Health Coverage for Pregnant Women

If you are pregnant, are low- or middle-income and do not yet have health insurance, you may want to explore two programs that provide health services for pregnantwomen in California.

Medi-Cal and Presumptive Eligibility

Pregnant women with low incomes can apply for Medi-Cal and, if they're eligible, get coverage back to the date of their application.

Medi-Cal also has a Presumptive Eligibility (PE) program for pregnant women, which provides immediate, temporary, no-cost care while your application for full Medi-Cal coverage is being reviewed. The PE program provides pregnancy-related care, some lab tests and prescription coverage related to pregnancy. (It does not cover labor and delivery or inpatient care.)

Medi-Cal's PE services for low-income pregnant women are provided by specific PE providers, including physicians, certified family nurse practitioners, clinics, certified midwives and hospital outpatient clinics. The PE provider determines if you are eligible for the PE program.

For information about the Medi-Cal PE program for pregnant women, you can contact a PE provider (ask your provider if he or she participates) or contact the perinatal coordinator at your county health department for a list of PE providers in your area. You also may contact the state's PE support line at (800) 824-0088 or visit www.dhcs.ca.gov/services/medi-cal/eligibility/Pages/PE.aspx.

Access for Infants and Mothers

California's Access for Infants and Mothers (AIM) program provides low-cost, comprehensive health coverage for middle-income pregnant women who do not have health insurance, who are not eligible for Medi-Cal or Medicare Part A and Part B, and who are less than 30 weeks pregnant. The AIM program is also available to women who have private health insurance plans with a maternity-only deductible or copayment greater than $500.

Coverage under the AIM program costs 1.5 percent of your adjusted annual net income and is billed to you over a 12-month period.

For more information about the AIM program, or to request an application or handbook, call (800) 433-2611 or visit www.aim.ca.gov.