Frequently Asked Questions About Medi-Cal

Medi-Cal is a program that provides medical services to people with low incomes. It helps pay for doctor’s visits, prescription drugs, dental care, and rehabilitation.

It also pays for long-term care in nursing homes, which Medicare does not cover. To be eligible for Medi-Cal, you must meet income and residency requirements.

What is Medi-Cal?

Medi-Cal is a healthcare program for California residents with low incomes. It can pay for doctor’s visits, medication, dental screenings, rehabilitation, surgery, and hospital stays.

Medi-Cal also pays for nursing home (long-term care) care, which can help you stay at home or in a community setting. In addition, you may be eligible for free or low-cost Riverside county Medi-Cal, depending on your income and family size.

How do I apply for Medi-Cal?

Generally, you can apply for Medi-Cal by visiting your local county welfare office or completing an online application through Covered California. You will also receive a paper application from your county welfare office that you must complete and submit with documentation.

In addition to your income, you may need to provide other information about your family. For example, if you have children, you’ll need to provide proof of their birth certificates.

Suppose you have other insurance coverage, such as your employer’s health plan or a federal program like Medicare. In that case, you may be required to show that you meet specific eligibility requirements for that insurance.

How do I find a Medi-Cal provider?

Medi-Cal is a state-run program that provides health care coverage to Californians with limited incomes. If you are a member, you can choose from various health plans, including fee-for-service (FFS) and managed care options.

One of the best places to identify a Medi-Cal provider is through the web portal, which was created to help providers and beneficiaries with the application process. You can use this site to search for a doctor, dentist, or other medical provider using your National Provider Identifier (NPI) and check to see if your current provider accepts your new health plan. The portal also offers other cool features like a calendar of events and news from the Department of Health Care Services (DHCS). It is a valuable resource that can help you make informed choices regarding your health.

How do I change my Medi-Cal provider?

Most Medi-Cal programs require you to choose a medical plan. Choosing the best one for you and your family might be hard, but it doesn’t have to be. A well-chosen health plan can help you save money and stay healthy. For example, some managed care plans will even pay for routine checkups, tests, and shots to keep you and your family on the right track. Selecting the correct plan for you and your family may save you hundreds of dollars every month on health insurance expenses while also increasing your chances of survival in the event of a sickness or injury.

How do I get a referral to a specialist?

Whether or not you need a referral to see a specialist depends on your health plan and the type of managed care network it uses. If you have an HMO or POS plan, your primary care doctor (PCP) will likely refer you to a specialist after you’ve visited them first.

The primary care physician will also communicate with the specialist, letting them know your medical history and describing the nature of your problem. The specialist will then send a report back to your PCP, describing the outcome of your visit and their recommendations for follow-up care or further treatment.

Getting a referral is integral to your healthcare journey, but it doesn’t have to be a hassle. Your primary care provider will be your advocate and ensure you get the care you need, so don’t hesitate to ask for a referral from them.

How do I get a prescription refill?

You can get a prescription refill by calling the pharmacy or using their automated phone or online system. Alternatively, you can use a smartphone app to request a refill anytime, day or night.

Having a prescription filled can be a lifesaver for people with chronic medical conditions. However, it can also be a hassle.

To get a refill, you need to know the name of the medicine, its generic or brand name, and your prescription number. The numbers are usually printed on the medicine bottle or packaging.

When you call in your refill, it’s essential to give the pharmacist your insurance information and discount cards if you have them. It helps them process your refill quickly and efficiently.

The pharmacy may also ask you questions about how you take medicine. Taking your time and asking your questions will help the pharmacist ensure you understand how to use your medicine properly.

How do I get a referral to a mental health provider?

A referral is a document from your primary care physician that says it’s medically necessary to visit a specialist. It can include a mental health provider.

Depending on your state, there may be rules about written referrals, when you need prior authorization for a specialist visit, and the cost of a specialist’s services. You can get more information about these rules by asking your provider or calling your state’s Medicaid office.

Medi-Cal covers mental health evaluation and treatment, including psychological testing. These services are often provided through a managed care plan or county-level Specialty Mental Health Services (SMHS).