Medi-Cal checklist for 2026 and 2027
A printable from Medi-Cal for Adults 2026. Fill it in by hand. Nothing you write is collected by this website.
Medi-Cal checklist for 2026 and 2027
- Do I have full Medi-Cal now, or restricted scope?
- When is my renewal due? Is my address up to date?
- If my coverage ended: what date? (I have 3 months to sign up again.)
- Can my children, or anyone pregnant in my home, apply?
- Dental work I want done before July 1, 2027
- Premium: will I need to pay from July 1, 2027? How much, and how?
- Does my clinic take Fee for Service Medi-Cal in 2027? Where is my BIC card?
- If I cannot enroll: San Mateo ACE 650-616-2002, or Santa Clara PCAP (888) 363-3394, option 1
- Name of the person I spoke with, and the date
Do not write your immigration status on this sheet.
From Medi-Cal for Adults 2026. Facts checked October 21, 2026. Free information, not legal or medical advice.