Medi-Cal

Benefits

A brief summary of Medi-Cal covered benefits.

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Health services

  • Primary care doctor visits
  • Medical specialist visits
  • Hospital and emergency care
  • Prenatal and newborn baby care
  • Immunizations
  • Medications
  • Laboratory services
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Behavioral health services

  • Outpatient mental health services for mild to moderate conditions
  • Behavioral health treatment
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Other services and supplies

  • Wheelchairs, walkers, crutches, etc.
  • Hearing aids
  • Home health services
  • Medical supplies
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Vision care

  • Routine eye exams
  • Eyeglasses or contact lenses
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Transportation

  • Emergency transportation
  • Non-emergency medical transportation
  • Non-medical transportation
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Long-term services and supports

  • In-home supportive services
  • Multipurpose senior services program
  • Community-based adult services
  • Nursing facility care
  • Hospice care

Note: Some services require prior authorization before it can be covered. Prior authorization is an approval for special medical services approved by your health network. Learn more about prior authorization here.

The Medi-Cal member handbook has a complete list of benefits.

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Download the Medi-Cal member handbook Download PDF Icon It lists what is covered, how to get services, your rights as a member, your responsibilities, and much more.

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Other programs We want to make sure you have access to the best health care possible.

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Prior Authorization Requesting pre-approval for special medical services.

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Services provided by different agencies Certain services are not covered by CalOptima but may be provided by a different agency.

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