Medi-Cal

medi cal

Medi-Cal is a health care program for needy residents of California. It provides access to a variety of medical services for those who are eligible.

medi cal

You have many ways to apply for Medi-Cal

  • Call 1-877-652-0734 to have a Medi-Cal application sent to your home(s)
  • Apply online at: C4Yourself
  • Apply in person at any Community Services Agency (CSA) office

Frequently Asked Questions

Medi-Cal offers free or low-cost health coverage for California residents who meet eligibility requirements. Most applicants who apply through Covered California and enroll in Medi-Cal will receive care through managed health plans.

Medi-Cal has always covered low-income children, pregnant women and families. On January 1, 2014, California expanded Medi-Cal eligibility to include low-income adults. When you complete a Covered California application, your eligibility for Medi-Cal will automatically be determined. You can apply for Medi-Cal benefits regardless of your sex, race, religion, color, national origin, sexual orientation, marital status, age, disability, or veteran status.

Medi-Cal has several different programs so each person’s circumstances are unique but in general, anyone can apply. You must also be a resident of Stanislaus County, and willing to provide your Social Security number, immigration/citizenship status, and have verification of identity. Your Case Manager will let you know what other information needs to be provided, depending upon the program(s) you are eligible for.

You have many ways to apply for Medi-Cal

  • Call 1-877-652-0734 to have a Medi-Cal application sent to your home(s)
  • Apply online at: C4Yourself
  • Apply in person at any Community Services Agency (CSA) office
CSA Modesto
251 E. Hackett Road Modesto, CA 95358 1-877-652-0734
CSA Turlock
101 Lander Avenue Turlock, CA 1-877-652-0734
Hughson Collaborative
2413 3rd Street Hughson, CA 1-877-652-0734
West Modesto Community Center
401 Paradise Road, Bldg. E Modesto, CA 1-877-652-0734
East County Service Center
1405 West F Street Ste #1 Oakdale, CA 1-877-652-0734
Scenic
830 Scenic Drive Modesto, CA 1-877-652-0734
West Side Service Center
66 N. El Circulo Patterson, CA 1-877-652-0734

The Community Services Agency offices are open from 8:00am to 5:00pm Monday through Friday.

Individuals applying for MAGI Medi-Cal must provide proof of:

  • Social Security Number
  • California Residency

Individuals applying for MAGI and Other Medi-Cal programs may be asked to provide proof of:

  • Age
  • Income
  • Citizenship/legal resident status*
  • Number of people in your household and tax filing status
  • Other Health Coverage
  • If you have a child with an absent parent, you may be asked to co-operate with the Dept. of Child Support Services for Medical support.
  • Property (for individuals who are blind, disabled, over 65 years old, or applying for Non-MAGI Medi-Cal)
  • Disability
  • Medicare

*Individuals who are unable to provide proof of citizenship/legal resident status may be eligible for restricted Medi-Cal to cover:

  • Pregnancy
  • Emergency services

Individuals who are potentially eligible for Zero Share of Cost Medi-Cal include those who are:

  • A United States Citizen or Legal Resident, and
  • A California Resident, and
  • In a household with Modified Adjusted Gross Income (MAGI) below 138% of the Federal Poverty Level (FPL) for adults and 160% FPL for children.

Note: Income levels are different for pregnant women and disabled or elderly populations.

No, but you have to be an eligible non-citizen (have the legal right to be in the U.S.) to get full scope benefits. If you are an undocumented non-citizen you may be eligible to emergency only services.

You can get Medi-Cal regardless of how much money you get. However, the more income you have the more you may have to pay as a Share of Cost (SOC) before Medi-Cal will help pay for your medical bills. If your income exceeds the MAGI Medi-Cal limit, then you can purchase health insurance through Covered California Plans.

There are no asset or property tests in MAGI Medi-Cal. For Non-MAGI Medi-Cal the property/asset limits vary depending on household size and program starting at $2,000 for an individual and $3,000 for a couple. Some property is exempt, such as one vehicle, furniture, other personal items, burial plots, and the home you live in. A person in Long Term Care may allocate income and property to the spouse at home. You should apply and let your case manager determine if you are property eligible.

If you have an immediate medical need, apply in person at one of our offices. A case manager will assess your situation and determine your eligibility. You may be eligible for a temporary approval of Medi-Cal benefits while your application is being processed.

Yes, if you meet all the other criteria for Medi-Cal benefits. You will be asked to provide a contact address/phone number or you may use the Community Services Agency’s address if you cannot provide an alternate contact.

Yes, the State of California automatically provides Medi-Cal for SSI/SSP recipients. You know you receive SSI/SSP benefits if you receive your Social Security benefits on the first of the month. You do not need to apply for Medi-Cal separately. If you receive regular Social Security and receive your benefits on the third of the month or after, you must apply for Medi-Cal separately. See #3 above.

Medi-Cal benefits are accessed through a Benefit Identification Card (BIC). The BIC works much like any other insurance card. The medical provider will be able to tell whether you are eligible, if you have other insurance that must be billed first and how much your Share of Cost (SOC) is, if any. You should show your BIC anytime you receive medical services or prescriptions, even if you have a SOC. Always find out if the medical provider takes Medi-Cal patients before you go for treatment.

The BIC may not work for various reasons, such as the card may not be active, or the requested services aren’t a Medi-Cal covered benefit. You may call your case manager or 1-877-652-0734 for assistance.

Contact your case manager, go into your local office, or you may request a new card by calling 1-877-652-0734.

Yes, you may apply for Medi-Cal at any time.

Call our automated system at 1-877-652-0734 for case information or to speak to a Customer Service Representative.

Call our automated system at 1-877-652-0734 to speak to a Customer Service Representative.

For many individuals who enroll in Medi-Cal, there is no premium, no co-payment, and no out of pocket cost. Some households will see affordable costs, such as a low monthly premium. For some Medi-Cal children, the monthly premiums are $13 per child up to a family maximum of $39 per month. In general, individuals in Medi-Cal will get the same health benefits available through Covered California at a lower cost.