|
MEDI-CAL
What do I need to bring for proof of
eligibility?
You must give certain information before your MEDI-CAL can be approved.
You may apply without proof, but you would have to provide it within a
few days. The following is a list of items you will need to provide (some
take a while to retrieve):
* Social Security card(s)
* Medicare card(s)
* Naturalization document(s)
* Alien registration card(s)
* Pregnancy verification
* Income verification:
• Employee pay stubs or a statement from your employer showing gross
earning and deductions
• Award letter or checks showing amount of pension or benefits, including
Social Security and V.A.
• State Unemployment or Disability award letter
• Student Loan grant award letter(s) or loan grant papers
• Statement from providers of other income (contributions, refunds,
child support, etc.)
• Self-employment information: Last year's tax return or current
ledgers, current inventory, including business equipment and supplies
* Care costs for child/incapacitated person(s)
* Property Tax statements for all property
* Vehicle Registration(s) for automobiles, boats, campers, and trailers
* All checking and savings account statements and trust account documents
* All stocks (brokerage statements), bonds (including U.S. Savings bonds)
and mutual funds
* All deeds of trust, mortgages, other promissory notes and contracts
of sale
* All life insurance policies, including cash surrender value
* All annuity policies
* All burial trusts/prepaid burial contracts/information on burial plots
* Documentation regarding current value of all trusts
* Payment books(s) for all encumbered property
* All policies/cards for health insurance you currently have or which
are available to you
* Application(s) for possible available income (i.e. unemployment benefits,
state disability benefits)
* Court orders relating to income and property
* Lease agreements
* Life estate documents
* Copies of patient trust account ledgers
* Rent receipts, current utility bills, or housing statement
* Copies of child support orders or divorce decree
* Social Security disability or SSI denial or discontinuing notice (if
applying for disability-based MEDI-CAL)
* Evidence of California residency
|
