CenCal Health

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For Members > Enrollment Information

For Members - Enrollment Information

CenCal Health Service Area

CenCal Health administers the Health Initiative (Medi-Cal), Healthy Families, Healthy Kids, and Access for Infants and Mothers (AIM) programs. Our service areas are the Counties of Santa Barbara and San Luis Obispo for all programs except the Access to Infants and Mothers program which is only for Santa Barbara County.

Santa Barbara County: The Health Plan service area in the County of Santa Barbara includes Ballard, Buellton, Carpinteria, Casmalia, Gaviota, Goleta, Guadalupe, Isla Vista, Lompoc, Los Alamos, Los Olivos, Montecito, New Cuyama, Orcutt, Santa Barbara, Santa Maria, Santa Ynez, Solvang, and Summerland.

San Luis Obispo County: The Health Plan service area in the County of San Luis Obispo includes Arroyo Grande, Atascadero, Avila Beach, Cambria, Cayucos, Grover Beach, Los Osos, Morro Bay, Nipomo, Oceano, Paso Robles, Pismo Beach, San Luis Obispo, San Miguel, Santa Margarita, Shell Beach and Templeton.

Medi-Cal Program

To receive Medi-Cal you must apply through the Department of Social Services or be receiving Supplemental Security Income (SSI) through the Social Security Administration. For Medi-Cal application information in Santa Barbara County please call the Business Service Center at 1-866-404-4007 or visit their website at www.countysb.org. For Medi-Cal application information in San Luis Obispo County please call 805-781-1600 or visit their website at www.slocounty.ca.gov/dss.

If you are permanently disabled or 65 years of age or older, you can apply for Supplemental Security Income (SSI). Please call the Social Security Administration at 1-800-772-1213 to learn more about how to apply for Social Security or visit their website at www.ssa.gov.

Healthy Families Program

If your child no longer qualifies for Medi-Cal or has Medi-Cal with a Share of Cost, he or she may be eligible for the Healthy Families Program. Healthy Families provides low-cost medical, dental, and vision care for children up to age 19 whose family incomes are below a certain amount. Monthly premiums are from $4 - $24 per child per month, up to a maximum of $72 per family per month. There are $5 and $10 co-payments required for some services. To get more information about Healthy Families and to see if your child qualifies, please call 1-888-747-1222 or visit their website at www.healthyfamilies.ca.gov or call the CenCal Health’s Member Services Department at 1-877-814-1861.

Access for Infants and Mothers Program (AIM)

The State of California established the Access for Infants and Mothers (AIM) Program to increase access to health care services for pregnant women who do not have maternity health insurance (or have a maternity deductible of $500+) or do not qualify for Medi-Cal. Your total cost will be exactly 1.5% of your adjusted annual household income after income deductions. This is a total cost, not a monthly premium. You may pay your 1.5% cost when you submit your application, or you may make monthly payments for one year. A $50 discount will be given if you send your full 1.5% cost with your application.

CenCal Health is the Health Plan offering AIM to women who live in Santa Barbara County. To find out more about the AIM program and how to apply, please call 1-800-433-2611or visit their website at www.aim.ca.gov or call CenCal Health’s Member Services Department at 1-877-814-1861.

Healthy Kids Program

Healthy Kids is a health care coverage program that is funded with both private and public funds. If funds are available, all of the following must be met in order to be eligible:

Under 19 years of age
A resident of Santa Barbara County
Family has annual or monthly income equal to or less than 300% of the Federal Poverty Level
Not eligible for Medi-Cal or Healthy Families or not covered by employer sponsored health care coverage within the last 3 months

For more information about the Healthy Kids program, please call CenCal Health’s Member Services Department at 1-877-814-1861.