Medi-Cal

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Goal


The goal of Medi-Cal is to respond to the health care coverage needs of a growing number of uninsured individuals, and to address the need of supplemental coverage for individuals whose insurance premiums and deductibles are too costly.

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About the Program


In California, each county is responsible for administering Medi-Cal eligibility and for interpreting state regulations. In general, individuals who are eligible for Medi-Cal benefits are low-income or have limited means to pay for the cost of health care. Medi-Cal has multiple programs one or a family may qualify for, please see Program Requirements below for some general guidelines. 

Program Requirements
Medi-Cal - Modified Adjusted Gross Income

  • This program is income based by family size (Year 2020 figures)
    Family Size​ ​138% Poverty Level
    ​1 $​17,609 Gross/Annually
    ​2 ​23,792
    3 29,974
    4 36,156
    5 42,339
    6 48,521
    7 54,704
    8 60,886
    9 67,068
    10 73,251
Medi-Cal - Non-Modified Adjusted Gross Income (Full Hierarchy)
  • Age 65 or older
  • Meet Social Security’s definition of a blind or disabled individual
  • Families with children by qualify as long as deprivation exists such as meeting one of the following criteria:
    • Absent parent
    • Incapacitated parent (disabled more than 30 days, but not permanent)
    • Disabled parent
    • Deceased parent
    • Primary wage earner working less than 100 hours or income less than 100% of federal poverty level
  • Children under the age of 21
  • Pregnant women

Covered Services


  • Medical
  • Dental
  • Vision (children)
  • Prescription