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Insurance Programs for Pregnant Women


Presumptive Eligibility Medi-Cal

Presumptive Eligibility (PE) is a Medi-Cal program providing immediate, temporary coverage for prenatal services (except delivery, family planning, and optional abortion procedures) to low-income women. PE will cover the cost of these services while the County is processing a woman’s Medi-Cal application.

Who Is Eligible?

Any woman who thinks she is pregnant, whose family income is under a certain amount, and who seeks prenatal care through a participating Medi-Cal provider. Undocumented women are eligible.

How Much Does It Cost?

Prenatal care services under PE are free to eligible women.

How Do I Apply?

For information and application assistance in Contra Costa, call Toll Free 1-800-211-8040.

Pregnancy-only Medi-Cal

A pregnant woman who does not qualify for full-scope Medi-Cal may be eligible for a Medi-Cal benefit that is restricted to prenatal care, labor and delivery services, family planning services, and postpartum care that lasts for at least 60 days following the end of pregnancy.

Who Is Eligible?

Pregnant women, including undocumented women, with family income at or below 200% of the Federal Poverty Level.

How Much Does It Cost?

Pregnancy-only Medi-Cal services are free to eligible women.

How Do I Apply?

For information and application assistance in Contra Costa, call Toll Free 1-800-709-8348.

Access for Infants & Mothers (AIM)

AIM is a state program that provides health insurance for middle-income pregnant women. If you qualify for AIM, your baby is automatically eligible for enrollment in Healthy Families for the first year after birth. For your baby to remain on Healthy Families past the first year, your family must meet the Healthy Families income guidelines, which are lower than those of the AIM Program.

Who Is Eligible?

Women who:

  • are not more than 30 weeks pregnant at application date
  • have lived in CA for last 6 months prior to applying
  • do not have no-cost Medi-Cal or Medicare
  • do not have insurance coverage for pregnancy or have deductibles/ co-payments for maternity over $500
  • are in families in incomes between 200%-300% FPL

How Much Does It Cost?

Pregnancy and first 60 days after pregnancy has ended: 1.5% of adjusted household income after income deductions.

How Can I Apply?

For information and application assistance in Contra Costa, call Toll Free 1-800-211-8040 or visit the State of California AIM Program website.

Links to related programs for mothers & infants