LOW COST HEALTH CARE
CAN I GET INSURANCE IF I’M LOW INCOME BUT CAN’T GET MEDI-CAL?
Medi-Cal is available to all adults meeting income eligibility requirements. Those with income above Medi-Cal may qualify for subsidized healthcare through the Healthcare Benefits Exchange known as Covered California at www.coveredca.com/
Eligibility for Medi-Cal is year round. Enrollment for health coverage through Covered California is available during open enrollment unless there is you experienced a qualifying life event. The webpage has easy to read fact sheets.
RESOURCES
Federally Qualified Health Centers (FQHCs) – Sacramento County maintains a list of FQHCs at https://www.fqhc.org/find-an-fqhc
Healthcare Services for the Uninsured – See same link for a resource list.
Healthy Partners – Sacramento County offers a limited healthcare benefit for undocumented county adult residents meeting criteria. Enrollment to new members is now closed. See link for more information:
http://www.dhhs.saccounty.net/PRI/Pages/Healthy%20Partners/GI-PRI-Healthy-Partners.aspx
Clinic Services: All recipients of General Assistance (GA) are automatically eligible for CMISP Clinic Services for one year.
Other persons who need to apply for CMISP may do so at the time they request medical services at the following clinics:
Primary Care Center
4600 Broadway
Sacramento, CA
(916) 874-9670
Dental Services: Emergency dental services are provided by the Dental Clinic. GA recipients are automatically eligible for CMISP dental services. All other applicants may apply for CMISP dental services at the time they request dental services at the following clinic or at (916) 874-8300:
For Triage & Walk-Ins: 4600 Broadway Suite 1400, Sacramento
For Appointments Only: 4600 Broadway, Suite 2100, Sacramento
Emergencies: Ask the hospital receptionist if the services you are seeking may be provided through a contract between the hospital and the Sacramento County Medically Indigent Services Program (CMISP).
If you are seen in an emergency room that contracts for out-patient services under the CMIS Program, you have the right to request an eligibility determination. The hospital will give you a referral form instructing you how to apply for CMISP. A CMISP medical consultant will review the reason for your emergency room visit. Only treatment of conditions, which would lead to disability or death if not immediately treated, will be approved for payment.
Information: The following 24 hour telephone information numbers are available:
Clinic Information Line: (916) 874-8912
Dental Information Line: (916) 874-8300
The following rules must be met to qualify for CMISP:
Residency: Must verify you have established residency in Sacramento County by physical presence and intent to remain.
Resources: All available resources must be utilized. A CMISP applicant must apply for all financial resources that may be available. There are resource limits.
Resources that count include cash, checking or savings accounts, bonds, certificates of deposit (CD) and other forms of negotiable securities. One vehicle used for transportation is exempt. Life Insurance may be exempt if it does not exceed a certain level.
These resources don’t count: essential household equipment, furniture and personal and tools, supplies and equipment needed for rehabilitation maintenance and self-support.
Property used as the home is exempt. Other real property is limited to a net value and must meet the income producing rule.
Maintenance Need Limits
When your income is more than the limit, you will be required to pay or agree to pay the amount over the limit toward your medical expenses before the CMISP will pay.
For assistance in determining your eligibility for CMISP,
call the Department of Human Assistance at (800) 560-0976
Sacramento County says you must have a medical need to apply for CMISP. If you have a problem applying and need services, say that you want a “medical override.”