Medi-Cal and Other Low-Income Programs
Pregnant Women
Pregnant women with income up to 138% FPL (Federal Poverty Level) ( $34,638 for a family of 4) are eligible to
full-scope Medi-Cal benefits. Pregnant women with income above 138% and up to 213% ($34,638 and up to $53,463) FPL are
eligible to pregnancy-related Medi-Cal coverage. Click here for more information.
SB 75 – Full-Scope Medi-Cal for All Children
Under California law, children under 19 years of age are eligible for full-scope Medi-Cal benefits regardless of
immigration status, as long as they meet all other eligibility requirements.
Low-Cost Medi-Cal for Children
Children between the ages of 1 and 19 in families with incomes ranging from 160% to 266% FPL (Federal Poverty Level)
($38,880 to $64,644 annually for a family of four) may be eligible for low-cost Medi-Cal insurance. Many of these
children were previously enrolled in California’s Healthy Families program and may now be eligible for the Low-Cost
Medi-Cal for Children program. Monthly premiums are $13 per child with a maximum of $39 per household.
Long-Term Care
Many long-term care residents may have all or part of their care paid for by Medi-Cal if their income and resources meet
Medi-Cal standards. For more information read the Long Term Care brochure in the English or español.
250 Percent Working Disabled Program
The 250% Working Disabled Program is a full-scope, zero share-of-cost Medi-Cal program designed for those who are
working at least one hour per month with pay and who meet the Social Security Administration federal disability
definition. Applicants must meet eligibility requirements, such as California residency, and pay a monthly premium to
the Department of Health Care Services (DHCS). After enrollment and payment of the monthly premium, if medical services
are covered by Medi-Cal, those services will be paid by the Medi-Cal program. Click on the following 250% Working Disabled Program notice for more information.
Free Health Coverage for Former Foster Youth
If you were in foster care on your 18th birthday, you are eligible for free Medi-Cal benefits until your 26th birthday
(regardless of your income). Visit the DHCS Former Foster Youth Program website for additional information. You can sign up online at BeneficiosCal.com.
For Uninsured or Underinsured Individuals – Self-Pay Health Discount Program
The Self-Pay Health Discount Program is for individuals with no health coverage or with minimal health coverage. Ventura
County Health Care Agency (VCHCA) provides health care to all individuals, regardless of their ability to pay. For
patients who are not eligible for health coverage programs and are self-pay, low income, and uninsured or underinsured,
VCHCA offers the Self-Pay Discount Program. Visit the Self-Pay Discount Program website for more information.