Medi-Cal

There are generally two kinda of Medi-Cal coverages: full scope and restricted scope:

• Full scope benefits generally provides medical, dental, mental health, vision (eye) care, drugs your doctor orders, and more.  Full scope Medi-Cal and CMSP benefits are available to individuals who meet all eligibility criteria and are either United States citizens/nationals or have satisfactory immigration status.
• Restricted scope benefits provide limited health care coverage such as emergency services and pregnancy-related services. Restricted scope Medi-Cal and CMSP benefits are available to individuals who meet the eligibility criteria and whose immigration status has not been determined, who are not United States citizens/nationals, or who do not have satisfactory immigration status.

Important things to note about full scope coverage and restricted scope coverage:

• Effective May 1, 2016, all children under the age of 19 are eligible for full-scope Medi-Cal benefits regardless of immigration status, as long as they meet all other eligibility requirements.
• Effective January 1, 2020, under the Young Adult Expansion policy change, all young adults under the age of 26 are eligible for full scope Medi-Cal benefits regardless of immigration status, as long as they meet all other eligibility requirements.
• Effective May 1, 2022, under the Older Adult Expansion policy change, all adults age 50 and older are eligible for full scope Medi-Cal benefits regardless of immigration status, as long as they meet all other eligibility requirements.
• Effective January 1, 2024, under the Adult Expansioni policy change, all adults age 26 through 49 years of age are eligible for full socpe Medi-Cal benefits regardless of immigration status, as long as they meet all other eligibility requirements.

You will get a letter in the mail. The letter will tell you if your Medi-Cal coverage was renewed automatically or if your county needs more information to renew your Medi-Cal. If you receive a renewal packet or a letter asking for more information, you may submit the information by mail, phone, in person, or online. Counties will mail you a letter about your Medi-Cal eligibility. You may need to complete a renewal form. The letter from your county should arrive around the same time as when you have received similar letters in past years. For example, if your Medi-Cal renewal was due in April in past years, you should watch for a letter from your county in the two months before April.

Medi-Cal is California's Medicaid program. Medi-Cal provides(link is external) free or low-cost medical, vision, and dental services(link is external) for individuals and families who live in California and meet all eligibility criteria. People who receive Medi-Cal in Marin include low-income adults, families with children, seniors, persons with disabilities, children in foster care, former foster youth up to age 26, pregnant persons, etc. For more information, click here for English and here for Spanish.

If you moved recently, or if any of your contact information, like your phone number or email address, has changed, report your changes to your local county office to make sure you get important information about your Medi-Cal coverage. If you got a new job or your income has changed, be prepared to provide verifications. Check your mail – Counties will mail you a letter about your Medi-Cal eligibility. You may need to complete a renewal form. If you're sent a renewal form, submit your information by mail, phone, in-person, or online, so you don't lose your coverage. Create or check your online account – Covered California, BenefitsCal, or MyBenefitsCalWIN to sign up to get text or email alerts about your case. You may submit renewals or requested information online.

There are multiple convenient ways you can apply for Medi-Cal and CMSP, including:

• Online: www.benefitscal.com(link is external) or www.coveredca.com(link is external)
• By Phone: (877) 410-8817
• In person:
• 120 N. Redwood Drive, San Rafael, CA 94903
• 3240 Kerner Blvd., San Rafael, CA 94901
• 1 6th St., Point Reyes Station, CA 94956
• By fax: (415) 473-355
• By mail: PO Box 4160, San Rafael, CA 94913