Who needs an Application for Medical form?
Any low-income person (or families, seniors, homeless people, persons with disabilities, children in foster care and others) living in California can file a Medical Application to obtain benefits of California Medicaid welfare program.
What is the Application for Medical for?
This Media Cal online application form provides detailed information about the person applying for assistance. Including person’s disability status, information about children of an applicant, person’s income, expenses and insurance information.
Is the Application for Medical accompanied by other forms?
You are not required to accompany the submission of the Media Cal application form with any documents. But further, you have to be ready to provide all necessary documents confirming your low-income status.
When is Application for Medical form due?
Dates for the submission of this form are not set. You can apply for participation in the Medical program at any time.
How do I fill out Application for Medical form?
The applicant must provide personal information about themselves as well as to answer questions on the following topics:
- Family and children;
- Income money for the whole family and in person;
- Expenses/cost paid for the whole family and in person;
- Person’s language and cultural characteristics.
Where do I send Application for Medical form?
Completed and signed application should be directed to Covered California, P.O. Box 989725, West Sacramento, CA 95798-9725.
