County Medical Services
- County Medical Services
- At a Glance
- Minimum Eligibility Criteria
- Basic Financial Eligibility Requirements
- How to Apply
The County Medical Services Program (CMS) is a County program which provides health coverage to adults who meet medical need criteria, who are citizens or eligible legal residents and who meet specific financial requirements.
At a Glance
At a Glance
CMS provides limited medical services for uninsured adults ages 19-64 who reside in San Diego County, who are not eligible for Medi-Cal or the County’s Low Income Health Program (LIHP), are citizens or legal residents and meet income requirements.
- CMS is not health insurance; it is a program of last resort for adults
- CMS covers only necessary medical services.
- CMS covers the cost of your immediate and on-going medical care. Conditions like pregnancy, routine physicals, and mental health are never covered. Other services may have limited coverage.
- The County reserves the right to impose a lien against your property for services covered by CMS. The County further reserves the right to require a Reimbursement Agreement be signed by you as condition of eligibility. The Reimbursement Agreement permits the County to bill you directly for repayment to CMS for the services covered by CMS.
See Below for Information On:
Minimum Eligibility Criteria
Minimum Eligibility Criteria
Applicants must meet the following minimum eligibility criteria:
- Have a immediate or long-term medical need
- Be 21 through 64 years of age
- Be a U.S. citizen or an eligible alien, and be able to provide documentation of U.S. citizenship or legal alien status.
- Be a resident of San Diego County
- Sign lien forms for services covered by CMS
- Meet CMS financial requirements or receive General Relief
- Not be eligible for Medi-Cal or LIHP.
Basic Financial Eligibility Requirements
Basic Financial Eligibility Requirements
Applicants must meet the following financial eligibility requirements:
- An individual may have income up to 164% FPL to be eligible for no cost CMS.
- The CMS Program will evaluate an individual whose family income is over 165% FPL, up to and including 350% FPL, and who meets all other CMS eligibility criteria, for a CMS Hardship. This may result in the individual being required to pay or be obligated to pay a monthly Share of Cost (CMS Hardship applications are evaluated by the County of San Diego).
How to Apply
How to Apply
•Call 1-800-587-8118 for information and to request an appointment to apply for CMS.
For more detailed information on eligibility and the application process for the CMS Program, go here.