along with their regulating agency so that you can find out more information if necessary!
Health Insurance Policies
Health insurance is a great way to protect yourself from the cost of medical care. It can cover everything from routine visits, emergencies and hospitalization if you need it! However there are two types: group policies which may be purchased by employers or associations such as AARP; individual/family plans where consumers buy their own coverage but could face higher monthly premiums because they’re not covered by an employer’s program.
Health Maintenance Organizations (HMOs) and Managed Care Plans
Health plans can be purchased either as “group” or individual/family policies, with the different types being governed by laws in California. For more information about these options visit the DMHC web page: http://www.dmhc.ca.gov/
Self Insured Health Plans
If you’re an employee of a company that has its own health insurance, then it’s important to know the differences between self-insured and other types. Self-insured plans do not have minimum coverages like hospitalization or major surgery; they also can refuse payments for services rendered if there is no profit margin available (this includes dental). The best way? Consult with HR about what kind would work well based on your needs before signing anything!
Medi-Cal
Medi-Cal is a great way to get healthcare coverage without paying for it yourself. This state program covers lower income people in California, including families and single adults who cannot afford private insurance or out of pocket costs like deductibles that might be required if they need major medical treatment (which we all know can happen at any time). The Medi-Cal care organizations provide this benefit through managed care plans which cover not only procedures but also office visits with doctors as well! You don’t have pay anything extra – instead getting covered by an organization just makes sense since you’re already receiving their service freebie.
Medi-Cal Access Program (MCAP)
Middle-income pregnant women who are not covered by insurance or receiving public assistance can get quality healthcare services through MCAP. This program provides low cost health coverage with no deductibles, co payments that meet certain guidelines for income level eligibility requirements to apply
The Middle Class Access Plan (MCAP) was founded in 1996 because we believe everyone should have access affordable preventive care at least once during their lifetime whether they’re working full time versus juggling three jobs just trying make ends meet; graduates college then helping out around the house while also doing some casual laboring on weekends.
How Blockchain Solves Health Care Privacy Crisis
By now everyone knows about Bitcoin and the blockchain. However, not everyone understands how the blockchain works and how the technology can be employed in other fields.
Well, believe it or not, the ground-breaking technology that makes possible to send/receive Bitcoins and another cryptocurrency, can also help Health Care and fix some of its problems.
Do you want to know how? Keep on reading to find out how the blockchain solves the Health Care privacy crisis.
What’s the Health Care crisis?
Have you ever asked yourself what makes a Health Care reform so difficult? You’d be right to think that money has a big role, but it’s not the only problem.
While the Affordable Care Act aims to offer low-priced health insurances and expands Medicaid, it also means that the government is spending more money than ever on Health Care. And if it wants to make reforms, it will need even more money.
However, the big issue is the lack of interoperability. For example, your medal provider keeps your records, but if you fall ill in another hospital in another state, it will take time for the doctors to get access to those records. That time is the difference between life and death in some cases.
Unfortunately, interoperability goes hand at hand with the patient’s privacy and his medical record protection. That’s a subject the government takes very seriously.
That’s why the Health Insurance Portability and Accountability Act (HIPPA) was amended in 2013 to protect the patient’s confidence and to make sure that the data was accessible only on “need to know” basis so that no one can ask to see your files to check your health status.
The act also strongly opposed the idea of storing medical records on centralized servers. That’s not such a bad thing when you think about it, because hackers nowadays hack government’s sites and servers. So, it’s easy for them can access medical records and use them for nefarious purposes.
So, the main question is how to keep the patient’s records private and make interoperability work. If the government can do it, it can improve the efficiency of the Health Care system and cut down expenses.
How could the blockchain solve the Health Care Privacy crisis?
The blockchain technology is a complicated subject, so I’m going to keep it as short and easy to understand as possible. Think about the blockchain as a ledger or a database that is shared between all participants. Before you can add any new information or a block, it has to be checked and verified to ensure that it’s valid.
The blockchain can have numerous application in the Health Care. For example, since the information on the blockchain would be encrypted and validated by the participants, it would be nearly impossible for hackers to gain access to it.
If hackers want to give it a go, they will have to hack the whole system to change something in a file or peek in someone’s records. So, your personal data is going to be far more secure than on a centralized server.
In addition to this, once you add something to the blockchain, you can’t remove it because it’s already connected to the other blocks. So, when you fall ill in another state or a city, doctors would be able to access the blockchain immediately and see your medical records. What’s more, since you can’t change the medical records, it guarantees their integrity.
In this way, doctors will have all the information about your preexisting condition, which can save the patient’s life. Not to mention that it will cut down the medical costs because doctors will narrow down the tests needed to be done.
What’s more, the blockchain will help you upload information from your wearable devices and medical apps, so that you can keep in touch with your doctor.
For example, if you have high blood pressure and you keep tabs on it using a blood pressure app, you can upload the data to the blockchain, and your doctor will review it and suggest how to proceed. That would make Health Care much more efficient.
In addition to this, the blockchain might be useful for:
- Tracking clinical trial information
- Monitoring epidemics
- Analyzing data anonymously
- Keep records of physician licenses
What are the downsides the blockchain technology in Health Care?
According to 8bit Sumo, one of the biggest concerns about using the blockchain to solve the Health Care privacy crisis is that it’s not completely HIPAA compliant and its implementation might require a change in the law.
Also, some critics of the system point out that the data is still not as secure as you would hope. The miners, the people who are going to run the Health Care blockchain, would still have access to the medical files. So, it would have to have some safety measures to prevent anyone from abusing the information.
What’s more, it’s worth remembering that Bitcoin miners get a small portion of Bitcoin for every transaction they validate. So, the miners in the Health Care blockchain would also have to receive some incentive to keep the system working. What’s more, we shouldn’t forget that running such a blockchain would require a significant computing power.
The last thing we shouldn’t forget is that since the system is decentralized, it won’t be under the control of the government. So, critics ask who would be responsible if something goes amiss.
As you can see, the blockchain has many advantages that could be implemented to reform the Health Care and make it more efficient and low-cost. However, there are still some problematic areas to work upon if the government ever hopes to implement the blockchain in the health sector.
What do you think on the subject? Can the blockchain solve the Health Care privacy crisis? Tell us in the comments.
4 signs that indicate when should someone seek medical care for ringworm on the body
Ringworm can give you a nightmare. It is a form of rash in the skin that is caused due to a fungus. The rash looks like a ring. It is a very common type of skin infection. It is contagious; that is, it can easily get transferred from one person to another if that person comes into direct or indirect contact with the affected person. If you suffer from ringworm then you can get some over-the-counter ointment or antifungal medications. But in case of severe cases, you should seek medical care. These are the situations or conditions that indicate that you need medical attention.
- If you see that your condition is not getting any better after applying the over-the-counter medication after one week or the rash is actually spreading more, then you should visit a doctor. You should diagnose your condition to find out what’s wrong with your skin. There is a chance that you might suffer from other skin conditions like psoriasis or eczema.
- Besides having a rash on your skin, if you have a fever of more than 380C or 100.40F then it is an indication that a bacterial secondary infection has occurred. In such case, you should visit the doctor immediately.
- If there is an infection along with the ringworm, then you must go to the emergency department of a hospital. You should go through detailed diagnosis to find out about your skin condition. Symptoms of infections include increased pain and swelling, discharge of pus, etc.
- If you notice patches of skin that look red and bumpy like blisters and feels itchy even after applying nonprescription antifungal medication from two weeks, then you should see a doctor.
Clinical examination is conducted in order to diagnose ringworm. The doctor collects a sample from your skin and checks it under a microscope to look at the fungal growth. As it’s a very common disease, you should know how to get rid of ringworm with home remedies. You can go to a pharmacy and get over-the-counter medicine. A family doctor can also suggest you medication. If your condition gets worse and you see the symptoms just discussed then you should visit a specialist in this area and get a proper diagnosis. Though ringworm is not a serious disease, you should seek medical help immediately if the over-the-counter medication doesn’t improve your condition after a few weeks. If left untreated, it may cause serious skin conditions.