The Way You Get Your Medi-Cal Benefits is Changing on MMDDYYYY - dpss lacounty 2025

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The document informs Medi-Cal beneficiaries in California about an upcoming change requiring them to enroll in a managed care plan to receive their services. It outlines that this change aims to consolidate Medi-Cal services, assures that Medicare coverage remains unaffected, and details the services provided by the new Medi-Cal health plans. Beneficiaries are encouraged to review their options and consult with healthcare providers regarding their choices.

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Click ‘Get Form’ to open it in the editor.
Review the important information section carefully. This outlines the changes to your Medi-Cal benefits and the necessity of enrolling in a managed care plan.
Locate the assigned Medi-Cal plan name and enrollment date. Ensure you understand which plan you will be enrolled in unless you choose otherwise.
Check the services provided by your Medi-Cal health plan, including Long Term Services and Supports. Make note of any specific services you may need.
If you wish to choose a different health plan, refer to the instructions provided in the upcoming packet mentioned in the document.
Utilize our platform’s features to highlight or annotate important sections for easy reference when discussing with family or healthcare providers.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Can you have both Medi-Cal and Medicaid?

Some people qualify for both Medicare and Medi-Cal and are dual eligible or Medi Medi beneficiaries.

What if my income is too high for Medi-Cal?

If your income is too high for Medi-Cal, you may qualify to purchase health insurance through Covered California. Covered California offers premium assistance. It helps lower the cost of health care for individuals and families who enroll in a Covered California health plan and meet income rules.

What is the 3 month rule for Medi-Cal?

Processing your application can take several weeks because Medi-Cal must first determine eligibility by verifying your income and personal assets before coverage can be approved. You may request Medi-Cal to pay retroactively for the three months prior to the month in which you apply.

Is L.A. Care and Medi-Cal the same?

L.A. Care is a health plan for people who have Medi-Cal in Los Angeles County. L.A. Care works with the State of California to help you get the health care you need. Talk with one of the L.A. Care Member Services representatives to learn more about the health plan and how to make it work for you.

What is the monthly income limit for Medi-Cal in California?

Most single individuals will qualify for Medi-Cal if there income is under $1,676 per month. Most couples will qualify if their income is under $2,267 per month. If you have disabilities, your income can be slightly higher. You can qualify for Medi-Cal even if you have assets.

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What is the maximum income to qualify for Medi-Cal in California?

Medi-Cal Categories You are 19-64 years old and your familys income is at or below 138% of the Federal Poverty Level (FPL) ($21,597 for an individual; $44,367 for a family of four). You are a child 18 or younger and your familys income is at or below 266% of FPL ($85,519 per year for a family of four).