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Medi-Cal pays for health care for certain eligible residents. Medi-Cal is the California state version of the Federal Medicaid program. Medi-Cal is funded by state and federal taxes. CalWORKS families are automatically eligible for Medi-Cal. Any person has the right to apply for Medi-Cal. Even if you are working, own a home or are married, you may be eligible for Medi-Cal. Certain conditions must be met to qualify for the program. Because there are many facets to Medi-Cal, it is important for anyone in need to contact and speak to a Medi-Cal Eligibility Worker. Special Programs: Pregnant women who cannot afford to pay for health care may be eligible for Medi-Cal to help pay for medical expenses for the mother and baby. Many times Medi-Cal is available at no cost to the mother, even if she has income. Once eligible for Medi-Cal, increases in a family’s income will not be counted for pregnancy related services. Participants may be eligible during pregnancy and for the baby’s first year of life. Pregnancy is considered an immediate medical need. A person applying for Medi-Cal should tell the Eligibility Worker if she has a medical appointment soon. Children may get Medi-Cal at no cost, if income requirements are met. There are various programs available depending on the age of the child: Infants Children ages 1 through 6 Children ages 6 through 19 Confidential Medical Services Available to Persons Under Age 21, unmarried, and living with their parents may receive certain confidential medical services. Under the Minor Consent Program. Parental consent is not needed to determine eligibility. Medical services under the special program are those, which relate to family planning, pregnancy, drug/alcohol abuse, venereal disease and other sexually transmitted diseases, sexual assault, and patient mental health, which includes child, or sexual abuse. What Services are Available with Medi-Cal?: Medi-Cal pays for many kinds of medical expenses. Your medical provider will know what services are available, cost and what requires a "co-payment". A co-payment of $1.00 may be required each time a medical service is received, and $5.00 may be required for a hospital emergency room visit if an emergency service is not needed. County Medical Services Program (CMSP) CMSP is a county medical assistance program that serves the Medically Indigent Adult, ages 21-64 who are not eligible for Medi-Cal, but who are unable to pay for their health services. CMSP is funded and administered by the county. CMSP is not a Medi-Cal program. San Benito County Medi-Cal Office 1111 San Felipe Rd. Suite 206 Hollister, CA 95023 (831) 636-4180 TTY for Speech/Hearing Impaired (831) 637-7983 or Call California Relay Service at: TTY Calls: 1-800-735-2929 Speech to Speech Calls use: 1-800-854-7784 |