MCAP program – was Access for Infants and Mothers

You have a baby on the way! The State of California wants to help you get good health care during your pregnancy. Going without prenatal care can cause many problems for you and your baby. Studies show that women who do not get prenatal care often have more complicated (and expensive) births. If you don’t have insurance to cover your pregnancy and you are not receiving no-cost Medi-Cal or Medicare Part A and Part B, the Medi-Cal Access Program (MCAP) may be the helping hand you and your baby need. MCAP can also help if you have other health insurance that doesn’t cover maternity services or with a maternity-only deductible or copayment greater than $500. Check with your other health insurance plan to see if your deductible or copayment is for maternity-only services.

The AIM Program is low-cost health care coverage for pregnant women. Their newborns may be covered by the Healthy Families Program.

AIM is for middle-income families who don’t have health insurance and whose income is too high for no-cost Medi-Cal. AIM is also available to women who have private health insurance plans with a maternity-only deductible or copayment greater than $500. You can read more about Coordination of Benefts between your private health insurance plan and the AIM health plans in the Glossary of Terms in this AIM handbook. If you are enrolled in AIM, your baby is eligible for enrollment in Healthy Families unless your baby is enrolled in employer-sponsored insurance or no-cost Medi-Cal.

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