Coverage
Covered California
The state marketplace for individual and family plans, and the only place to get premium tax credits. Free certified enrollers will sit with you in person or by phone. Losing job coverage, moving, having a baby or losing Medi-Cal all open a special enrollment window.
Coverage
Medi-Cal — apply or renew
California's Medicaid program covers low-income adults, children, pregnant people, seniors and people with disabilities, with no premium for most members. Apply and renew through BenefitsCal or your county office. Renewal packets are the number one reason people lose coverage they still qualify for.
Coverage
Find your Medi-Cal managed care plan
Most Medi-Cal members are in a managed care plan, and that plan — not the state — controls your doctors, referrals and authorizations. If you don't know which plan you have, this directory maps counties to plans. Your plan's name is also printed on your card.
Coverage
Special enrollment after a life change
Job loss, aging off a parent's plan, divorce, moving counties, or the end of Medi-Cal eligibility usually opens a limited window to enroll outside open enrollment. The window is typically 60 days and it runs from the date of the event, not the date you find out.
Bills
Hospital charity care and financial assistance
Every California hospital must have a written charity care and discount payment policy, and must tell patients it exists. Ask for the policy and the application, in writing. Many people who qualify never apply because they were offered a payment plan instead.
Bills
Dollar For
A national nonprofit that helps people find out whether they qualify for hospital charity care and files the application with them. Free. Particularly useful if you have already been sent to collections and assume it is too late — often it is not.
Bills
Patient Advocate Foundation
Free case managers who work directly with insurers, hospitals and employers on behalf of patients with serious or chronic illness — appeals, medical debt, job retention. Also runs co-pay relief funds for specific diagnoses.
Bills
Surprise billing protections
For most emergency care and for out-of-network clinicians at in-network facilities, you generally cannot be balance billed above in-network cost sharing. If you were, there is a federal complaint process — and you should not sign a waiver at a registration desk without reading it.
Bills
Medical debt on your credit report
California law generally bars medical debt from consumer credit reports and from credit decisions, and debt reported in violation can be unenforceable. If medical collections are on your report, dispute them in writing with the bureau and keep copies. The Attorney General takes consumer complaints.
Denials
DMHC Help Center & Independent Medical Review
For most California HMOs and many PPOs, file a grievance with your plan first; plans generally have 30 days. If the plan says no — or does not answer — the Department of Managed Health Care can review it, and an Independent Medical Review moves a medical-necessity question outside the plan entirely. IMR is free.
Denials
California Department of Insurance
Some plans — typically certain PPOs and indemnity policies — are regulated by CDI rather than DMHC. If DMHC tells you they don't have jurisdiction, this is usually where you go next. Check the back of your insurance card for which department is named.
Denials
Employer self-funded plans
If your employer self-funds its health plan, state regulators generally cannot help — federal law governs instead. The plan document controls, you have a right to request it in writing, and appeals run through the plan administrator and then the federal Employee Benefits Security Administration.
Denials
Office of the Patient Advocate
State-published report cards comparing California health plans and medical groups on quality and on how they handle member problems. Useful when you are choosing a plan, and useful as evidence when you are arguing that a pattern exists.
Care
Community health centers & free clinics
Federally qualified health centers see patients regardless of insurance status or ability to pay, and charge on a sliding scale based on income. Many offer medical, dental, behavioral health and pharmacy in one building, plus enrollment help.
Care
Medi-Cal Dental (Denti-Cal)
Dental coverage for Medi-Cal members, including adults. Finding a participating dentist is often the hard part; the member line will search for you and can help with authorization questions.
Care
Confirm a provider is really in network
Plan directories are frequently wrong. Confirm twice: once with the plan, once with the practice, naming the exact plan and the exact location. Ask the office whether they are contracted with your plan for the specific product, not just "do you take" the insurer.
Prescriptions
Medicine Assistance Tool & NeedyMeds
Manufacturer patient assistance programs can supply brand-name drugs free or at low cost to people who qualify, and these directories index them. NeedyMeds also lists diagnosis-specific funds, free clinics and discount cards.
Prescriptions
Formulary exceptions and appeals
If a plan won't cover your medication, there is usually a formal exception process — not just a phone conversation. Your prescriber submits clinical justification, and a denial of an exception carries appeal rights and deadlines just like any other denial.
Mental health
SAMHSA National Helpline
Free, confidential, 24/7 treatment referral and information for mental health and substance use — in English and Spanish. They will refer to local treatment facilities, support groups and community organizations whether or not you have insurance.
Mental health
NAMI HelpLine
Peer support and information for people living with mental illness and for their families — navigating a diagnosis, finding care, dealing with a plan. NAMI California affiliates also run free local support groups and family education courses.
Mental health
Mental health parity and network adequacy
California requires plans to cover medically necessary treatment for mental health and substance use conditions, and to meet timely-access standards. If you cannot get an appointment within the required timeframe, the plan may have to arrange out-of-network care at in-network cost.
Basic needs
211 California
The general front door for local help: food, rent and utility assistance, shelter, childcare, transportation, and disaster response. Free, confidential, 24/7, multilingual. When you don't know which agency handles something, this is the call to make.
Basic needs
CalFresh (food benefits)
Monthly grocery benefits on an EBT card. Many people who qualify never apply — including working adults, students meeting an exemption, and seniors on fixed incomes. Applying does not affect most immigration cases, and county offices can screen you in minutes.
Basic needs
WIC — nutrition for families
Food benefits, breastfeeding support and nutrition counseling for pregnant people, new parents, infants and children under five. Income limits are higher than most people expect, and Medi-Cal or CalFresh enrollment usually establishes eligibility automatically.
Basic needs
Rides to medical appointments
Medi-Cal covers non-emergency medical transportation when a condition prevents you from getting to care another way, and non-medical transportation — mileage, bus passes, rideshare — for covered services. Both are arranged through your managed care plan, and both are widely unused because members are never told.
Basic needs
Utility and energy assistance
LIHEAP helps with past-due energy bills and weatherization; utilities also run discount rate programs and medical baseline allowances for households running medical equipment. A shut-off notice is an urgent call, not a next-week call.
Legal
Health Consumer Alliance
Free legal help for Californians with health coverage problems — Medi-Cal denials and terminations, managed care disputes, medical billing, and access to care. Staffed by legal services organizations in counties across the state.
Legal
LawHelpCA
A directory of free and low-cost legal aid across California, searchable by county and problem type — housing, benefits, debt collection, immigration, family law. Many healthcare problems are legal problems wearing a medical costume.
Disability
Disability Rights California
The state's protection and advocacy agency. Free legal assistance on access to services, In-Home Supportive Services, regional center disputes, accommodation, institutional care and discrimination.
Disability
Social Security disability & SSI
SSDI and SSI have different rules, different medical standards, and long timelines. Most initial applications are denied, and appeal deadlines are strict — usually 60 days. Applying early and appealing on time matters more than getting the first application perfect.
Medicare
HICAP — free Medicare counseling
Free, unbiased, one-on-one Medicare counseling from trained volunteers who are not selling anything. This is the single best resource for choosing between Original Medicare, Medicare Advantage, Part D and supplemental coverage — a decision that should never be made from a television ad.
Medicare
Medicare directly
Plan Finder, coverage rules, appeal rights and the annual Medicare & You handbook. Also the place to check whether a specific drug or service is covered before you assume it is.
Older adults
Eldercare Locator & Area Agencies on Aging
Meals, in-home support, caregiver respite, transportation, benefits screening and elder abuse reporting — routed to the agency that serves your ZIP code. Also the fastest route to In-Home Supportive Services information in California.
Veterans
Veterans health benefits & CalVet
VA health care eligibility is broader than most veterans assume, and enrolling does not require giving up other coverage. County Veterans Service Officers help with claims for free — they are the people who know which form actually works.
Immigrants
Immigrant health coverage in California
Eligibility rules for immigrants are complicated and change. Emergency Medi-Cal, pregnancy-related coverage, and coverage for children exist across a range of statuses, and community clinics serve everyone regardless of status. Get advice from an immigration-competent enroller before deciding not to apply.
Language
Interpreters are your right, and they are free
Health plans and most providers must provide interpretation at no cost to you, including in appeals and grievances. You do not have to bring a family member, and a child should never be your interpreter. Ask for a qualified medical interpreter and note the request in your records.
Families
Children's coverage and school-based help
Children qualify for Medi-Cal at higher income levels than adults, and coverage for kids is rarely a dead end. School districts have staff who help families enroll, and Medi-Cal for a child does not depend on a parent being covered.
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Directory reviewed August 2026. Programs, phone numbers and eligibility rules change. If a number does not connect, use the website link — that is the source of record. Coverage Compass receives no payment from any organization listed.