Eligibility


On your first visit to our clinics, we’ll get you set up with either Presumptive Eligibility or Family PACT.  See below to find out which one will best meet your needs.

Presumptive Eligibility

What is Presumptive Eligibility?

  • Presumptive Eligibility (PE) is early, temporary Medi-Cal for low-income pregnant women.
  • It provides basic prenatal care coverage while you wait for your Medi-Cal approval.
  • You MUST apply for Medi-Cal when you are on Presumptive Eligibility.

Presumptive Eligibility is available to a woman who:

  • Thinks she is pregnant
  • Lives in California
  • Does not have health insurance for prenatal care or has a high deductible

What services are covered by Presumptive Eligibility (PE)?

  • PE will pay for most prenatal services while you are on Medi-Cal
  • Pregnancy Tests
  • Prenatal Care visits
  • Medications
  • Basic lab tests
  • Medically necessary ultra sounds only!
 
Family PACT

What is Family PACT?

  • A program that provides no-cost family planning services
  • Both men and women can qualify
  • Must live inCalifornia

Why should I enroll?

  • Prevent an unplanned pregnancy
  • Protect your reproductive health by helping you take care of yourself so that you can have a healthy baby when you’re ready.
  • Get information about birth control methods.
  • Get the education, counseling, and treatment you need.

Who is eligible?

  • If you have insurance or Medi-Cal, but you need to keep family planning services confidential.
  • If you have insurance, but it doesn’t cover family planning or birth control.
  • If you have insurance, but you haven’t met your deductible.
  • Low-income Californiaresidents who are able to become pregnant or cause pregnancy
  • Those with out medical insurance or those who can’t qualify for Medi-Cal.
  • If you have Medi-Cal with Share of Cost, but you have not met your Share of Cost.