«
»

Share of Cost – Does Every Medi-Cal Member Have a SOC? 

Friday, Feb. 23rd 2024 11:29 AM

As a Medi-Cal member, you might wonder if you have a Share of Cost (SOC). The answer is no; not all Medi-Cal members will have a Share of the Cost. The Share of Cost is a certain amount of money you must pay before Medi-Cal begins to pay for your healthcare services. 

Some Medi-Cal members receive free Medi-Cal and do not have a SOC. To be eligible for free Medi-Cal, you must meet specific income requirements. If you make too much money to qualify for free Medi-Cal, you will have to pay a Share of Cost. 

However, some free Medi-Cal programs do not require paying a SOC. If you are still determining whether you are eligible for free Medi-Cal, you can always check with your county worker. They can provide more information on these programs and help determine your eligibility.

If you have children who need healthcare coverage, they might be eligible for Healthy Families. This low-cost health insurance program is specifically designed for children with a Share of Cost. While it covers fewer services than Medi-Cal, it can be a great option for families who need affordable healthcare coverage. 

If you have any questions about Healthy Families or want to learn more, ask your county Medi-Cal worker for more information. They can help you determine your children’s eligibility for this program and walk you through the application process.

Remember that it’s important to understand your healthcare coverage options and requirements to ensure you receive the care you need. Contact your county worker or our member service line for assistance.

Contact our member service line at 310-534-3444 M-F 8 am-4 pm if you are trying to qualify for a zero share of cost. Our team of experts will be happy to help you understand each plan’s different options and benefits.

Related posts:

  1. Share of Cost Issues Question: What can I do if I have a problem with my share of cost? Reply: You can complain if you think that you have a problem with your share of cost: • If you should be getting free Medi-Cal• If your Share of Cost is too high• The county is not allowing you to […]...
  2. Share of Cost, Share of Cost Issues Share of Cost, Share of Cost Issues...
  3. Let’s delve into a more comprehensive understanding of the concept of “Share of Cost” in the context of Medi-Cal and other government assistance programs. What is Share of Cost (SOC)? Share of Cost (SOC) is a financial obligation that individuals must meet before they become eligible to receive benefits under certain government assistance programs, particularly Medi-Cal in California. It is somewhat analogous to an insurance deductible in private health insurance plans. The purpose of SOC is to ensure that […]...
  4. Share of Cost is calculated independently for CMSP and Medi-Cal SOC policy also applies to County Medical Services Program (CMSP) providers and subscribers. Share of Cost is calculated independently for CMSP and Medi-Cal, however, the same subscriber income is included in both calculations. Therefore, the same medical expenses may be used to clear SOC for both programs.  Providers may apply the same services used to […]...
  5. Share of Cost, Know how to Change from a Marketplace Plan to Medicare. Share of Cost, Know how to change from a Marketplace plan to Medicare....
  6. How do you get rid of share of cost? Do I have to buy health insurance each month or can I use an approved dental plan to get rid of the monthly Medi-Cal Share of Cost Getting rid of the Share of Cost requirement in Medi-Cal involves meeting the necessary conditions to eliminate or reduce this financial obligation. It’s important to note that Share of Cost is specific to Medi-Cal and is not directly related to purchasing health insurance. Instead, it’s about demonstrating that your medical expenses are high enough to […]...
  7. Share of Cost – What does Share of Cost Mean? Share of Cost: Share of Cost is a program designed to help Californians. Californians with low income and resources pay for their medical expenses. The program is a part of Medi-Cal, California’s Medicaid program. The Share of Cost program requires recipients to pay a certain amount out of pocket for their monthly medical expenses before […]...
  8. Share of Cost – What property/assets are allowable for Medi-Cal? The Medi-Cal program determines eligibility for benefits on a “means” tested basis. If a Medi-Cal applicant’s property/assets are over the Medi-Cal property limit, the applicant will not be eligible for Medi-Cal unless they lower their property/assets according to the program rules. The Medi-Cal eligibility worker looks at how much an applicant and their family has […]...
  9. What property/assets are allowable for Medi-Cal? The Medi-Cal program determines eligibility for benefits on a “means” tested basis. If a Medi-Cal applicant’s property/assets are over the Medi-Cal property limit, the applicant will not be eligible for Medi-Cal unless they lower their property/assets according to the program rules. The Medi-Cal eligibility worker looks at how much an applicant and their family has […]...
  10. Does Medi-Cal pay for Residential Care Facilities for the Elderly Currently, Medi-Cal does not pay for board and care in a RCFE, since RCFE care is not considered to be medical care. In addition, RCFE’s are not licensed as medical care providers. Medi-Cal does, however, allow an individual to retain income each month, up to the amount of the monthly charge of the facility, as […]...
  11. How much does a person have to pay for services while on Medi-Cal? The county looks at the applicant’s income after he or she establishes eligibility for Medi-Cal by spending down assets to no more than $89,280 for a couple with one spouse institutionalized or $2,000 for a single individual. The county looks at the income the individual receives in his or her own name and divides in […]...
  12. How does the look-back period affect a person’s eligibility for Medi-Cal benefits? In California, any transfer of a non-exempt asset (also called “countable”) within 30 months of an individual’s application for Medi-Cal for nursing facility level of care may result in a period of ineligibility. This period of ineligibility will only apply to the nursing facility level of care and, if otherwise eligible, the individual would be […]...
  13. Share of Cost, Who pays for IHSS? Share of Cost, Who pays for IHSS?...
  14. 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 […]...
  15. Free Dental Care – Share of Cost. How can I get free dental care in California? Reply: Medi-Cal Dental is the program that provides free or low-cost dental services to eligible children and adults. The Medi‑Cal Dental Program provides free or low‑cost dental services to children and adults who receive Medi‑Cal, California’s Medicaid program. Some dental Schools also provide free to low […]...
Posted on Friday, Feb. 23rd 2024 11:29 AM | by Share of Cost | in Share of Cost | Comments Off on Share of Cost – Does Every Medi-Cal Member Have a SOC? 

Comments are closed.