Medi-Cal

What you need to Know on Medi-Cal and Home/Community Base Services

Medi-Cal here in California is like Medicaid in the other 49 states.  The program is funded by the state and the federal government.  It is a program to assist low-income persons to pay for medical care.  This could be in Skilled Nursing Facilities or by providing stay at home resources.  The majority of the people also often receive Medicare.  Medi-cal is not related to Medicare.  There are qualifications for both programs Medi-Cal is for Skilled Nursing and Home/Community Base Services.


Check out the eligibility requirements below



MEDI-CAL BENEFITS for Skilled Nursing – 1 January 2021


Average Private Pay Rate (APPR) $10,298 (as of 1 Jan 2020)


Married Couple Income and Assets

  • One House**
  • One Car** (No Limit on Value)
  • (CSRA)**              $130,380 
  • (MMMNA)             $3,260.00

Single Income and Assets

  • One House**
  • One Car** (No Limit on Value)
  • (CSRA)**          $2,000.00
  • (MMMNA)         $35.00

**Look Back for Eligibility // 30 Months Cash Transfers // 60 Months for Trust Transfers

  • If you are 65 years or blind or disabled
  • Meet resource limits ($2000 for single, $130,380 for married). 
  • Income is limited
  • Must be Medically necessary such as needing to be in Skilled nursing Home.
  • You can have one house and one car. Single or married. 
  • Married couple the well spouse at home gets the first $3260.00 of total gross income.  Anything above that is share of cost for the person
    in the Skilled Nursing Home. 

We have education seminars to learn and ask questions.  This is a FREE seminar called Family Training.  You need the education ahead of the crisis. 


MEDI-CAL BENEFITS for Home/Community – 1 January 2021

The Home/Community Medi-Cal is a program to keep you home long with assistance from Medi-Cal and a program called PACE (Program of All-Inclusive Care for the Elderly.  They can Keep you home along with some help from PACE. 

Eligibility are as follows for married and single person. 

To be enrolled into PACE you will need Medi-Cal approved.  So the financial picture is the same as above. 

You must be:

  • At least 55 years old
  • Live safely at home with community support
  • Eligible for skilled nursing facility level of care
  • Living in zip code area where there is a PACE program

What does Medi-Cal
Cover?

  • Some prescriptions
  • Eyeglasses
  • Physician Visits
  • Hearing Aids
  • Adult Day Health Services 
  •  Some medical equipment
  • Some Dental Care
  • Ambulance Services
  • Some Home Health
  • Orthopedic Devices
  • X-Rays  and Lab Costs     

What does Medi-Cal/PACE
Cover?

  • Health Care Team, primary care, hospitalizations       
  • Social Engagement – Meals etc
  • Transportation for medical appointments                            
  • Dental, vision, hearing, dentures, Foot care
  • In-Home Support – Medical and Personal Care          
    Medication Management

What is Your Next Step?

  • Sign up for Free Family Training to learn Medicare, Medi-Cal and PACE
  • Do nothing until you are in crisis. 
  • Spend down to impoverishment to qualify for benefits.
  • Do it yourself (DIY Project)
  • Pre-planning (with qualify advisors and team of professionals)
  • Sign up for a consultation with a team of experts.
  • Put all the puzzle pieces together and give a gift to your family by having a plan in place

We have education seminars where you can learn and ask questions. 
This FREE seminar is called Family Training. 
You need the education ahead of the crisis. 

Go to https://www.advancedwellnessgcm.com/seminar-family-training-workshop/ and signup for the next Family Training.