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Click ‘Get Form’ to open it in the editor.
Begin with Section 1, providing personal details such as your last name, first name, and home address. Ensure you do not list a P.O. Box unless you are homeless.
In Section 2, list information about family members or children in your care. Fill in their names, relationships, and relevant details like gender and marital status.
Proceed to Section 3 to provide information about income sources for all listed individuals. Clearly indicate how much income is received and how often.
Complete Sections 4 through 8 by answering questions regarding assets, health coverage, and any previous Medi-Cal benefits received.
Finally, sign and date the application in Section 9 to certify that all information provided is accurate.
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You may apply for Medi-Cal online via BenefitsCal, in person at your local offices, via mail, over the phone, or by fax. The easiest and quickest way to apply for CalWORKs, CalFresh and/or Medi-Cal is online at .benefitscal.com.
How to apply for Medi-Cal in San Luis Obispo county?
You can apply for Medi-Cal by: Phone, Fax, In Person. See the Locations, directions and hours of operations for each office below. Online. .coveredca.com or BenefitsCal.com.
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.
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).
What documents do I need to apply for Medi-Cal in California?
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.
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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.
Related links
Campus Health Wellbeing - Cal Poly, San Luis Obispo
Medi-Cal Insurance. Medi-Cal is Californias Medicaid program. This is a public health insurance program that provides free or low-cost medical services for
Adults over the age of 65 and those that are disabled can be eligible for Medi-Cal without an income limit. For the current income limits and other eligibility
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