What Does “Share of Cost” Mean?
Tuesday, Sep. 3rd 2019 6:56 AM
“Share of Cost” is the amount you agree to pay for health care before Medi-Cal starts to pay. This is called “meeting your share of cost.” Your Share of Cost is a set amount based on how much money you make. You only need to meet your
Share of Cost in the months that you get health care services. After you meet your share of cost, Medi-Cal pays for your care the rest of that month
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- Hello world! Share of Cost Monday, Jul. 26th 2010 2:39 AM – Welcome to ShareofCost.com which provides a consumer forum for helping Medi-Cal, Medicaid, Medicare, and other beneficiaries find a dental insurance plan to meet their threshold for Share of Cost. It is going on ten years since this first blog post. In that time we have been able to […]...
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- Share of Cost Case Summary Your Medi-Cal case has been affected by a lawsuit called Sneede v. Kizer. This lawsuit limits which family members may use medical expenses that are not billed to Medi-Cal to meet their family’s Share of Cost. If you are a spouse or a parent, you have the choice of listing your medical expenses in any […]...
- Certifying Share of Cost Benefits and Coverage Subscribers are not eligible to receive Medi-Cal benefits until their monthly Share of Cost dollar amount has been certified online. Certifying SOC means that the Medi-Cal eligibility verification system shows the subscriber has paid or become obligated for the entire monthly dollar SOC amount owed. Claims submitted for services rendered to a subscriber whose SOC […]...
- Long Term Care Share of Cost Providers receiving an eligibility verification message (see following example) that indicates a subscriber has an LTC SOC should not clear the SOC online. Subscribers with aid codes 13, 23, 53 and 63 must have their LTC SOC cleared on the claim. The LTC facility includes the LTC SOC amount for Medi-Cal-covered services on the Payment […]...
- Share of Cost Clearance Transaction To clear a subscriber’s SOC, the provider accesses the Medi-Cal eligibility verification system, enters a provider number, Provider Identification Number (PIN), subscriber identification number, BIC issue date, billing code and service charge. The SOC information is updated and a response is displayed on the screen or relayed over the telephone. Several clearance transactions may be […]...
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- County Welfare Department Generally Determines SOC Amount Generally, a subscriber’s SOC is determined by the county welfare department and is based on the amount of income a subscriber receives in excess of “maintenance need” levels. Medi-Cal rules require that subscribers pay income in excess of their “maintenance need” level toward their own medical bills before Medi-Cal begins to pay....
- SOC, Who pays for IHSS? In-Home Supportive Services (IHSS) are financed by state, county, and federal funds. Depending on your countable income, you may have to pay for a portion of the cost of services. This is known as share of cost. If you work, you may qualify for no-cost IHSS even if you think you have to pay a […]...
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