Medi-Cal is the Medicaid program in California. In fact, it provides more than 6.8 million (or one in six) Californians with insurance coverage. This is considered to be a complex program that provides essential care, long-term and acute care services to a number of beneficiaries, including seniors. Right now, Medicaid provides care for over two-thirds of all residents in a nursing home. If a senior believes they may benefit from this coverage, they should begin the application process. There is some information about the process and what should be done found here.
Any senior who is on SSI will be automatically eligible for Medi-Cal coverage. Other people who are not receiving this may still be eligible for Medi-Cal if they are 65 years of age or older and if they meet the income requirements. A senior cannot make over a certain amount to receive this coverage. When determining eligibility, possessions such as the senior’s car and house are not factored in. If coverage involves a couple, and only one person is going to live in a nursing home or other facility, the person remaining at home does not have to exhaust all resources. Their partner may still be able to receive Medi-Cal benefits.
Those who receive SSI and who need assistance with their application can contact their Social Security caseworker for assistance. For those who are not currently receiving assistance, help is available at the Medi-Cal office, which is located at 1440 Harrison St at 11th street. Those who need further help can also call 415-863-9892 for more information.
If a senior needs help with a denial for Medi-Cal, or discontinuances, then they can contact several local resources, including the San Francisco Health Insurance Counseling and Advocacy Program (HICAP), or Bay Area Legal Aid. These services are knowledgeable about common issues that arise when applying for Medicaid or when trying to continue coverage.
Seniors who are approved for Medi-Cal can receive full or partial payment for the following services: Medical supplies Visits to the doctor or dentist Prescriptions Nursing home care Hospital care Mental health services X-ray services
It is important to speak with a local representative to ensure that the services needed will be covered. This will provide a senior with the information to know whether or not they will be able to pay for the care they require.
For seniors who need help getting to and from medical-related appointments, as well as other transportation services to get around the community, there are several resources available. One of the first things they should do is to contact the Area Agency on Aging by calling (800)-510-2020. Additional resources that could be beneficial for transportation services in the local area include the Federal Transit Administration’s California page and the California Transit Association.
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