Frequently Asked Questions
What is Medi-Cal?
Medi-Cal is California's Medicaid program, providing health coverage to eligible individuals and families throughout the state.
What services does Medi-Cal cover?
Medi-Cal covers a wide range of services, including doctor visits, hospital care, prescriptions, dental, vision, mental health, ambulance transportation, and long-term, just to name a few.
Medi-Cal Consulting Services (MCS) helps you understand your benefits and how to make the most of them.
What is Share of Cost (SOC)?
Share of Cost (SOC) is similar to a monthly deductible. It’s the amount determined by Medi-Cal that the beneficiary is responsible for paying towards their medical expenses each month. Once the SOC is fulfilled, any remaining medical expenses will be billed to Medi-Cal. If there are no medical expenses, no SOC is required. It’s worth noting that the SOC is paid directly to the provider, not Medi-Cal. MCS is highly skilled at estimating applicants' SOC and can advise on strategies to reduce or eliminate it. MCS can get you the best possible outcome.
How long does this whole process take?
By regulations, the state has 45 days to respond to a Medi-Cal application- but that deadline is often missed. That’s where we come in. MCS files an appeal and represents your case in front of an administrative law judge to compel the county to act. Having an experienced advocate on your side can make all the difference. Our commitment to you is backed by a 100% service guarantee in writing.
Is there an open enrollment period for Medi-Cal?
No, you apply for Medi-Cal at any time during the year. Unlike Covered California and Medicare plans, Medi-Cal has no open enrollment period.
Will Medi-Cal take my house?
Estate recovery can occur after the death of the beneficiary and spouse. If your estate is properly set up to avoid probate, there is generally no problem. No probate means No lien. Consult with MCS for guidance.
What if the applicant passes during the process?
We will take a close look at your case, and since every situation is different, several factors will help us decide whether it makes sense to move forward. Once Medi-Cal processes the application, they will approve benefits retroactively, including the month in which your loved one passed. This is called a closed period of eligibility.
What are the income limits for eligibility?
There are no income restrictions for traditional Medi-Cal. Income is solely considered to determine the Share of Cost (SOC). To learn more about income thresholds and the benefits of Medi-Cal, contact MCS today to explore the possibility of a zero SOC.
What if my income changes after I am approved?
If there is a change in your income, it’s important to get in touch with MCS right away. Depending on the nature of the change, your Share of Cost may be affected. MCS can strategize in obtaining the best SOC results, including a ZERO SOC.
Can I have Other Coverage in addition to Medi-Cal?
Yes, you may have additional health coverage in addition to your Medi-Cal. This could be coverage from an employer or from other government programs, such as Medicare or Tricare. It is crucial to inform the county about any other coverage you may have. You can rest assured, as MCS can manage this process for you.
Do I need to renew my Medi-Cal coverage?
Yes, it is important to renew your Medi-Cal coverage. You will receive a notice from the county when it is time for renewal. You can simply contact MCS, and we will handle the process for you.
What makes MCS the experts?
Medi-Cal Consulting Services is a dedicated team of former Medi-Cal workers and health care professionals who bring over 40 years of combined experience. Our team’s expertise is backed by extensive training by the government. Making us leading experts in Share of Cost and Medi-Cal eligibility. Our team regularly completes refresher training and stays up to date with the latest state regulations by State Certified educators.
What is the MCS 100% Guarantee in writing?
We are confident in our services. In your written contract, we guarantee our services or your money back. It’s that simple. WE guarantee we will qualify your loved one for Medi-Cal.
What do you charge for your services?
Every case is unique, so we don’t believe in a one-size-fits-all price. That’s why we offer personalized consultations at no cost. You may not need our services, and if that is the case, we will let you know. If you do move forward, there is just a one-time flare fee for our services. The only time you will hear from us again about payment will be for the annual redetermination. Our goal is always to do what is fair and in your best interest, with an expert advocate by your side every step of the way.
#1 Authority in Medi-Cal Eligibility
For Your No-Cost Medi-Cal Assessment
877.633.4435