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The Many Benefits of Medi-Cal

By lexutor Oct4,2022

Medi-Cal can be beneficial in several ways. It helps people plan for a healthier future and offers many resources. For example, you can use the Medi-Cal language and interpreter services. Medi-Cal can also cover prescription drugs and care in a nursing home. 

Coverage for less than 60 days in a nursing home

Medi Cal benefits may cover the cost of nursing home care for low-income Californians. While Medicare pays for skilled nursing care, it does not cover custodial care, so if you only need a few days in a nursing home, Medi-Cal coverage is likely to be sufficient. However, Medi-Cal laws are complicated, so it is important to seek legal help. In some cases, nursing homes and hospitals may be able to verify your Medi-Cal eligibility for free. Still, these individuals are not lawyers and may not have the necessary legal knowledge. A lawyer can help you get Medi-Cal coverage faster.

Medi-Cal beneficiaries can apply for IHSS at the Department of Social Services. In most cases, this is a relatively simple process, and the requirements are easy to document. But if you are a low-income person with little money to spare, it may not be easy to find a nursing home that will accept Medi-Cal residents.

Coverage for prescription drugs

Health insurance plans administered by Medi-Cal are required to continue providing access to the prescription drugs administered by health professionals. Therefore, the DHCS has sent a letter to Medi-Cal managed care plans that require them to provide this coverage. However, the notice also states that the plans must take extra steps to protect the privacy of patients’ protected health information.

Medi-Cal coverage for prescription drugs includes most medications given by pharmacies and doctors. However, some medications are only available at a doctor’s office or hospital. The drug is covered up to 25% of the price during the initial coverage period. The drug’s cost plus manufacturer discounts is covered up to the out-of-pocket threshold during the coverage gap.

Part D plans usually cover most prescription drugs. They may also cover non-formulary drugs for 30 to 90 days, allowing you to find a replacement drug. You can ask for an exception if the Part D plan does not cover your current prescription drug. However, you may need a doctor’s note to receive this coverage.

Coverage for care in a nursing home

If you have a loved one who requires nursing home care, Medi-Cal coverage may be able to help pay the costs. 

To qualify for Medicaid, a person must be at least 21 years old and meet certain income requirements. Medicaid covers nursing home care in most states. However, it is important to know that assets transferred within the past five years may count toward the income limit. Therefore, do not try to transfer any financial assets before applying for Medicaid. Otherwise, you may be penalized and pay for nursing home care out-of-pocket until you meet eligibility requirements.

To receive skilled nursing care in a nursing home, it is important to understand the terms and conditions. Medicare does not cover nursing care for diseases such as Alzheimer’s or Parkinson’s disease. Nonetheless, it does cover some types of personal care if daily skilled care is provided.

Medi-Cal language and interpreter services

The federal government requires healthcare facilities to provide language services for patients with limited English proficiency (LEP). While language services are not considered mandatory 1905 services, providers must provide them for their LEP patients. In addition, under Title VI of the Civil Rights Act, doctors must provide language services at no cost. Therefore, some MA managed care organizations have special units to provide interpreter services.

The language services provided by healthcare organizations are essential to the care of patients. Therefore, choosing a professional interpreter with the right skills and experience is important. These professionals should also be familiar with the latest medical terminology. Having a skilled medical interpreter can be the difference between life and death.

By lexutor

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