How to apply for and enroll in Medi-Cal – Part 2

Summary

This educational series from the Health Access Program provides essential guidance on applying for medical coverage in California. It outlines various application methods—online, in-person, and by phone—highlighting necessary documents like proof of identity and income. Viewers learn about the verification process, how to choose a health plan, and the importance of selecting a primary care provider. Additionally, the video covers benefits like dental and vision coverage, interpretation services, and transportation for medical appointments. Overall, it aims to empower individuals with knowledge to navigate their health coverage options effectively.

Takeaways

• 😀 You can apply for medical coverage online through the Benefits Cal website, which will be available in all counties by the end of 2023.
• 📞 Applications can also be made in person at local County Social Services offices or over the phone, with interpretation services available in multiple languages.
• 📝 Essential documents for application include proof of identity, citizenship or immigration status, income, and California residency.
• ⏳ The entire application process takes about 45 days, during which you may be contacted for additional verification.
• 💳 Upon approval, you will receive a Benefits Identification Card (BIC) to start using your medical benefits.
• 🏥 After receiving your BIC, you must choose a health plan within 30 days, as most medical plans are managed care plans similar to HMOs.
• 🔍 When selecting a health plan, consider whether your current doctor is in-network, proximity of providers, language accessibility, and recommendations from family or friends.
• 👩‍⚕️ You can select a Primary Care Provider (PCP) or one will be assigned to you if you do not choose one.
• 🚗 Non-emergency medical transportation (NEMT) and non-medical transportation (NMT) options are available for getting to appointments, with varying requirements for requests.
• 🦷 Dental and vision coverage are included for full-scope medical beneficiaries, with specific options for managed care plans.

Q & A

What are the different ways to apply for medical coverage?

You can apply online through the Benefits Cal website, in person at your local County Social Services office, or over the phone by calling your County office.

What documents do I need to provide when applying for medical coverage?

You need proof of identity, proof of citizenship or immigration status, proof of income, and proof of California residency. If you don't have some documents, you can still apply.

How long does the application process take?

The entire process from receiving your completed application to getting your Benefits Identification Card typically takes about 45 days.

What happens after I receive my Benefits Identification Card?

You will initially be covered under fee-for-service medical and will receive a Health Plan Selection packet within 45 days, from which you must choose a health plan within 30 days.

Are there any costs associated with enrolling in medical coverage?

For many individuals, there are no premiums, co-payments, or out-of-pocket costs associated with enrolling in medical coverage.

How can I choose a primary care provider (PCP)?

You can select a PCP by providing their National Provider Identifier number or have one assigned to you by your health plan.

What should I do if I need interpretation services?

You are entitled to request interpretation services, as all health plans must provide qualified interpreters at no cost to you.

What types of transportation services does medical coverage offer?

Medical coverage offers non-emergency medical transportation (NEMT) for those who cannot use public transportation and non-medical transportation (NMT) for individuals who lack other means of getting to appointments.

How do I renew my medical coverage each year?

Coverage is usually renewed automatically, but you may need to review and return a renewal form if requested by the county.

What happens if I need to report a change in my circumstances?

You must report any changes, such as address or income, to your County Social Services office within 10 days, even if it's been more than that timeframe.