Share of Cost – Does Every Medi-Cal Member Have a SOC? 

Friday, Feb. 23rd 2024 11:29 AM

As a Medi-Cal member, you might wonder if you have a Share of Cost (SOC). The answer is no; not all Medi-Cal members will have a Share of the Cost. The Share of Cost is a certain amount of money you must pay before Medi-Cal begins to pay for your healthcare services. 

Some Medi-Cal members receive free Medi-Cal and do not have a SOC. To be eligible for free Medi-Cal, you must meet specific income requirements. If you make too much money to qualify for free Medi-Cal, you will have to pay a Share of Cost. 

However, some free Medi-Cal programs do not require paying a SOC. If you are still determining whether you are eligible for free Medi-Cal, you can always check with your county worker. They can provide more information on these programs and help determine your eligibility.

If you have children who need healthcare coverage, they might be eligible for Healthy Families. This low-cost health insurance program is specifically designed for children with a Share of Cost. While it covers fewer services than Medi-Cal, it can be a great option for families who need affordable healthcare coverage. 

If you have any questions about Healthy Families or want to learn more, ask your county Medi-Cal worker for more information. They can help you determine your children’s eligibility for this program and walk you through the application process.

Remember that it’s important to understand your healthcare coverage options and requirements to ensure you receive the care you need. Contact your county worker or our member service line for assistance.

Contact our member service line at 310-534-3444 M-F 8 am-4 pm if you are trying to qualify for a zero share of cost. Our team of experts will be happy to help you understand each plan’s different options and benefits.

Posted on Friday, Feb. 23rd 2024 11:29 AM | by Share of Cost | in Share of Cost | Comments Off on Share of Cost – Does Every Medi-Cal Member Have a SOC? 

Share of Cost – What does Share of Cost Mean?

Wednesday, Feb. 21st 2024 10:18 AM

Share of Cost: Share of Cost is a program designed to help Californians. Californians with low income and resources pay for their medical expenses. The program is a part of Medi-Cal, California’s Medicaid program. The Share of Cost program requires recipients to pay a certain amount out of pocket for their monthly medical expenses before Medi-Cal begins to pay.

This amount is called “meeting your Share of Cost.” Your Share of Cost is calculated based on your income and expenses, a set amount you agree to pay monthly. Once you meet your Share of Cost for the month, Medi-Cal will pay for the rest of your medical expenses.

It is important to note that you only need to meet your Share of Cost in the months that you receive medical care. If you don’t receive medical care in a month, you won’t have to pay anything towards your Share of Cost.

The Share of Cost program can significantly help those who need medical care but can’t afford it. It allows them to get the care they need without worrying about the high medical expenses. If you are eligible for Medi-Cal, consider enrolling in the Share of Cost program to help manage your medical expenses.

Posted on Wednesday, Feb. 21st 2024 10:18 AM | by Share of Cost | in Share of Cost | Comments Off on Share of Cost – What does Share of Cost Mean?

Individuals and Families Dental Plan California It is essential to know your dental insurance plan terms and conditions. – Share of Cost

Friday, Jan. 19th 2024 9:37 AM

Too often, people either buy or receive dental insurance without knowing the terms and conditions of the plan. Knowing what is and is not covered and how much is vital if you use the plan. Before using your dental insurance plan and going to the dentist, take the time to read through your dental policy terms and conditions.

Dental insurance plan terms and conditions usually outline the coverage and benefits provided by the plan, as well as any exclusions or limitations. This may include details on the types of dental services covered, such as routine cleanings, fillings, and major procedures like root canals or orthodontics. The policy may also specify any waiting periods or pre-existing condition limitations, as well as any deductibles, copays, or coinsurance requirements that the member is responsible for. Additionally, the terms and conditions may outline the process for filing claims and any deadlines or documentation requirements. Call our member service line at 310-534-3444 if you have any questions about our dental insurance and plan options, as we will be happy to help.

Posted on Friday, Jan. 19th 2024 9:37 AM | by Share of Cost | in Medicare, Share of Cost | Comments Off on Individuals and Families Dental Plan California It is essential to know your dental insurance plan terms and conditions. – Share of Cost

Share of Cost – Gum Disease and Blood Pressur

Tuesday, Jan. 9th 2024 6:36 PM

Gum Disease and Blood Pressure  Research shows that periodontitis, a severe gum disease, is linked to higher blood pressure in otherwise healthy individuals. This study of 500 adults with and without gum disease found that approximately 50% of adults could have undetected hypertension. Promotion of good oral health could help reduce gum disease and the risk of high blood pressure and its complications.

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Why Floss Your Teeth – Share of Cost

Sunday, Jan. 7th 2024 1:34 PM

While there are few studies available that specifically examined toothbrushes or floss alone, both are still essential. Floss is especially useful to remove interdental plaque for people who have tight space between their teeth. Floss also likely reduces the risk for cavities that come from between the teeth. 

Posted on Sunday, Jan. 7th 2024 1:34 PM | by Share of Cost | in Share of Cost | Comments Off on Why Floss Your Teeth – Share of Cost

Share of Cost – Ear Pain Ear Pain Due to TMJ

Tuesday, Dec. 26th 2023 11:11 AM

Ear pain is often a warning sign of TMJ as it is a pretty common symptom. Nerves around the TMJ affect the nerves in and around the ear, and down the neck, so they can manifest pain anywhere in those general regions. Make sure to visit your dentist if you have unknown ear pain

Posted on Tuesday, Dec. 26th 2023 11:11 AM | by Share of Cost | in Share of Cost | Comments Off on Share of Cost – Ear Pain Ear Pain Due to TMJ

Share of Cost – Facial Pain Due to TMJ

Sunday, Dec. 24th 2023 11:08 AM

Facial pain can be a warning sign of TMJ. With the central facial location of the joint, pain can easily spread across your face. If you start to have an ache or pain in your face without knowing a direct cause, talk to your dentist and see if it is a TMJ issue.

Posted on Sunday, Dec. 24th 2023 11:08 AM | by Share of Cost | in Share of Cost | Comments Off on Share of Cost – Facial Pain Due to TMJ

Jaw/Joint Noises Related to TMJ Clicking

Saturday, Dec. 23rd 2023 10:07 AM

Grating or popping sounds (possibly caused by injury) that may emanate from your jaw as it moves could be a warning sign of TMJ. If you are experiencing this make sure to speak to your dentist so he/she can verify the causing factor

Posted on Saturday, Dec. 23rd 2023 10:07 AM | by Share of Cost | in Share of Cost | Comments Off on Jaw/Joint Noises Related to TMJ Clicking

Share of Cost – TMJ and Chewing

Wednesday, Dec. 20th 2023 10:03 AM

Pain while chewing can be a sign of TMJ. When your jaw is rigid and tight, you feel discomfort with every bite you take. If you are experiencing such a pain while chewing, talk to your dentist

Posted on Wednesday, Dec. 20th 2023 10:03 AM | by Share of Cost | in Share of Cost | Comments Off on Share of Cost – TMJ and Chewing

Share of Cost – Key Muscles that Connect to TMJ

Monday, Dec. 18th 2023 10:01 AM

The following key muscles connect to the TMJ: Your TMJs are involved in many repetitive daily functions. Every time you open or close your mouth, chew, talk or yawn, the TMJ is active. The following are the key muscles that connect to the TMJ

  • Masseter. The most powerful jaw muscle in mastication, or chewing, the masseter, lifts your jaw and closes your mouth.
  • Pterygoid muscles. The lateral and medial pterygoids are involved in jaw-lifting, mouth-closing and sliding your jaw forward or from side to side.
  • Temporalis muscle. The temporalis, which runs from the temporal bone at each side of the head to the bony part of the lower jaw, is a chewing muscle involved in crushing and grinding. Your TMJs are involved in many repetitive daily functions. Every time you open or close your mouth, chew, talk or yawn, the TMJ is active.
Posted on Monday, Dec. 18th 2023 10:01 AM | by Share of Cost | in Share of Cost | Comments Off on Share of Cost – Key Muscles that Connect to TMJ

Brushing With A Wet Toothbrush – Share of Cost

Friday, Dec. 15th 2023 6:40 AM

Although you do not need to wet your toothbrush at all, there are some benefits to wetting your toothbrush before you start brushing your teeth. If you wet your toothbrush before adding your toothpaste, it helps to soften your toothbrush bristles and rinse off any debris. If you wet your toothbrush after adding toothpaste, it helps to ensure the toothpaste melts into your toothbrush so it doesn’t roll off. 

Posted on Friday, Dec. 15th 2023 6:40 AM | by Share of Cost | in Share of Cost | Comments Off on Brushing With A Wet Toothbrush – Share of Cost

Avoid Using to Much Toothpaste – Share of Cost

Tuesday, Dec. 12th 2023 9:32 AM

Did you know most people use too much toothpaste? You only need to use a pea-sized dab of toothpaste on your toothbrush. Most adults tend to think that it is necessary to cover the entire brushing surface of a toothbrush because of the way toothpaste is advertised on television and adds.

Posted on Tuesday, Dec. 12th 2023 9:32 AM | by Share of Cost | in Share of Cost | Comments Off on Avoid Using to Much Toothpaste – Share of Cost

Share of Cost on When to Visit Your Dentist

Sunday, Dec. 10th 2023 9:08 AM

You will want to schedule a regular dental exam for your baby. The American Dental Association recommends that a baby gets his first dental exam at age one, but most pediatricians agree that the first visit can wait until age two, as long as you practice good home care. If you take good care of this first set of pearly whites, you can establish good dental habits for years to come.

Posted on Sunday, Dec. 10th 2023 9:08 AM | by Share of Cost | in Share of Cost | Comments Off on Share of Cost on When to Visit Your Dentist

Share of Cost on Fluoride

Thursday, Dec. 7th 2023 9:06 AM

Even though your baby is not using a fluoride toothpaste, he/she should get enough fluoride (Fluoride is important for preventing tooth decay) from drinking tap water. Most communal water supplies have it added just for this beneficial purpose. Ask your dentist about fluoride supplements. Your baby can take it once he/she’s six months old if your tap water is not fluoridated or your child does not drink any tap water.

Posted on Thursday, Dec. 7th 2023 9:06 AM | by Share of Cost | in Share of Cost | Comments Off on Share of Cost on Fluoride

Toothpaste – Share of Cost

Monday, Dec. 4th 2023 6:12 AM

You will want to start using a toothbrush with paste at around age two. Begin using a pea-size amount of non-fluoride toothpaste once Baby is about two. Wait until at least three, when your child is old enough not to swallow the toothpaste, before introducing the fluoride kind.

Posted on Monday, Dec. 4th 2023 6:12 AM | by Share of Cost | in Share of Cost | Comments Off on Toothpaste – Share of Cost

Share of Cost – How to Avoid Cavities.

Wednesday, Nov. 29th 2023 11:02 AM

Even with good at home dental care habits you want to always check for any signs of tooth decay. The first signs of cavities in baby teeth are discoloration and minor pitting. Putting Baby to bed with a bottle of milk (or worse, juice) is notorious for causing cavities. Do not leave your infant with a bottle for long periods of time, especially if you notice he/she’s no longer feeding and is just using the bottle for comfort. Just like adults babies need to see their dentist regularly.

Posted on Wednesday, Nov. 29th 2023 11:02 AM | by Share of Cost | in Share of Cost | Comments Off on Share of Cost – How to Avoid Cavities.