Children's No-Cost and Premium Medi-Cal Services

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Children's No-Cost and Premium Medi-Cal Services


1.

What services are offered?

Comprehensive preventive care services, primary and specialty care, medical office visits, vision and dental care, mental health services, hospitalization and prescription medicines.

2.

Who can be covered?

Children up to their 19th birthday.

3.

Is there an income limit?

Yes.  The income limit depends on the age of the child and the family size.  Below is a summary of the income levels for the No-Cost Medi-Cal program, and for the Optional Targeted Low Income Children (OTLIC) Program.  Depending on the age of your child, your income level, and family size, your child could qualify for OTLIC with or without a premium.  The complete Federal Poverty Level (FPL) Income Chart is available for viewing.

To determine the income limit, locate the family size and the age of the child.

Children's No Cost Medi-Cal Monthly Income Limits

Family Size

Ages 0 to 1
at or below 208%

Ages 1 to 6
at or below 142%

Ages 6 to 19
at or below 133%

1

$2,091

$1,428

$1,337

2

$2,815

$1,922

$1,800

3

$3,540

$2,417

$2,264

4

$4,264

$2,911

$2,727

5

$4,989

$3,406

$3,190

6

$5,714

$3,901

$3,654

7

$6,438

$4,395

$4,117

8

$7,163

$4,890

$4,580

 

Optional Targeted Low Income Children (OTLIC) Program Monthly Income Limits
Family Size Infant 0-1yrs Child 1-6yrs Child 6-19yrs
209-266% FPL* 143-160% FPL* 160+-266% FPL** 134-160% FPL* 160+-266% FPL**
1 $2,674 $1,608 $2,674 $1,608 $2,674
2 $3,600 $2,166 $3,600 $2,166 $3,600
3 $4,527 $2,723 $4,527 $2,723 $4,527
4 $5,453 $3,280 $5,453 $3,280 $5,453
5 $6,380 $3,838 $6,380 $3,838 $6,380
6 $7,307 $4,395 $7,307 $4,395 $7,307
7 $8,233 $4,952 $8,233 $4,952 $8,233
8 $9,160 $5,510 $9,160 $5,510 $9,160
* OTLIC with no premium
** OTLIC with premium

 

4.

Is there a property limit?

No.

5.

Can an individual receive services if he/she has other health insurance?

Yes.

6.

How much does it cost?

There is no cost for the Children's No-Cost Medi-Cal.

Depending on the child's age, family size, and income levels, you may qualify for the OTLIC program with a monthly premium of $13 per child.  See the income limits for more information.

7.

Is citizenship or legal residency required?

As of May 2016 due to Senate Bill 75 (SB 75), regardless of citizenship or satisfactory immigration status, children can receive full coverage up to 19 years of age.

8.

How to file an application?

Apply Online:  At "Your Benefits Now!

Apply By Mail: Applications can be mailed to the Medi-Cal Mail-in Application Office at:  P.O. Box 77267, Los Angeles, CA 90007-9819.

Click on a language to download an application.

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Apply In Person: Visit the nearest District Office.