How do I apply for Medical in San Mateo County?

How do I apply for Medical in San Mateo County? 

You can apply for Medi-Cal year-round. Eligibility can take up to 45 days to determine and 90 days to determine for disabled individuals.

How do I apply?

  1. Mail: Human Services Agency, Regional Offices.
  2. Drop-off Application at a Regional Office.
  3. Apply in person at one of our Regional Offices.

Who qualifies for Health Plan of San Mateo? With more than 150,000 members or participants, HPSM serves all of the County’s Medi-Cal eligible residents, nearly 9,000 members eligible for both Medicare and Medi-Cal, as well as families, seniors, people with disabilities and children with complex medical conditions.

How many beds does San Mateo Medical Center have? We are licensed to operate 448 beds including a 62-bed medical/surgical unit, a 7-bed intensive care unit, a 34-bed inpatient psychiatric services unit and 64 skilled nursing beds in San Mateo.

Is Health Plan of San Mateo HMO? Health Plan of San Mateo provides several health insurance options for individuals or families. Programs include Medi-Cal, CareAdvantage, HealthWorx HMO, Healthy Kids HMO, and the San Mateo County ACE Program.

Does Kaiser accept Health Plan of San Mateo?

Health Plan of San Mateo works with the State of California to help you get the health care you need. Kaiser Permanente is your health care provider through Health Plan of San Mateo.

Is Health Plan of San Mateo HMO or PPO?

HMOs vary in design. Depending on the type of the HMO, services may be provided in a central facility, or in a physician’s own office (as with IPAs.) In San Mateo County the Health Plan of San Mateo functions as Page 3 the HMO for Medi-Cal, Healthy Kids and HealthWorx.

Is Health Plan of San Mateo Medicare?

HPSM is the sole Cal MediConnect plan serving Medicare- Medicaid enrollees in San Mateo County.

How do I get Kaiser medical?

Complete an application. You can go to www.coveredca.com for an application, or contact your county Health and Human Services. Check the status of your application by contacting the county where you applied. Once you are approved by the county, select your health care plan and/or provider through the State.

Can I have Kaiser and Medi-Cal?

Free or low-cost coverage

All of our available doctors accept Kaiser Permanente members with Medi-Cal coverage. Get care from a doctor or specialist – including appointments, exams, and treatment. Your child can get regular check-ups – including shots and vaccines.

Does Kaiser Medi-Cal cover dental?

Medi-Cal offers comprehensive preventative and restorative dental benefits to both children and adults. You can find a Medi-Cal dentist on the ​ Medi-Cal Dental Provider Referral List, or by calling 1-800-322-6384.

Do I have to pay back Medi-Cal?

The Medi-Cal program must seek repayment from the estates of certain deceased Medi-Cal members. Repayment only applies to benefits received by these members on or after their 55th birthday and who own assets at the time of death. If a deceased member owns nothing when they die, nothing will be owed.

What is the Medi-Cal income limit for 2022?

How to Qualify. To find out if you qualify for one of Medi-Cal’s programs, look at your countable asset levels. As of July 1, 2022, you may have up to $130,000 in assets as an individual, up to $195,000 in assets as a couple, and an additional $65,000 for each family member.

Does Medi-Cal check your bank account?

Because of this look back period, the agency that governs the state’s Medicaid program will ask for financial statements (checking, savings, IRA, etc.) for 60-months immediately preceeding to one’s application date. (Again, 30-months in California).

How much money can I make and keep Medi-Cal?

To qualify for free Medi-Cal coverage, you need to earn less than 138% of the poverty level, based on the number of people who live in your home. The income limits based on household size are: One person: $17,609. Two people: $23,792.

What will disqualify you from Medi-Cal?

The Medi-Cal program determines eligibility for benefits on a “means” tested basis. If a Medi-Cal applicant’s property/assets are over the Medi-Cal property limit, the applicant will not be eligible for Medi-Cal unless they lower their property/assets according to the program rules.

Who is not eligible for Medi-Cal?

All immigrant adults who are 50 years old or older can get Medi-Cal coverage, if they meet all other program requirements. Undocumented adults who are 26 to 49 years old do not qualify for full Medi-Cal coverage, though they may qualify for Medi-Cal coverage for emergencies or during pregnancy.

What is the maximum income to qualify for Medi-Cal 2021?

A single adult can earn up to $17,775 in 2021 and still qualify for Medi-Cal. A single adult with one dependent can earn up to $46,338 annually and the child will still be eligible for Medi-Cal.

Is Medi-Cal based on gross or net income?

The Modified Adjusted Gross Income (MAGI) Medi-Cal method uses Federal tax rules to decide if you qualify based on how you file your taxes and your countable income.

Can you own a home and get Medi-Cal?

First, if you own a home, you can still qualify for Medi-Cal. California has one of the best health services in this regard because California does not ask that you sell your home and pay for your medical needs, but rather it will front all the medical bills for you while you are alive.

How does Medi-Cal verify income?

Documentation of income might include any of the following: Most current pay stubs, award letter for Social Security, SSI, Railroad Retirement, or VA, pension statement, alimony checks, dividend checks, a written statement from one’s employer or from a family member who is providing support, or an income tax return.

What happens if you don’t report income to Medi-Cal?

It carries a potential county jail sentence of one (1) year if charged as a misdemeanor, and a potential county jail sentence of sixteen (16) months, two (2) years or three (3) years if charged as a felony.


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