The Community Medical Centers Healthcare Network - Central California
 

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. Medi-Cal offers free or low-cost health coverage for California residents who meet eligibility requirements. You can apply for Medi-Cal benefits regardless of your gender, race, religion, color, national origin, sexual orientation, marital status, age, disability or veteran status.
 
Medi-Cal benefits include the same comprehensive set of benefits known as "essential health benefits.”
 
Essential health benefits:
  • Outpatient (ambulatory) services
  • Emergency services
  • Hospitalization
  • Maternity and newborn care
  • Mental health and substance use disorder services, including behavioral health treatment
  • Prescription drugs
  • Programs such as physical and occupational therapy (known as rehabilitative and  habilitative services) and devices
  • Laboratory services
  • Preventive and wellness services and chronic disease management
  • Children’s (pediatric) services, including oral and vision care

For more information regarding Medi-Cal call:
(916) 552-9200
or 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 4 parts:

Medicare Part A (Hospital Insurance) helps cover:
  • Inpatient care in hospitals
  • Skilled nursing facility care
  • Hospice care
  • Home health care

Medicare Part B (Medical Insurance) helps cover:
  • Services from doctors and other health care providers
  • Outpatient care
  • Home health care
  • Durable medical equipment
  • Some preventive services

Medicare Part C (Medicare Advantage):
  • Includes all benefits and services covered under Part A and Part B
  • Usually includes Medicare prescription drug coverage (Part D) as part of the plan
  • Run by Medicare-approved private insurance companies
  • May include extra benefits and services for an extra cost

Medicare Part D (Medicare prescription drug coverage):
  • Helps cover the cost of prescription drugs
  • Run by Medicare-approved private insurance companies
  • May help lower your prescription drug costs and help protect against higher costs in the future

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

For more information regarding Medicare call:
1-800-633-4227
1-800-MEDICARE
24 hours a day, 7 days a week
or visit www.medicare.gov