What to Do Once You’ve Been Released from Medi-Cal in California: A Comprehensive Guide

Navigating the healthcare landscape can be challenging, especially when there are transitions, such as being released from Medi-Cal in California. Medi-Cal, California’s Medicaid program, offers health insurance coverage to eligible low-income individuals. But what happens when you’re no longer eligible? This article will guide you through the steps to ensure you’re protected health-wise after leaving Medi-Cal.


Health Insurance

1. Understand the Reason for Your Release

Before taking any action, it’s crucial to understand why you were released from Medi-Cal. Common reasons include:

  • Changes in income that exceed the program’s limits.
  • Changes in family size.
  • Obtaining other health insurance.
  • Changes in residency or citizenship status.

Knowing the exact reason will help you determine your next steps.

2. Check for a Special Enrollment Period (SEP)

Being released from Medi-Cal might qualify you for a Special Enrollment Period (SEP) in Covered California, the state’s health insurance marketplace. An SEP allows you to enroll in a health insurance plan outside of the usual open enrollment period. Typically, you have 60 days from your release date from Medi-Cal to utilize your SEP.

3. Gather Essential Documentation

When transitioning to a new insurance plan, you’ll likely need:

  • Proof of income (recent pay stubs or tax returns).
  • Identification documents (driver’s license or passport).
  • Social Security numbers for all family members.
  • Documentation of your release from Medi-Cal.

Having these documents readily available will streamline the application process for your next health coverage.

4. Explore Health Insurance Options

You have several options to consider:

  • Covered California: Check for available plans on the Covered California website. Depending on your income, you might qualify for premium subsidies.

  • Employer-sponsored insurance: If you’re employed, inquire about health insurance options available through your employer.

  • Private insurance: Consult with insurance brokers or directly approach insurance companies for health plan options.

5. Consult with Professionals

Consider speaking with a certified insurance agent or counselor. They can provide valuable insights tailored to your situation, helping you choose the most suitable health insurance plan.

6. Apply Promptly

Once you’ve decided on a plan, don’t delay in applying. Remember, there might be a limited window (such as the SEP) during which you can enroll without potential penalties or waiting periods.

7. Set Up Payments

Upon approval, ensure you set up your payments. This might involve monthly premiums or setting up auto-payments from your bank account.

8. Inform Your Healthcare Providers

Let your doctors, specialists, and other healthcare professionals know about the change in your insurance status. They can then advise you on any necessary paperwork or changes to your care.

9. Regularly Review Your Coverage

Healthcare needs and available plans can change. Make a habit of annually reviewing your coverage, especially during open enrollment periods, to ensure it still aligns with your needs and budget.

10. Know Your Rights

Be aware of consumer rights concerning health insurance in California. For example, you have the right to an appeal if an insurance company refuses to pay for a service you believe you need.

Insurance Agency


While being released from Medi-Cal can initially seem overwhelming, taking proactive steps can ensure you remain covered and protect your health. Use available resources, consult professionals, and prioritize your healthcare needs to navigate this transition smoothly.

Covered California Certified Agent Brendan Carberry offers health insurance, ensuring that you can receive the necessary medical treatment when you need it. A California health insurance agency can assist you in navigating the complex world of healthcare and ensuring you are protected for a healthier future, whether you are seeking coverage for yourself or your family.

To get more information either go to the caresforcalifornia.com  website or call us directly at (855) 937-4373.