Insurance Programs for Adults

Medi-Cal

Medi-Cal provides health insurance to low-income families in California.

Who Is Eligible?

Adults may qualify for Medi-Cal if they:

• are 65 years of age or older
• have any children under 21 years of age living in your home, and one parent is not living at home, or is disabled, or incapacitated, or working less than 100 hours per month
• have been determined to be legally blind
• receive Social Security disability payments
• are unable to work because of physical or mental illness, disability, or impairment that is expected to last more than one year (as determined by a physician)
• have applied for Social Security Disability or SSI/SSP

How Much Does It Cost?

Costs for Medi-Cal services vary.

How Do I Apply?

For information and application assistance in Contra Costa, call toll-free 1-877-503-9350 or visit the Medi-Cal website.

State Medi-Cal Website

Basic Health Care

Basic Health Care is a temporary health coverage program for low-income, uninsured residents of Contra Costa County. All medical care covered by this program must be received at Contra Costa Regional Medical Center or one at our Health Centers located throughout the county.

Who Is Eligible?

• Residents of Contra Costa who:
  • have incomes no greater than 300% of the federal income guidelines
  • have assets and real property with values within guidelines of the program
  • are not eligible for Medi-Cal or Healthy Families
  • are not members of HMO or PPO health insurance plans
    * Please note: persons who are eligible for restricted Medi-Cal must apply for the restricted benefit.
• Citizenship or legal residency is not required

How Much Does It Cost?

• $0-$225 every three months for adults
• $0-$15 every three months for children 18 years old and younger

How Do I Apply?

Call Toll Free 1-800-771-4270 in Contra Costa County.

Family PACT

Family PACT is a state program that provides family planning services to low-income adults and teens.

Who Is Eligible?

Men and women who meet income guidelines and:

• Do not have insurance that covers family planning, or
• Have insurance, but need to keep family planning services confidential, or
• Have insurance but have not met the deductible or Medi-Cal Share of Cost, or
• Have limited-scope Medi-Cal coverage that does not include family planning

Eligibility for teens is not based on parental income and by law parental consent is not required.

How Much Does It Cost?

There is no cost for Family PACT services.

How Do I Apply?

Women: Call the Contra Costa Health Services Women’s Health Clinics at toll-free 1-877-616-8674 in Contra Costa County.

Men: Call the Contra Costa Health Services STD Clinic at toll-free 1-800-479-9664 in Contra Costa County.

For more information, visit the State of California Family PACT website.

Contra Costa Health Plan

Contra Costa Health Plan (CCHP) serves over 60,000 people living and/or working in the County. CCHP members choose from an extensive network of County-run Health Centers and the Contra Costa Regional Medical Center in Martinez, or the plan's Community Physician Network of private doctors, community health centers and community hospitals.

For more information, call CCHP Marketing at 1-800-211-8040, Monday - Friday 8 a.m. to 5 p.m., or visit the CCHP website.

Cancer Detection Programs: Every Woman Counts

This state program provides life-saving breast and cervical cancer screening and diagnostic services to low-income uninsured or underinsured women.

Breast Cancer Screening

Who Is Eligible?

You may qualify for a free breast exam and mammogram if you:

• are 40 years old or older
• have a low income (at or below 200% of the federal income guidelines)
• have medical insurance that does not cover these services
• have a high insurance deductible or co-payment
• are not getting these services through Medi-Cal or another government-sponsored program
• live in California

How Much Does It Cost?

Services are free if you are eligible.

How Can I Apply?

Call Toll Free 1-800-511-2300 Monday-Friday from 8 a.m. to 5 p.m. Calls are answered in English, Spanish, Mandarin, Cantonese, Korean, and Vietnamese. If you qualify, you will be referred to participating doctors in your neighborhood.

Cervical Cancer Screening

Who Is Eligible?

You can receive a free Pap test and pelvic exam if you:

• are 25 years old or older
• have a low income (at or below 200% of the federal income guidelines)
• have medical insurance that does not cover these services
• have a high insurance deductible or co-payment
• are not getting these services through Medi-Cal or another government-sponsored program
• live in California

How Much Does It Cost?

Services are free if you are eligible.

How Can I Apply?

Call Toll Free 1-800-511-2300 Monday-Friday from 8 a.m. to 5 p.m. Calls are answered in English, Spanish, Mandarin, Cantonese, Korean, and Vietnamese. If you qualify, you will be referred to participating doctors in your neighborhood.

Medi-Cal Breast and Cervical Cancer Treatment Program

This program provides urgently needed cancer treatment coverage to eligible individuals diagnosed with breast and/or cervical cancer and in need of treatment.

Who is Eligible?

Individuals who:

• are in need of breast and/or cervical cancer treatment
• were screened by a state or federal screening program are residents of California
• have a low income (at or below 200% of the federal income guidelines)
• are uninsured for breast and/or cervical cancer treatment
  OR
  have insurance coverage, but have premiums, co-payments, and deductibles that are expected to exceed $750 in the first 12-month period that treatment is needed.

How Much Does It Cost?

Services under this program are free.

How Can I Apply?

For more information, call 1-800-771-4270 (English and Spanish) in Contra Costa County or visit the State of California Breast and Cervical Cancer Treatment Program website.

Find out about the Patient Navigator Program - Assists Spanish-speaking women to access care.

IMPACT Prostate Cancer Treatment Program

This program provides free prostate treatment services to low-income, uninsured or underinsured men in California.

Who Is Eligible?

Men who:

• are 18 years old or older
• have no medical insurance and do not qualify for Medi-Cal or Medicare
• have a low income between 100% and 200% of the Federal Poverty Level
• are diagnosed with prostate cancer
• have had an abnormal DRE or elevated PSA
• live in California

How Much Does It Cost?

Services are free if you are eligible.

How Can I Apply?

For information and/or referral, call Toll Free 1-800-409-8252 Monday - Friday from 8 a.m. to 5 p.m. (English and Spanish) or visit the IMPACT website.

Operation Access

Operation Access is a non-profit organization that provides free outpatient surgeries to patients who have no insurance coverage. A network of collaborating hospitals and volunteer medical professionals provide minor outpatient surgery free of charge throughout the San Francisco Bay Area. You must obtain a referral from your treating physician. After the post-operative appointment, the patient returns to the referring clinic for ongoing medical care.

Who Is Eligible?

To qualify, patients must:

• Be uninsured and unable to obtain job-based coverage
• Be ineligible for publicly-sponsored coverage (Medi-Cal, Medicare, Healthy Families)
• Possess less than $2,000 in savings
• Be referred by a doctor or nurse who has diagnosed a condition requiring medically necessary, outpatient surgery
• Not require ongoing care by the surgeon for successful recovery, and not possess other medical conditions that increase the risk of hospitalization

Medical providers at community clinics refer eligible patients to Operation Access for surgery. Operation Access staff contact patients to conduct an eligibility screening by phone

Learn more at the Operation Access website.

How Much Does It Cost?

Operation Access services are free to eligible individuals.

How Can I Apply?

For more information, call 415-733-0052, email info@operationaccess.org, or visit the Operation Access website.

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