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Important Information for Pregnant Applicants

(Posted on 6/26/15)

You may be eligible for Medi-Cal, the Medi-Cal Access Program, or Covered California during your pregnancy and immediate postpartum.

If you are eligible for Medi-Cal, you will be enrolled in Medi-Cal. If you are not eligible for Medi-Cal, your application will be checked to see if you qualify for the Medi-Cal Access Program or the Covered California health plans. Here are some key points about Medi-Cal:

  • You can start seeing a doctor, nurse midwife or other provider with Medi-Cal Presumptive Eligibility (PE) before Medi-Cal starts. You can search for the nearest PE provider at this link http://www.dhcs.ca.gov/services/medi-cal/eligibility/Pages/PE.aspx.
  • There is no tax penalty if you are in Medi-Cal for pregnancy-related care.
  • If you are enrolled in Medi-Cal, after your pregnancy ends, you can enroll in Covered California, if you are eligible then.

If your income is over the Medi-Cal limit, you may be eligible for the Medi-Cal Access Program (formerly called AIM, Access for Infants and Mothers) during your pregnancy and immediate postpartum. If so, Covered California will enroll you in MCAP. MCAP will then contact you. If you’d like to call MCAP first, the toll free number is (800) 433-2611. Here are some key points to consider for MCAP:

  • Your MCAP premiums will be less expensive than Covered California, and MCAP has no co-payments or deductibles.
  • MCAP covers your baby under the Medi-Cal delivery system for the first year of life, and the second year if your income stays under a certain level. • There is no tax penalty if you are in MCAP.
  • If you prefer to enroll in a Covered California Health Plan, you can notify MCAP that you wish to end your enrollment.
  • If you are enrolled in MCAP, after your pregnancy ends, you can enroll in Covered California if you are still eligible then.

For even more information, you can Click here.