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Home > Keep your Medi-Cal coverage in 2026
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Keep your Medi-Cal coverage in 2026

Make sure to renew your Medi-Cal on time!

You must renew your Medi-Cal this year to keep your health care coverage. This helps you see your doctor and get your medication.

If you have TotalCare (HMO D-SNP), renewing your Medi-Cal also helps you keep your extra benefits and coordinated care.

The Alliance is your Medi-Cal health plan if you live in Mariposa, Merced, Monterey, San Benito or Santa Cruz County. However, we do not process Medi-Cal applications or renewals. Your county Medi-Cal office will handle your Medi-Cal renewal.

3 steps to stay covered

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If you've moved, update your contact information.

Make sure your county Medi-Cal office has your correct address and phone number.

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Know your renewal date and watch your mail.

You should get a renewal letter mailed to you from your county Medi-Cal office with any steps you need to take to renew.

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If you are required to complete renewal paperwork, fill it out and send it back fast.

Return your renewal to your county office by the deadline. If you do not renew your Medi-Cal before your renewal deadline, you will lose your benefits. To keep your coverage, complete your renewal each time it is due.

More renewal options

Young woman fills out paperwork

Get help with your Medi-Cal renewal

Find local organizations that can help you renew your Medi-Cal at no cost. They can explain the renewal process and what to do next.

If you don’t get your renewal letter in the mail, you can also renew your Medi-Cal by:

  • Using the BenefitsCal website.
  • Contacting your local county Medi-Cal office to renew by mail, phone or in person.

Apply online at BenefitsCal

Contact your local county Medi-Cal office

Apply by mail, phone or in person.

Did you miss the deadline to renew your Medi-Cal coverage? It’s not too late! You may be able to get your benefits back right away by filling out your renewal information. 

If you are not sure about your renewal deadline, you can log in to BenefitsCal to find out when your renewal is due. 

You can still apply

If you haven’t enrolled in Medi-Cal, you can still sign up for Medi-Cal if you meet the current eligibility requirements.

How to Apply:

You may apply online at BenefitsCal or contact your local county Medi-Cal office to apply by mail, phone or in person.

Apply online at BenefitsCal

Contact your local county Medi-Cal office

Apply by mail, phone or in person. 

Are you unsure if you might qualify for Medi-Cal?

You can use the California Department of Health Care Services (DHCS) online tool to see whether you might qualify. It’s quick and easy! Note that you need to fill out a full Medi-Cal application to find out for sure.

Contact your county Medi-Cal office

Mariposa County Health and Human Services Agency 

Locations:

Mariposa Coulterville
5362 Lemee Lane 5026 Broadway
Mariposa, CA 95338 Coulterville, CA 95311

Phone Number: 209-966-2000 or 800-549-6741

Mailing address: 

Mariposa County Health and Human Services Agency
P.O. Box 99
Mariposa, CA 95338


Merced County Human Services Agency

Locations:

Merced Atwater Los Banos
2115 Wardrobe Ave. 1920 Customer Care Way 947 W. Pacheco Blvd., Ste. C
Merced, CA 95341 Atwater, CA 95301 Los Banos, CA 93635

Phone number: 855-421-6770 (TTY: Dial 711)

Mailing address: 

Merced County Human Services Agency
P.O. Box 112
Merced, CA 95341


Monterey County Department of Social Services

Locations:

Salinas Seaside King City
1000 S. Main St., Ste. 216 1281 Broadway Ave. 116 Broadway St.
Salinas, CA 93901 Seaside, CA 93955 King City, CA 93930

Phone number: 877-410-8823 (TTY: Dial 711)

Mailing address:

Monterey County Department of Social Services
1488 Schilling Pl
Salinas, CA 93901


San Benito County Health and Human Services, Public Assistance 

Location: 

Hollister
1111 San Felipe Road, Suite 206
Hollister, CA 95023

Phone number: 831-636-4180 (TTY: Dial 831-634-4969)

Mailing address: Use the location address above.


Santa Cruz County Human Services Department

Locations:

Santa Cruz Watsonville
1020 Emeline Ave., Building B 500 Westridge Drive
Santa Cruz, CA 95060 Watsonville, CA 95076

Phone number: 888-421-8080 (TTY: Dial 711)

Mailing address: Use either the Santa Cruz or Watsonville address above.

What happens if I miss my renewal deadline?

If you do not renew your Medi-Cal, you will lose your Medi-Cal health coverage. You can still complete your renewal paperwork and submit to your enrollment agency to have your coverage reinstated. If you are late to renew your Medi-Cal, your coverage may change because of the new eligibility requirements. For example, you may only be able to get care for pregnancy or emergencies. Contact your county’s Medi-Cal office for help.

Where can I get help with immigration?

Help from the State

  • California Department of Social Services: For help with immigration legal services, visit the CDSS website or call 916-651-8017.
  • State Bar of California: To find legal help, visit the State Bar of California website or call 415-538-2000.
  • Deferred Action for Childhood Arrivals (DACA): If you are a DACA recipient, you can visit the California Immigrant Guide or call 800-807-6755 for help.
  • Judicial Branch of California: Access the immigration resource guide to find legal help, resources for parents and more.
  • Keep Your Benefits: Get the facts about how your immigration status may change your benefits. Visit the Keep Your Benefits website.
  • California Department of Health Care Services: Find answers to your questions about Medi-Cal and how immigration status may impact Medi-Cal eligibility. Visit the Department of Health Care Services website.

Help from the County

  • Mariposa County
    Find out how to get cash assistance.
  • Merced County
    Find out how to get cash assistance
  • Monterey County
    Know your rights
  • San Benito County
    See Immigration & Citizenship Resources
  • Santa Cruz County
    Find Immigration Resources
Are you a TotalCare member?

Make sure to renew your Medi-Cal on time!

As a TotalCare member, it’s important for you to maintain your Medi-Cal coverage. If you forget to renew or you lose Medi-Cal for any reason, you may be disenrolled from the TotalCare plan.

If you lose your Medi-Cal coverage, you enter a 3-month grace period. We will send you a letter letting you know that you are at risk of losing your TotalCare plan coverage and give you more details on the grace period.

If you do not renew on time, your TotalCare coverage will end after the grace period. You will then be back on Original Medicare. If you get your Medi-Cal back later on, you can sign up for TotalCare again.

Medi-Cal program changes (2026 – 2028)

This page is subject to change as the California Department of Health Care Services (DHCS) shares news about Medi-Cal changes. We strongly recommend that you check the DHCS Medi-Cal Changes page often for the most recent information.

2026

January 1: Adult enrollment freeze begins 
  • Some adults will no longer be able to sign up for full-scope Medi-Cal coverage based on their immigration status.   
  • Individuals subject to the enrollment freeze can keep full-scope coverage if they complete timely renewals and continue to meet Medi-Cal eligibility rules.   
  • A three-month grace period is available to reenroll into full scope Medi-Cal for those who missed their renewal deadline.   
  • Exceptions (enrollment freeze does not apply): Children ages 0 to 18, pregnant or postpartum people (up to 1 year after pregnancy), former foster youth under 26.   

2027

January 1: Fee-for-Service transition
  • Starting January 1, 2027, some members will get their Medi-Cal care through Fee-for-Service (FFS) Medi-Cal instead of a health plan. This change is based on immigration status and affects how Medi-Cal members get care. 
  • Affected people will no longer be in a health plan. They can choose any doctor that accepts FFS Medi-Cal.  
  • “Fee-for-Service” does not mean the member pays. Medi-Cal still pays for care.  
  • This applies to:
    • Undocumented people. 
    • Some people with green cards who are in the five-year waiting period before they can get full-scope federal Medicaid. 
    • People considered Permanently Residing in the U.S. Under Color of Law (PRUCOL), meaning they are allowed to stay in the U.S. even without formal immigration status. 
  • For details, view the DHCS Immigration Categories page. 
January 1: Work rules begin 
  • Some adult Medi-Cal members between ages 19 to 64 will need to work, volunteer, go to school or participate in training to keep Medi-Cal.   
  • These new work or volunteer rules do not apply to:
    • Children (0–18). 
    • Older adults (65 and older). 
    • Pregnant people (through pregnancy and up to one year after). 
    • Parents of children ages 0-13. 
    • People with disabilities. 
    • People with serious health or mental health conditions or substance use problems. 
    • People who were released from jail or prison within the last 90 days. 
    • People on Medicare Part A or Part B. 
    • American Indians or Alaska Natives. 
    • People under age 26 who were in foster care on their 18th birthday. 
March 1: Medi-Cal renewals every 6 months 
  • Starting March 1, 2027, Medi-Cal redeterminations will occur every six months for adults who are enrolled in Medi-Cal.  
  • These members will continue with once-a-year renewals:
    • Members in a Medi-Cal program that is not under the Affordable Care Act new adult group.   
    • Pregnant or postpartum individuals.  
    • Alaska Native or American Indian members.  
    • Former foster youth under age 26 who were in foster care on their 18th birthday.   
July 1: Immigration status changes 
  • In 2026, the federal government is changing how it classifies some immigration statuses (a person’s legal standing in the U.S. based on how and why they came here).
    • Members may be affected if they get Medi-Cal and are:
      • A refugee or asylee.
      • A humanitarian parolee.
      • A survivor of domestic violence or human trafficking.
    • These people will keep getting state-funded full-scope Medi-Cal through June 30, 2027. After that, people in this group will only be eligible for pregnancy-related services and emergency services. 
  • Find more information on the DHCS Immigration Categories page.
July 1: Medi-Cal premiums begin 
  • Some members will need to pay monthly premiums to keep their full-scope Medi-Cal based on their immigration status.  
  • If affected members do not pay the premium, they will only get restricted scope Medi-Cal. This means they will only be able to get emergency care, pregnancy-related care or nursing home care. 
  • Members will not have to pay a premium if they are:
    • A child (0-18 years old). 
    • A former foster youth under age 26 and were in foster care on their 18th birthday.  
    • Pregnant or within one year after their pregnancy ends.
July 1: Dental coverage change
  • Some adult Medi-Cal members will stop getting full-scope dental services based on their immigration status.
  • Services for emergency dental needs will still be available to all Medi-Cal recipients regardless of immigration status.
  • This change does not affect:
    • Members who qualify for federal full-scope Medi-Cal.
    • Children under age 19.
    • People who are pregnant and for one year after pregnancy.
    • Foster youth under age 26 who were in foster care on their 18th birthday. They will keep dental benefits.
July 1: Asset limit changes
  • An asset is something you own that has value. An asset limit is the most you can own in countable assets and still qualify for Medi-Cal. Starting July 1, 2027, the asset limit is being decreased to:
    • $21,000 for one person. 
    • $31,000 for two people. 
  • Add $1,550 for every extra person in the house (up to 10 people). 
  • This change affects people who:
    • Are 65 or older. 
    • Have a disability (physical, mental, or developmental). 
    • Live in a nursing home. 
    • Are in a family that makes too much money to qualify under federal tax rules. 
  • Learn more about this change on the DHCS website. 

Questions?

To learn more about all the upcoming changes and who they affect, go to the DHCS website.

If you have questions about your eligibility, call or visit your county office.

County Medi-Cal Offices

  • Mariposa County Health and Human Services Agency
    Phone: 209-966-2000 or 800-266-3609.
  • Merced County Department of Human Services
    Phone: 209-385-3000 or 855-421-6770.
  • Monterey County Department of Social Services
    Phone: 877-410-8823.
  • San Benito County Health and Human Services Agency, Public Assistance
    Phone: 831-636-4180
  • County of Santa Cruz Human Services Department
    Phone: 888-421-8080

Care Options at Home

Telehealth

  • Your primary doctor: Call your doctor to ask if they offer phone or video visits (called telehealth). You can find their phone number on your Alliance member ID card.
  • Rocket Doctor: Call 844-996-3763 or book online. You can talk to a doctor on your phone or on your computer.
  • Zócalo Health: Call 213-855-3465 or book online. You can talk to a doctor or promotora de salud on your phone or on your computer.

Nurse Advice Line
Call 844-971-8907 (TTY: Dial 711) any time, day or night. A nurse can answer your health questions, help you decide if you need care right away, and tell you what to do next.

Contact us | Toll free: 800-700-3874

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