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Medicaid in San Jose

Medicaid provides financial assistance to many San Jose seniors. In fact, in the state of California, Medicaid is a financial resource that covers more than half of the nursing home costs in the state and also subsidizes home health care, adult day care, medical non-emergency transport, and hospice care for seniors. If you are curious about Medicaid benefits and seeing whether or not you may qualify, here are the basic program guidelines in the San Jose area.

Who is able to receive benefits through California Medicaid?

Medicaid is available in the state of California to seniors over the age of 65 and adults diagnosed with long-term disabilities with a prognosis of the disability lasting over a year and needing at least 30 consecutive days of medical care. Other criteria include having a low-income and limited assets not including your home value and monthly care expenditures.

Where do you apply for Medicaid or submit a claim?

Access the Medi-Cal web portal for all of your Medicaid resources. The California Medicaid Services website allows you to create a personal account with a username and password to do a number of things, including apply for benefits or research a claim online.

For seniors who want to work with an employee in a local office, you can visit the San Jose Department of Aging and Adult services office in person at 333 W. Julian Street, or call them directly at (408)-755-7600.

The County of Santa Clara Social Services Agency website has a number of additional helpful resources for seniors on their Medi-Cal application and benefits.

In Santa Clara county, seniors also have access to the Health Insurance Counseling Advocacy Program (HICAP). The advocacy program is designed to assist with applying for coverage, understanding the requirements, and getting approved for benefits. The San Jose office can be reached by phone at (408)-350-3200 or in person at 2115 The Alameda.

What type of coverage can California seniors expect under Medicaid?

Standard medical care is covered by the Medi-Cal program. This can include things like visits to your primary care and specialist doctors, hospital visits, dental needs, prescription medication, lab work, and x-rays. Seniors in need of in-home medical care, adult day programs, long-term care, and hospice programs may also receive funding through Medicaid. Seniors with long-term nursing home care needs will need to choose a Medicaid-approved facility. The easiest way to determine if the provider accepts Medicaid is to ask when touring the facility. You can also check out the Medi-Cal provider listings on their website for a directory of nursing home and adult day services.

Driving Services for medical appointments in San Jose

Medicare offers non-emergency medical transportation with prior approval as part of their services. In Santa Clara County, OUTREACH is a not-for-profit organization who assists seniors with their transportation needs. You can download their guide here for a list of their suggested driving services to safely get you to and from your medical appointments. Make sure that your transportation is approved my Medi-Cal and your arrangements are made a few days in advance of your appointment.

Learn more about Financial Assistance for San Jose Seniors here:

San Jose Veterans Benefits

Medicare in San Jose

Social Security for San Jose Seniors

Top San Jose Senior Discounts

San Jose Family Caregiver Benefits

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