Presumptive Eligibility 2017-11-16T14:44:06+00:00

PRESUMPTIVE ELIGIBILITY

Early pregnancy diagnosis leads to healthier deliveries for both the mother and baby. LK Health offers a NO-COST, FREE pregnancy test through its Presumptive Eligibility Program. If a pregnancy test is positive, emergency Medi-Cal eligibility is available.

The Presumptive Eligibility program for pregnant women is designed for low-income California residents who believe they are pregnant and who do not have health insurance or Medi-Cal coverage for prenatal care.

Information For Pregnant Women Interested In Presumptive Eligibility (PE)

Who is eligible?

Any woman who thinks she is pregnant and whose family income is under a certain amount is eligible for Presumptive Eligibility (PE) for Pregnant Women. LK Health offers this program and can determine if you are eligible.

What kind of prenatal care can I receive when enrolled in the PE Program?

PE offers specific walk-in prenatal care and prescription drugs for conditions related to pregnancy.

What care is NOT covered by the PE Program?

PE is a temporary Medi-Cal program that does not cover labor and delivery, or inpatient care. That is why it is important for PE patients to apply for Medi-Cal on a timely basis.

Who will help me enroll in the PE program?

A dedicated LK Health employee.

What happens at the first appointment?

LK Health will ask you to complete a Statement of California Residency (English | Spanish) and then a “Presumptive Eligibility for Pregnancy Only” application. If you are determined eligible for PE, LK Health will then complete your NO COST FREE pregnancy test. If your pregnancy test is negative, you will not be eligible for PE. If your test is positive, you will be issued a temporary Medi-Cal card (paper) for PE only (up to 2 months). This card IS NOT A MEDI-CAL CARD. It is only for specific PE services. The provider will complete your examination and then schedule you for your next appointment.

What next?

You must formally apply for Medi-Cal at the County Department of Social Services and provide proof of application to LK Health before the expiration date on your temporary Medi-Cal card (paper). LK Health will then extend your temporary Medi-Cal card for up to 2 months. The county will determine if you are eligible to receive Medi-Cal. If you are determined to be eligible for Medi-Cal you will be mailed a Medi-Cal Beneficiary Identification Card.

What do I do with the Medi-Cal card when it comes in the mail?

You should notify LK Health that you now have Medi-Cal. You should stop using your temporary Medi-Cal Card (paper) and begin using your new Medi-Cal card.

What if I have more questions about the PE program?

You can contact LK Health at (323)728-8588.