Medi-Cal & Medicare Coverage

If you currently have no insurance, you may qualify for Medi-Cal or Medicare coverage.

Facts about Medi-Cal

Medi-Cal is an insurance program jointly funded by the state and federal governments. Patients have 90 days from the date of treatment to apply for Medi-Cal; this applies to inpatient and outpatient treatment.

Eligibility is determined by:

  1. Disability due to medical reasons
  2. Number of minor children (under the age of 18) in the home
  3. Inability to return to work for four months or more
  4. Pregnancy
  5. Income
  6. Assets

For more information visit www.medi-cal.ca.gov/.

Facts about Medicare

Medicare is a federally funded health insurance program for people age 65 or older, some people with disabilities under age 65 and people with End-Stage Renal Disease.

Medicare has 2 parts: Part A and Part B. Part A is hospital insurance – most people do not pay for Part A coverage. Part B is medical insurance – most people pay monthly for Part B coverage.

If you qualify for Medicare, you also have the option of choosing a Medicare + Choice plan, which is a managed care plan administered by a private company that replaces your Medicare coverage.

There are limitations on a number of services and items covered by Medicare and Medi-Cal, depending on the plan you have. You are responsible for co-payments, deductibles, and other services not covered. If your Medicare or Medi-Cal coverage is through an HMO, it is important that you bring this to our attention.

For more information regarding Medicare, call (800) 633-4227 (800-Medicare), or visit www.medicare.gov.