What Is Medi-Cal and Who Is It For?
Medi-Cal is California's Medicaid program which can provide free or low-cost health coverage to eligible individuals and families. Funded by both the state and federal government, Medi-Cal ensures that those with special health care needs have access to essential medical care, including doctor visits, hospital stays, prescription medications, preventive care, in-home support, and more.
Medi-Cal is designed for:- Senior citizens 65 and Older (Medi-Cal Beneficiary and their "Well Spouse")
- People with disabilities that a Doctor expects will last for more than a year
- Individuals with certain chronic conditions or long-term care needs
- ...and others
Eligibility is based on income and other factors, and the different programs offer different coverage levels depending on each person's unique situation. With frequent updates to rules and requirements, navigating the system is complex.
How M.R.S. Can Help You Understand Medi-Cal
Understanding Medi-Cal's eligibility criteria, important aspects of the application process, and care coverage levels of the myriad of different Medi-Cal; Home, Community, and Long-Term Care based Programs can feel overwhelming, but that is where M.R.S. helps. Our team specializes in guiding individuals and families through the complexities of the entire Medi-Cal process, ensuring that our clients receive the benefits they qualify for.
M.R.S. can help by:
- Assessing Program eligibility and explaining your Care coverage options
- Assisting with the original formal application and renewal process
- Clarifying expectations of the levels of care provided from Home, Community and Long-Term Care programs and providing contact, directions, and procedures to coach families through the secondary referral processes of those Programs
- Addressing any issues or questions you may have about your Medi-Cal plan
- Helping you navigate managed care plans and provider networks
- Ensure that clients are aware of strategies to avoid D.H.S. Recovery Branch claims against the Medi-Cal beneficiaries Estate for Long Term Care costs paid by Medi-Cal
Whether you are applying for the first time, completing the yearly renewal, attempting to reinstate discontinued coverage, or you are unsure of which benefits the Medi-Cal beneficiary qualifies for, M.R.S. fees can vary depending on the situation, but ultimately, we are here to make the process efficient and save the family from unneeded stress. Our goal is to ensure that the healthcare support needed at Home, in the Community, or in Long Term Care is obtained without the stress of navigating the system alone. We guarantee a successful result to our clients and their families in our Service Agreement.