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1. Medi-Cal – How much will the Share of Cost be?  The more money you make, the higher your Medi-Cal Share of Cost is. Some tips on meeting your Share of Cost more easily?  Another Use Full Tip It’s important to note that your Share of Cost resets every month. So, you’ll need to meet it again the following month before Medi-Cal starts paying for your […]...
2. Providers may collect SOC payments Providers may collect SOC payments from a subscriber on the date that services are rendered or providers may allow a subscriber to “obligate” payment for rendered services.  Obligating payment means the provider allows the subscriber to pay for the services at a later date or through an installment plan.  Obligated payments must be used by […]...
3. Share of Cost: Medical Expense Vs. Allowable Medical Deduction Medical expenses can quickly become a financial burden for individuals and families, especially those with limited income. Did you know you can use medical expenses to meet your Medi-Cal Share of Cost? ...
4. How do you get rid of share of cost? Do I have to buy health insurance each month or can I use an approved dental plan to get rid of the monthly Medi-Cal Share of Cost Getting rid of the Share of Cost requirement in Medi-Cal involves meeting the necessary conditions to eliminate or reduce this financial obligation. It’s important to note that Share of Cost is specific to Medi-Cal and is not directly related to purchasing health insurance. Instead, it’s about demonstrating that your medical expenses are high enough to […]...
5. Share of Cost – Partnership Policy Covers Question: If a Partnership policy covers a patient’s stay in a private room in a nursing home until policy benefits are exhausted, and the patient transitions into Medi-Cal, with a Share of Cost (SOC), do they have to spend the SOC for services specifically pertinent to the nursing home? Reply: No, the patient can spend […]...
6. Share of Cost – Using Credit Card for Share of Cost Payments – What You Need to Know Investing in dental and vision insurance can also help you save money in the long run. These policies usually cover the cost of routine check-ups, cleanings, and exams, which can help prevent more serious dental and vision issues. By investing in preventive care, you can avoid costly and potentially more severe dental and vision treatment in the future....
7. Share of Cost is calculated independently for CMSP and Medi-Cal SOC policy also applies to County Medical Services Program (CMSP) providers and subscribers. Share of Cost is calculated independently for CMSP and Medi-Cal, however, the same subscriber income is included in both calculations. Therefore, the same medical expenses may be used to clear SOC for both programs.  Providers may apply the same services used to […]...
8. Medi-Cal Claims: A frequent cause of claim denials by Medi-Cal is due to incorrect recipient admission A frequent cause of claim denials by Medi-Cal is due to incorrect recipient admission and discharge dates and/or incorrect patient status codes submitted by providers. Erroneous “from-through” dates or patient status billed by one provider and paid by Medi-Cal can result in the denial of correct claims billed by another provider. This often occurs between […]...
9. Share of Cost – Do I Pay my IHSS Provider When I Have a SOC? At ShareofCost.com, we understand that meeting your SOC payment obligation can be challenging. That's why we offer dental and vision insurance plans that can help reduce or eliminate your SOC. Our insurance plans can also save you money on your dental healthcare needs, making it easier for you to meet your spend-down requirement....
10. Share of Cost – Medi-Cal This topic is of great significance for millions of Californians, and we at shareofcost.com aim to provide comprehensive information about it. Understanding that many of the 7 million Californians with Medi-Cal coverage do not qualify for cash assistance through CalWORKs or SSI is essential, as people commonly misunderstand it. If you need help or have any questions, please don't hesitate to contact us at 310-534-3444....
11. Let’s delve into a more comprehensive understanding of the concept of “Share of Cost” in the context of Medi-Cal and other government assistance programs. What is Share of Cost (SOC)? Share of Cost (SOC) is a financial obligation that individuals must meet before they become eligible to receive benefits under certain government assistance programs, particularly Medi-Cal in California. It is somewhat analogous to an insurance deductible in private health insurance plans. The purpose of SOC is to ensure that […]...
12. How much does a person have to pay for services while on Medi-Cal? The county looks at the applicant’s income after he or she establishes eligibility for Medi-Cal by spending down assets to no more than $89,280 for a couple with one spouse institutionalized or $2,000 for a single individual. The county looks at the income the individual receives in his or her own name and divides in […]...
13. Is there such a thing as a “Medi-Cal Friendly Annuity”? There is no such thing as a Medi-Cal-friendly annuity. The balance of an annuity is considered unavailable as long as the owner receives equal monthly payments for a number of years, less than or equal to life expectancy (based upon life expectancy tables designated by Health Care Financing Administration for this purpose). The final payment […]...
14. Share of Cost Clearance Transaction To clear a subscriber’s SOC, the provider accesses the Medi-Cal eligibility verification system, enters a provider number, Provider Identification Number (PIN), subscriber identification number, BIC issue date, billing code and service charge.  The SOC information is updated and a response is displayed on the screen or relayed over the telephone. Several clearance transactions may be […]...
15. Does Medi-Cal pay for Residential Care Facilities for the Elderly Currently, Medi-Cal does not pay for board and care in a RCFE, since RCFE care is not considered to be medical care. In addition, RCFE’s are not licensed as medical care providers. Medi-Cal does, however, allow an individual to retain income each month, up to the amount of the monthly charge of the facility, as […]...