Medi-Cal is the Medicaid program in California. It provides health coverage to people with low income and asset levels who meet certain eligibility requirements. If you live in the County of San Bernardino, California, and need help with Medi-Cal, we can help. In this post, we will review everything you need to know about Medi-Cal in San Bernardino County – including who is eligible for Medi-Cal, Medi-Cal income limits, how to apply for benefits, Transitional Assistance Department (TAD) contact information, and Medi-Cal providers in San Bernardino County, including Inland Empire Health Plan.
Before we get into Medi-Cal eligibility guidelines, first, we will explain what Medi-Cal is about and California’s Medicaid expansion.
Next, we will explain the Medi-Cal eligibility guidelines in detail, including the income limit, which is the most important.
We will then walk you through the 3 ways you can apply for Medi-Cal in San Bernardino County.
Additionally, we will provide SSA contact information, including the phone number and hours of operation.
Lastly, we will answer the most frequently asked questions about Medi-Cal in San Bernardino County, including what Medi-Cal covers.
Table of Contents:
- What is Medi-Cal
- What services are covered by Medi-Cal?
- Medi-Cal in San Bernardino County
- Medi-Cal Expansion in California
- Who is Eligible for Medi-Cal?
- San Bernardino County Medi-Cal Income Limits
- How to Apply for California Medi-Cal in San Bernardino County
- Apply for and Manage Medi-Cal Benefits Online
- San Bernardino County Medi-Cal Office Locations
- San Bernardino County Medi-Cal Phone Number
- Medi-Cal Managed Care Health Plans in San Bernardino County
- Medi-Cal Providers in San Bernardino County, California
- San Bernardino County Medi-Cal FAQs
What is Medi-Cal
Medi-Cal is California’s Medicaid public health insurance program. Medi-Cal provides free or low-cost medical services for children and adults with limited income (and limited resources for some Medi-Cal programs).
The program is supported by federal and state taxes.
Effective January 1, 2014, the Affordable Care Act (ACA) expanded Medi-Cal coverage to previously ineligible adults (childless, non-disabled, non-elderly).
Medi-Cal Program and Services include:
- Children and Adults
- Seniors and Persons with Disabilities
- Teen Services
- Newborn Referral
- Long Term Care
- Dental
What services are covered by Medi-Cal?
- Outpatient (ambulatory) services
- Emergency services
- Hospitalization
- Maternity and newborn care
- Mental health and substance use disorder services, including behavioral health treatment
- Prescription drugs
- Rehabilitative and habilitative services/devices (physical and occupational therapy)
- Laboratory services
- Preventive and wellness services and chronic disease management
- Certain adult dental services
- Pediatric services, including dental and vision care
Medi-Cal in San Bernardino County
In San Bernardino County, the Medi-Cal program is managed by the Transitional Assistance Department (TAD).
In addition to Medi-Cal benefits, the SSA also handles CalFresh, CalWORKs, and General Relief applications and benefits.
Furthermore, BenefitsCal is the website for Nevada County Residents to apply for and to view their benefits online.
Continue reading below for BenefitsCal account information.
Medi-Cal Expansion in California
Effective January 1, 2014, The Affordable Care Act (ACA) expanded Medicaid benefits to low-income, childless adults between the ages of 19-64 who meet the low or no income requirements.
Also, starting on January 1, 2020, a new law in California gave full-scope Medi-Cal to young adults under the age of 26, and immigration status does not matter.
This is referred to as the Young Adult Expansion. All other Medi-Cal eligibility rules, including income limits, will still apply.
Furthermore, beginning May 1, 2022, a new law in California will give full-scope Medi-Cal to adults 50 years of age or older and immigration status does not matter.
This is referred to as the Older Adult Expansion. All other Medi-Cal eligibility rules, including income limits, will still apply to this new group.
Who is Eligible for Medi-Cal?
There are three ways you can qualify for Medi-Cal:
First, you can qualify if you meet the income limits.
To see if you qualify based on income, look at the chart below. Income numbers are based on your annual or yearly earnings.
Second, you can also get Medi-Cal if you are:
- 65 or older
- Blind
- Disabled
- Under 21
- Pregnant
- In a skilled nursing or intermediate care home
- On refugee status for a limited time, depending on how long you have been in the United States
- A parent or caretaker relative of an age-eligible child
- Have been screened for breast and/or cervical cancer (Breast and Cervical Cancer Treatment Program)
Third, if you are enrolled in one of the following programs, you can also get Medi-Cal:
- CalFresh
- SSI/SSP
- CalWorks (AFDC)
- Refugee Assistance
- Foster Care or Adoption Assistance Program
San Bernardino County Medi-Cal Income Limits
The San Bernardino County Medi-Cal income limit follows the California Medi-Cal Income Limit and is calculated as a percentage of the Federal Poverty Line (FPL).
To be eligible for Medi-Cal, you cannot make more than the income guidelines outlined below:
- Children up to age 1 with family income up to 266 percent of FPL
- Any child age 1-5 with a family income up to 266 percent of FPL
- Children ages 6- 18 with family income up to 266 percent of FPL
- CHIP for children with family income up to 266%-322% percent of FPL
- Pregnant women with family income up to 213 percent of FPL
- Parents of minor children with family income up to 114 percent of FPL
- Individuals who are elderly, blind, and disabled with family income up to 100% of the FPL
- Adults without dependents under Medicaid expansion with income up to 138% of the FPL
Medi-Cal income limit charts
Below are the California Medi-Cal income limit charts, one showing eligibility for children and the other showing eligibility for adults.
First is the income limit for children by age category.
Find the age category your child falls into and you will see the income limit by household size.
| California Medicaid Income Limit – Children | ||||||
| Children Medicaid Ages 0-1 | Children Medicaid Ages 1-5 | Children Medicaid Ages 6-18 | Children Separate CHIP | |||
| % FPL | 100% | 266% | 266% | 266% | 322% | |
|
Household Size
|
1 | $14,580 | $38,783 | $38,783 | $38,783 | $46,948 |
| 2 | $19,720 | $52,455 | $52,455 | $52,455 | $63,498 | |
| 3 | $24,860 | $66,128 | $66,128 | $66,128 | $80,049 | |
| 4 | $30,000 | $79,800 | $79,800 | $79,800 | $96,600 | |
| 5 | $35,140 | $93,472 | $93,472 | $93,472 | $113,151 | |
| 6 | $40,280 | $107,145 | $107,145 | $107,145 | $129,702 | |
| 7 | $45,420 | $120,817 | $120,817 | $120,817 | $146,252 | |
| 8 | $50,560 | $134,490 | $134,490 | $134,490 | $162,803 | |
Next, you will find below the income limit for adults by category.
Find the category you fall into and you will see the income limit by household size.
| California Medicaid Income Limit – Adults | ||||||
| Pregnant Women Medicaid | Adults (Medicaid) Parent/ Caretaker | Seniors & People w/ Disabilities (Medicaid) | Adults (Medicaid) Expansion to Adults | |||
| % FPL | 100% | 213% | 114% | 100% | 138% | |
|
Household Size
|
1 | $14,580 | $31,055 | $16,621 | $14,580 | $20,120 |
| 2 | $19,720 | $42,004 | $22,481 | $19,720 | $27,214 | |
| 3 | $24,860 | $52,952 | $28,340 | $24,860 | $34,307 | |
| 4 | $30,000 | $63,900 | $34,200 | $30,000 | $41,400 | |
| 5 | $35,140 | $74,848 | $40,060 | $35,140 | $48,493 | |
| 6 | $40,280 | $85,796 | $45,919 | $40,280 | $55,586 | |
| 7 | $45,420 | $96,745 | $51,779 | $45,420 | $62,680 | |
| 8 | $50,560 | $107,693 | $57,638 | $50,560 | $69,773 | |
How to Apply for California Medi-Cal in San Bernardino County
There are three ways to apply for Medi-Cal in San Bernadino County:
-
- Online at BenefitsCal.com.
- Online through Covered California, at or by calling 1-800-300-1506.
- By calling (877) 410-8829 to apply over the phone or request an application be mailed to you.
- Apply in person at one of the Transitional Assistance Department Office locations listed below.
Apply for and Manage Medi-Cal Benefits Online
The BenefitsCal website is a fast, easy way for San Bernadino County residents to apply for and manage public assistance services online, including Medi-Cal.
With a BenefitsCal account, you can perform the following tasks online:
- See if you are eligible for Medi-Cal and other benefits
- Apply for Medi-Cal, CalFresh, and Cash Assistance Benefits
- Report Changes in your Household situation that may affect your benefits
- Renew your Medi-Cal, CalFresh, and Cash Assistance Benefits
If you currently have a BenefitsCal account, click here to log in and apply for or manage your Medi-Cal benefits.
However, if you do not currently have a BenefitsCal, click here to sign up for one. It only takes a few minutes.
The video below does a great job of explaining in detail how to sign up for a BenefitsCal account, and apply for and manage your benefits online.
We recommend watching the video in order to save time in navigating the BenefitsCal website.
San Bernardino County Medi-Cal Office Locations
Applications for the Medi-Cal Program can be completed in person at a Transitional Assistance Department (TAD) office location.
To begin the process you will need to locate the TAD that serves your area.
You should be prepared to spend a minimum of two hours at the Transitional Assistance Office office.
Unless there is an emergent need for medical care, benefits may not be issued on the same day.
In addition to Medi-Cal, households can apply for CalFresh, General Relief, and CalWORKs at the following locations, which are open from 8 a.m. to 5 p.m. Monday through Friday:
See below for a list of TAD office locations in San Bernardino County:
Adelanto
10875 RANCHO RD.
Adelanto, CA 92301
Fax: (760) 530-2950
Hours of Operation: Monday—Friday 8:30 am — 4:30 pm
Apple Valley
13886 CENTRAL ROAD
Apple Valley, CA 92307
Fax: (760) 995-8681
Hours of Operation: Monday—Friday 8:30 am — 4:30 pm
Barstow
1900 E. MAIN ST.
Barstow, CA 92311
Fax: (760) 957-1460
Hours of Operation: Monday—Friday 8:30 am — 4:30 pm
Colton
1900 W. VALLEY BLVD.
Colton, CA 92324
Fax: (909) 421-3200
Hours of Operation: Monday—Friday 8:30 am — 4:30 pm
Fontana
7977 SIERRA AVE.
Fontana, CA 92336
Fax: (909) 823-2598
Hours of Operation: Monday—Friday 8:30 am — 4:30 pm
Hesperia
9655 9TH AVE.
Hesperia, CA 92345
Fax: (760) 956-4686
Hours of Operation: Monday—Friday 8:30 am — 4:30 pm
Needles
1090 E. BROADWAY ST.
Needles, CA 92363
Fax: (760) 326-6885
Hours of Operation: Monday—Friday 8:30 am — 4:30 pm
Ontario
1647 E. HOLT BLVD.
Ontario, CA 91761
Fax: (909) 933-6482
Hours of Operation: Monday—Friday 8:30 am — 4:30 pm
1627 E. HOLT BLVD.
Ontario, CA 91761
Fax: (909) 458-9507 or
(909) 933-5760
Hours of Operation: Monday—Friday 8:30 am — 4:30 pm
Rancho Cucamonga
10825 ARROW RTE.
Rancho Cucamonga, CA 91730
Fax: (909) 945-0780
Hours of Operation: Monday—Friday 8:30 am — 4:30 pm
Rialto
1175 W. FOOTHILL BLVD.
Rialto, CA 92376
Fax: (909) 347-1298 or
(909) 347-1299
Hours of Operation: Monday—Friday 8:30 am — 4:30 pm
Redlands
1811 W. LUGONIA AVE.
Redlands, CA 92374
Fax: (909) 792-7396
Hours of Operation: Monday—Friday 8:30 am — 4:30 pm
San Bernardino
265 E. 4TH ST.
San Bernardino, CA 92415
Fax: (909) 252-4852
Hours of Operation: Monday—Friday 8:30 am — 4:30 pm
2740 LITTLE MOUNTAIN DR.
San Bernardino, CA 92405
Fax: (909) 475-2231
Hours of Operation: Monday—Friday 8:30 am — 4:30 pm
1895 DEL ROSA AVE.
San Bernardino, CA 92415
Fax: (909) 475-8550
Hours of Operation: Monday—Friday 8:30 am — 4:30 pm
Twentynine Palms
73629 SUN VALLEY DR.
Twentynine Palms, CA 92277
Fax: (760) 361-4406
Hours of Operation: Monday—Friday 8:30 am — 4:30 pm
Victorville
15010 PALMDALE RD.
Victorville, CA 92392
Fax: (760) 552-6163
Hours of Operation: Monday—Friday 8:30 am — 4:30 pm
Yucca Valley
56357 PIMA TRAIL
Yucca Valley, CA 92284
Fax: (760) 228-5289
Hours of Operation: Monday—Friday 8:30 am — 4:30 pm
Yucaipa
32353 YUCAIPA BLVD.
Yucaipa, CA 92399
Fax: (909) 797-4045
Hours of Operation: Monday—Friday 8:30 am — 4:30 pm
San Bernardino County Medi-Cal Phone Number
Here’s the phone number to call to speak to a live person regarding Medi-Cal in San Bernardino County:
Call the Transitional Assistance Department (TAD) during business hours Monday – Friday 7:00 am – 5:00 pm at 1-877.410.8829.
Medi-Cal Managed Care Health Plans in San Bernardino County
When you first qualify for Medi-Cal, you are covered under Medi-Cal Fee-for-Service.
However, you must choose a health plan within 30 days. If you do not choose a plan within 30 days, the State will choose a plan for you.
If you find only one health plan, the county has chosen this plan for you. Please wait for your health plan information mailer in the mail.
If you find multiple health plans listed, please explore each plan and choose the one that suits you and your family’s needs.
Below is a list of Medi-Cal Managed Care Health Plan options available in San Bernardino County, California.
| Plan Name | Phone Number |
|---|---|
| Inland Empire Health Plan | (800) 440-4347 TTY/TDD (800) 718-4347 |
| Molina Healthcare of California Partner Plan, Inc. | (888) 665-4621 TTY/TDD (800) 479-3310 |
| Specialty Health Plan | |
| InnovAge PACE | (877) 653-0015 |
| Neighborhood PACE | (844) NHC-PACE (844-642-7223) ext 2017 TTY/DD 844-642-7223 |
| SCAN Health Plan | (877) 452-5898 TTY/TDD (800) 735-2929 |
Medi-Cal Providers in San Bernardino County, California
When you enroll in (join) a Medi-Cal plan, you must choose a primary care provider (PCP).
Your PCP is the doctor or clinic you go to when you are sick or need a checkup.
To locate a Medi-Cal provider near you, click here to search the database of providers.
Once you are on the website, select a program (see image below) to search for doctors, dentists, hospitals, medical clinics, and dental clinics near you.
Medi-Cal San Bernardino County FAQs
Here are some of the most frequently asked questions about Medi-Cal in San Bernardino County:
Do I have to Pay for Medi-Cal?
It depends on your household income.
You may have a share of cost, similar to a “Co-Payment”, for medical/dental treatment based on your income and family size.
When your provider uses your Benefits Identification Card (BIC) to verify your Medi-Cal eligibility, your provider will know if Medi-Cal will pay for a medical/dental treatment or if you need to make a “Co-Payment” for any treatment.
Can I get Medi-Cal if I am disabled?
Yes. To get Medi-Cal as a disabled person, you must have severe physical and/or mental problem(s) which will:
- Last at least 12 months in a row and,
- Stop you from working during those 12 months, OR
- Possibly result in death.
You must prove your disabling physical and/or mental problem(s) with medical records, tests, and other medical findings.
Additionally, the medical problem must be the main reason why you do not work.
What if my Medi-Cal Application is Denied?
If you are not eligible for Medi-Cal, you should consider applying for health insurance through Covered California.
Covered California is the health insurance marketplace that serves as a one-stop-shop where individuals and families obtain information about health care options.
For information on Covered California, click here or call 888-975-1142.
Is In-Home Supportive Services available in San Bernadino County?
Yes. In-Home Supportive Services (IHSS) is a program, which assists low-income, elderly, and disabled adults and disabled children with extraordinary needs for care to remain in their own homes by providing personal care services and/or domestic services.
Personal care services include:
- Dressing
- Bathing
- Toileting
- Grooming
- Help with feeding
- Other similar duties
Domestic services include:
- Housecleaning
- Shopping
- Cooking
- Laundry
- Other similar duties
IHSS is an alternative to out-of-home care, such as skilled nursing or board and care.
To learn more about IHSS in San Bernadino county and how to apply, click here.
See our complete guide to In-Home Supportive Services in California.
Do IHSS Providers in San Bernadino County get Health Insurance?
Yes. IHSS offers health insurance coverage to IHSS providers in San Bernadino County.
The health insurance is provided by Dublin Insurance.
As of June 2022, the monthly premium is $60, which is automatically deducted from your paycheck.
What Dental Services are covered under Medi-Cal?
Dental coverage is included with your Medi-Cal coverage at little to no cost to you. Some of the types of dental care offered include:
- Diagnostic and preventive dental hygiene (such as examinations, X-rays, and teeth cleanings)
- Emergency services for pain control
- Tooth extractions
- Root canal treatments (anterior/posterior)
- Scaling and root planning
- Crowns (prefabricated/laboratory)
- Orthodontics for children who quality
- Complete and partial dentures
- Topical fluoride
Medi-Cal in San Bernardino County Summary
We hope this post on Medi-Cal in San Bernardino County was helpful.
Questions?
If you have further questions about Medi-Cal in San Bernardino County, please let us know in the comments section below.
Be sure to check out our other articles about Medi-Cal and California Medicaid program, including:
