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
- Basic lab tests
- Medically necessary ultra sounds only!
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.