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Extracted from Consolidated Report

This investigation was originally published as part of a larger consolidated report containing multiple investigations. View the consolidated PDF for the complete document.

Los Angeles County Grand Jury • 2006-2007

Emergency Rooms and Clinics Who Pays

6 pages
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Findings 7 findings

F1
Medi-Cal Medi-Cal coverage is automatic for low income people receiving supplemental Social Security Income “SSI” (Currently $836 per month maximum for an individual and no more then $2000 total assets, excluding home, car for transportation, and personal belongings, and a small allowance for incidentals). One can also receive Medi-Cal through the Aged and Disabled Federal Poverty Level Program. Again, income must be low (currently $1047 maximum for an individual and no more than $2000 in assets). Some people with higher incomes may qualify for Medi-Cal with a share of cost if their medical costs leave them with less than $600 for an individual with assets of no more than $2000.Some have other forms of insurance or a share of cost, which are paid before Medi-Cal. Some undocumented aliens may have restricted Medi-Cal benefits as specified on their Medi-Cal card and these usually include only emergency care. Medi-Cal partially finances Healthy Families, a specialized program. This program provides health coverage for children in families without insurance. Participants pay $4-9 per child up to a maximum of $27 per family. There is a $5 co-pay for visit, prescription medication, and emergency room services.
F2 Page 157
Prenatal services for the first seven visits remaining prenatal visits at no charge. $ 50.
F3 Page 157
County Hospital Outpatient Clinics, except Emergency Room visits $ 60.
F4
Multi-Service Ambulatory Care Center $ 60.
F5
Comprehensive Health Center Urgent Care Center $ 65.
F6
County Hospital Emergency Rooms $100.
F7
Outpatient Surgery Clinics $300.

Recommendations 4