Transcription of Medi-Cal Mail In Application, MC210
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Medi-Cal Mail In Application, MC210
HEALTH CARE COVERAGEFOR PEOPLE WITH LIMITED INCOME OR RESOURCESMAIL-IN APPLICATION AND INSTRUCTIONSForFREE help to apply for Medi-Cal ,contact your local social services CareDental CareEmergencyMedicalTransportationPharma cyServicesPhysicalTherapyNursingHome CarePregnantWomenWorkingParentsInfants/C hildrenVision CareDisabledFamiliesMC21004/09 INSTRUCTIONSWhat is Medi-Cal ? Healthcarecoverageforqualifyingpersonswh oliveinCalifornia,whohaveincomeandresour cesbelowestablishedlimitsWho can get Medi-Cal ? Persons65orolder Personswhoareunder21yearsofage Certainadultsbetween21and65yearsofage,if theyhaveminorchildrenlivingwiththem Personswhoareblindordisabled Pregnantwomen Personsreceivingnursinghomecare CertainRefugees,Asylees,Cuban/HaitianEnt rantsDo I have to be a citizen to get Medi-Cal ?
MC 210 04/09 INSTRUCTIONS Questions 1-8: Enter the name, home address and telephone numbers of the person who wants Medi-Cal or the parent/caretaker of
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