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COUNTY OF MONTEREY

HEALTH DEPARTMENT

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Monterey County Pilot Project for the Remaining Uninsured

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En español

What is this Pilot Project? 

The Monterey County Board of Supervisors has allocated funds for specific pharmacy, laboratory, and radiology services for Monterey County residents who are not eligible for State and Federal full-scope government health care programs and do not have health insurance.

Who can participate? 

The Pilot Project is open to Monterey County residents who are not currently eligible for State and Federal full-scope government health care programs and do not have health insurance. Residents of Monterey County who have Medi-Cal with Restricted Scope coverage are eligible to participate. Eligible Monterey County residents with income up to 138% of the Federal Poverty Level may participate.  The chart shows the maximum income level you may have based on your family size:

The Pilot Project will only pay for specific pharmacy services from Walgreens Pharmacy.

The Pilot Project will only pay for specific laboratory services and radiology services received from Natividad Medical Center.  (1441 Constitution Blvd, Salinas, CA 93906) 

There is no charge or copay for the specific pharmacy, laboratory or radiology services covered under the Pilot Project. The normal sliding fee scale for an office visit will apply, based on income and family size. At the time of your visit, the clinic staff will help you determine if / what that charge would be.


 

Frequently Asked Questions

What is this Pilot Project?  The Monterey County Board of Supervisors has allocated funds for specific pharmacy, laboratory, and radiology services for Monterey County residents who are not eligible for State and Federal full-scope government health care programs and do not have health insurance. The County plans to use this Pilot Project to study the benefits of offering these services to residents who are not eligible for other health care programs. The County hopes that this Pilot Project will improve the health of people living in the county who currently are not eligible for other health care programs by helping them with access to needed pharmacy, laboratory and radiology services. When the funds run out, the Pilot Project will end.

Who can participate?  The Pilot Project is open to Monterey County residents who are not currently eligible for State and Federal full-scope government health care programs and do not have health insurance. Residents of Monterey County who have Medi-Cal with Restricted Scope coverage are eligible to participate. Eligible Monterey County residents with income up to 138% of the Federal Poverty Level may participate.  The chart at right shows the maximum income level you may have based on your family size:

What is included in this pilot?  The Pilot Project is not health insurance.  It covers specific pharmacy, laboratory, and radiology services.

Where can I get care?  To get services through the Pilot Project, first go to one of the clinics. (click here for list of clinics)  Orders for specific pharmacy, laboratory, and radiology services will come from a physician or medical provider at one of the Monterey County clinics listed.

The Pilot Project will only pay for specific pharmacy services from Walgreens Pharmacy.

The Pilot Project will only pay for specific laboratory services and radiology services received from Natividad Medical Center.  (1441 Constitution Blvd, Salinas, CA 93906) 

How long will the Pilot Project last?  The Pilot Project is temporary and will last only until the money for the program is spent. When there is no more money, the program ends. Once the pilot project is over, the specified pharmacy, laboratory and radiology services will not be covered. Physician services will continue, and the normal sliding fee scale for an office visit will apply (based on income and family size). At the time of visit, the clinic staff will help determine if / what that charge would be.

Will I have to pay anything? There is no charge or copay for the specific pharmacy, laboratory or radiology services covered under the Pilot Project. The normal sliding fee scale for an office visit will apply, based on income and family size. At the time of your visit, the clinic staff will help you determine if / what that charge would be.

How will I know when the Pilot Project ends?  We will let you know approximately 30 days before the Pilot Project ends. We will notify you by mail.

How do I enroll? You can enroll at one of the participating health care clinics.  When you go to one of the clinics, the Pilot Project will be explained and you will be given the opportunity to sign this consent form. If you are already a Medi-Cal member with Restricted Scope coverage, there is nothing else you need to do related to Medi-Cal.

If you are not currently a Medi-Cal member with Restricted Scope coverage, when you enroll in the Pilot Project, it will be recommended that you apply for Medi-Cal. Medi-Cal Restricted Scope status offers limited coverage for emergency care and pregnancy care to individuals who are not otherwise eligible for full Medi-Cal coverage. You will need to bring a photo ID, proof that you live in Monterey County (a utility bill, for example), and something that shows your income, like a pay stub.

Who can I contact if I have questions? 

  • Clinic Services Staff: 831-796-1344

Information about other options for health care coverage.

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