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Who is eligible?
Medi-Cal and the Healthy Families Program have complex eligibility rules, such as who is considered a family member, whose income is counted and what deductions will count.
If your children are uninsured, it is best to talk to someone who can help you apply for your children.
See How do I apply for more details.
What services are covered?
For children, both Medi-Cal and Healthy Families cover medically necessary services including:
Preventive medical services
Well-child exams
Immunizations
Inpatient and outpatient services
Hospitalization
Laboratory and X-ray services
Prescription drugs
Maternity care
Dental benefits
Vision benefits
Mental health services
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How much does it cost?
Medi-Cal for Children
- No cost unless your child is enrolled in Share of Cost (SoC) Medi-Cal.
- If your child has SoC Medi-Cal, check to see if your child is eligible for Healthy Families.
- Medi-Cal can also help pay for health care services your child received up to three months before you apply; this is called “Retroactive Medi-Cal.”
Healthy Families
- Low monthly premium ranging from $4 to $15 per child with a $45 monthly maximum.
- Premium cost depends on family size, income and health plan.
- $5 co-pay for services and prescriptions.
- No co-pay for preventive care.
- The maximum yearly co-pay per family is $250.
- Save on premium costs when you choose different payment options.
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