Medi-Cal

This form is for appointment requests only.

Starting January 1, 2024, a new law in California will give full coverage Medi-Cal to more people ages 26 through 49 who qualify. This new law means that all California residents, regardless of immigration status, who qualify for Medi-Cal based on other criteria are eligible for full Medi-Cal benefits.

If you previously had restricted Medi-Cal due to immigration status, you now qualify for unrestricted Medi-Cal, which includes:

• Medical
• Dental
• Vision
• Hearing
• Mental health
• Substance use disorder screenings

All preventive care and screening services are free. To learn more, contact your Medi-Cal Managed Care Plan member services or Fee-for-Service Medi-Cal provider.

If you already have restricted Medi-Cal, you do not need to fill out a new application for full Medi-Cal and will automatically be enrolled. After January 1, 2024, you will need to enroll in a Medi-Cal health plan to continue receiving care from FHCSD. Our contracted Medi-Cal health plans include:

• Blue Shield Promise
• Community Health Group Partner
• Molina Healthcare Partner

Please see below for how you can enroll in a Medi-Cal health plan:

1. Mail – Look for information in the mail from Health Care Options and complete the Medi-Cal Choice Form to choose your new health plan and mail.
2. Online – You can visit www.healthcareoptions.dhcs.ca.gov and make the change electronically. Once on the home page, you will select the option Enroll – Join a health plan > Online Enrollment – Get started
3. Phone – Call Health Care Options at (800) 430-4263 Monday through Friday, 8:00 a.m. to 6:00 p.m., or FHCSD’s Insurance Hotline at (619) 515-2363 for assistance with Medi-Cal health plan enrollment.

If you do not currently have Medi-Cal and would like to learn if you qualify to enroll in Medi-Cal, please call us at (619) 515-2363 for assistance.

Starting January 1, 2024, Aetna will no longer be available under Medi-Cal in California. If you have Aetna through Medi-Cal and are a patient of Family Health Centers of San Diego, you must select a new Medi-Cal health plan by December 22, 2023. You may choose between the following Medi-Cal health plans:

• Blue Shield Promise
• Community Health Group Partner
• Molina Healthcare Partner

You can make the switch by mail, online or you can call by phone.

1. Online – You can visit www.healthcareoptions.dhcs.ca.gov and make the change electronically. Once on the home page, you will select the option Enroll – Join a health plan > Online Enrollment – Get started
2. Phone – Call Health Care Options at (800) 430-4263 Monday through Friday, 8:00 a.m. to 6:00 p.m., or FHCSD’s Insurance Hotline at (619) 515-2363 for assistance with Medi-Cal health plan enrollment.

Medi-Cal is a program that helps people in California pay for medical care. Sometimes, people need to reapply for Medi-Cal to make sure they still qualify. This process is called redetermination. It is important that you update your information with the County of San Diego if:

• You have moved within the last two years
• There have been changes in your life, such as income, pregnancy or a new household member
• There have been changes to your contact information (phone number, email or mailing address)

Here’s how you can update your Medi-Cal information:

1. Online – Update your information online at mybenefitscalwin.org.
2. Call the San Diego ACCESS line – If you need help updating your Medi-Cal information, call the San Diego ACCESS line at (866) 262-9881.
3. Call our Insurance Hotline – If you need additional assistance, call the Family Health Centers of San Diego Insurance Hotline at (619) 515-2363 to schedule an appointment.
4. Complete mailed application – If the County needs information from you to renew your Medi-Cal, they will mail you paperwork to fill out and return. Mail your completed applications and/or verifications to the following address:

County of San Diego
Health and Human Services Agency
APPLICATIONS
P.O. Box 939044
San Diego CA 92193-9005

• State-issued photo identification
• Resident alien card (if applicable)
• Proof of residency, such as a lease agreement or utility bill
• Latest 1040 IRS tax document
• Proof of current income

The EWC program provides free breast and cervical cancer screening and diagnostic services to California’s underserved populations. The mission of the EWC program is to alleviate the devastating medical, emotional and financial effects of breast and cervical cancer and eliminate health disparities for medically underserved, low-income individuals.

To learn more about this program, or find out if you qualify, click here.

The Family PACT program provides family planning and reproductive health services at no cost to California’s low-income (under 200% federal poverty level) residents. The program offers comprehensive family planning services, including contraception, pregnancy testing and sterilization, as well as STD testing and limited cancer screening services.

To learn more about this program, or find out if you qualify, click here.

CHDP is a preventive program that delivers periodic health assessments and services to low-income children and youth in California. CHDP provides care coordination to assist families with medical appointment scheduling, transportation and access to diagnostic and treatment services.

To learn more about this program, or find out if you qualify, click here.

The PE4PW program is designed for low-income California residents who believe they are pregnant and who do not have Medi-Cal coverage for prenatal care.

To learn more about this program, or find out if you qualify, click here.