Services covered by Medi-Cal include outpatient mental health services such as individual or group counseling, outpatient specialty mental health services, inpatient mental health services, outpatient substance use disorder services, residential treatment services, and voluntary inpatient detoxification.
Is Medi-Cal the same as CalOptima?
CalOptima provides health care coverage for Orange County residents who are eligible for full Medi-Cal. Once enrolled, we will work with you to find the right health care providers to meet your needs. We also have many special programs to help you maintain your health.
How do I get a therapist through Medi-Cal?
If you are a Medi-Cal member and need help with mental health or substance use services, please call CalOptima Behavioral Health at 1-855-877-3885, 24 hours a day, 7 days a week. TDD/TTY users can call toll-free at 1-800-735-2929.
How do I check my CalOptima coverage?
Use these resources to verify member eligibility and benefits:
- CalOptima Interactive Voice Response (IVR) Call it at 800-463-0935.
- Automated Eligibility Verification System (AEVS) Call it at 800-456-2387 (Medi-Cal only).
- Point of service (POS) help desk. Call 800-541-5555 only for Medi-Cal.
Does Medi-Cal cover behavioral health? – Related Questions
Does CalOptima pay for gym membership?
Health and Fitness Benefits
Health Club Membership/Fitness $0 The fitness benefit includes a membership to a contracted gym. Members may elect to receive up to two (2) home fitness kits in place of a gym membership.
Is Kaiser part of CalOptima?
Kaiser Permanente is your health care provider through CalOptima.
How do I check my Medi-Cal coverage online?
Where Can I Access My Medi-Cal Member Services? You can access your member services online through your plan’s website and the Covered California website. Each service manages different aspects of your coverage. Also, your local county office will take care of specific parts of your Medi-Cal membership.
How do I know what plan I have with Medi-Cal?
For a list of Medi-Cal health plans in your county, go to the Compare medical plans and dental plans page. You may also call Health Care Options (HCO) toll free at 1-800-430-4263 (TTY 1-800-430-7077), from 8 a.m. to 6 p.m. PT, Monday through Friday, except holidays.
Can I find my CalOptima card online?
The member portal is a secure online website where you have 24-hour access to CalOptima from anywhere with an internet connection. By having a secure username and password, you can view your personal information and do things like: Request a member ID card. Print a temporary member ID card.
What does my Medi-Cal plan cover?
Medi-Cal covers most medically necessary care. This includes doctor and dentist appointments, prescription drugs, vision care, family planning, mental health care, and drug or alcohol treatment. Medi-Cal also covers transportation to these services.
What does Medi-Cal cover free?
Medi-Cal currently provides a core set of health benefits, including doctor visits, hospital care, immunization, pregnancy-related services and nursing home care. The Affordable Care Act ensures all Medi-Cal health plans offer what are known as Essential Health Benefits (EHB).
Can I go to Kaiser with Medi-Cal?
Individuals who qualify for Medi-Cal will have no or low monthly premiums, no copays, and no out-of-pocket costs for most covered services. At Kaiser Permanente, you have a wide network of doctors and specialists to choose from. All of our available doctors accept Kaiser Permanente members with Medi-Cal coverage.
What are the two types of Medi-Cal?
This is a guidebook for people with disabilities and seniors who have Medi-Cal. This guidebook explains the two kinds of Medi-Cal: Regular Medi-Cal and Medi-Cal Health Plans.
What is the income limit for Medi-Cal 2022?
According to Covered California income guidelines and salary restrictions, if an individual makes less than $47,520 per year or if a family of four earns wages less than $97,200 per year, then they qualify for government assistance based on their income.
Does Medi-Cal check bank accounts?
While Medicaid agencies do not have independent access to a Medicaid recipient’s financial statements, Medicaid does an annual update to make sure a Medicaid recipient still meets the financial eligibility requirements. Furthermore, a Medicaid agency can ask for bank statements at any time, not just on an annual basis.
How much money can you have in the bank and still qualify for Medi-Cal?
Q: What is the Asset Limit Elimination? Te Medi-Cal program applies an asset limit of $2,000 for an individual and $3,000 for a couple for adults over age 65, persons under age 65 with a disability, and residents of long-term care facilities enrolled in Medi-Cal.
What is too much income for Medi-Cal?
On July 1, 2022, Medi-Cal asset limits increased to $130,000 for individuals, $195,000 for couples.
What is the highest income to qualify for Medi-Cal?
Medi-Cal does have the option to review an applicant’s income on an annual basis. For a single adult, the monthly Medi-Cal income was $1,482. In 2022, the monthly income will increase to $1,564. In other words, an adult can earn up to $1,564 per month and still qualify for no cost Medi-Cal.
Can I have a savings account and still qualify for Medi-Cal?
For example: A Medi-Cal applicant whose total non-exempt property consists of a savings account with a balance of $3,300 in a month must reduce the savings account to $2,000 in that month. In this same situation, where there is a couple, the savings must be reduced to $3,000.
Does Medi-Cal check your assets?
4. How to Qualify. To find out if you qualify for one of Medi-Cal’s programs, look at your countable asset levels. As of July 1, 2022, you may have up to $130,000 in assets as an individual, up to $195,000 in assets as a couple, and an additional $65,000 for each family member.
