Medi-Cal forms & documents 2025

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Versions Form popularity Fillable & printable
2018 4.9 Satisfied (57 Votes)
2017 4.6 Satisfied (28 Votes)
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What information do I need? California Drivers License or Identification Card. Proof of California Residency. Immigration status. Birth Certificates, passports, naturalization certificates. Social Security and Medicare Card.
You will need to bring current proof of identification, income, expenses, assests, disability, and support.
If you received a renewal form in the mail, you may submit your information by mail, phone, in person, or online to help avoid a gap in your Medi-Cal coverage.
Retroactive Medi-Cal covers unpaid medical expenses from the three months prior to the month you apply for Medi-Cal. If you have unpaid bills from the three previous months, enter that information during the application process. If you qualify for Medi-Cal, you will also be evaluated for retroactive coverage.
To apply for Medicare, youll need: Your Social Security Card. Your original birth certificate. Proof of U.S citizenship or legal citizenship status documentation if you were not born in the U.S. A copy of your W-2 form.
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