Glossary

Whether you meet the rules to qualify for a program like Medi-Cal. This usually depends on things like your income, where you live, and your household size.

A medical test done to look for signs of a disease or condition before you have any symptoms. Screening tests help find problems early, when they may be easier to treat.

When a doctor identifies a specific disease or condition you have, usually after running tests and looking at your symptoms.

A regular payment (usually monthly) you make to keep your health insurance active. Many Medi-Cal members pay no premium at all.

Your main, everyday healthcare. A primary care provider (PCP) is the doctor or clinic you see first for checkups, common illnesses, and referrals to specialists.

Healthcare services designed to prevent illness or catch health problems early. Examples include vaccines, annual checkups, and routine screenings.

A fixed amount you might pay when you visit a doctor or get a prescription. Many Medi-Cal services have no copay.

The process of signing up for a health coverage program like Medi-Cal.

A person who is enrolled in and receives benefits from a health program like Medi-Cal.

An income amount set by the federal government each year. It is used to decide if you qualify for programs like Medi-Cal. The amount changes based on your household size.

When your primary care doctor sends you to see a specialist or get a specific test. Some health plans require a referral before you can see a specialist.

A doctor who focuses on a specific area of medicine, like heart health, skin conditions, or children's health.