How to Check if my Medi-cal is Active

Medi-Cal is a state-federal program that offers free or low-cost health coverage to Californians with low family incomes.

Prior to the Affordable Care Act (ACA), Medi-Cal served low-income families and children, the elderly, and people with disabilities. Under the ACA, California lawmakers expanded the program to include low-income adults without children or a qualifying disability starting in 2014. 

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Medi-cal Eligibility Criteria

The eligibility criteria for Medi-cal are split into 4 categories that speak to different audiences.

• For adults: Adults must have an annual income of less than $17,250 for a single adult (138% of the federal poverty level or FPL) and satisfactory immigration status.

• For pregnant and postpartum women: Pregnant and postpartum women with incomes up to $68,700 for a family of three (322% FPL) are eligible, though women with incomes just below this level must make financial contributions.

• For Children: Children under the age of 19 are eligible if their family income is less than $56,750 (266% FPL) for a family of three, regardless of immigration status.

• Others: Undocumented adults are eligible for Medi-Cal in limited circumstances, such as medical emergencies or pregnancy.

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Four Ways to Check if your Medi-cal is Active

1. Covered California website: You can also apply to Medi-Cal and check your status on the Covered California website

2. Call Medi-cal directly: You can check your Medi-Cal eligibility by dialing (800) 541-5555. If you are calling from outside of California, dial (916) 636-1980.

3. Send an inquiry by Mail: Send a written inquiry to the Medi-Cal Eligibility Division, P.O. Box 997417, MS 4607, Sacramento, CA 95899-7417. Explain in the letter that you have applied for Medi-Cal and would like to know the status of your application. Include your name, address, phone number, Social Security number, date of birth, and application submission date (if known).

4. Visit the Agency In Person: Go to the social service agency assigned to your jurisdiction and request an update on your application.

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Originally posted on September 16, 2022 @ 1:23 pm