In addition, pregnant women with incomes above 138 percent up to 213 percent of the FPL are eligible for pregnancy-related Medi-Cal coverage. Pregnancy-related services are services required to assure the health of the pregnant woman and the fetus. These include, but are not limited to, prenatal care, services for other conditions that might complicate the pregnancy, labor, delivery, postpartum care, and family planning services. Services for other conditions that might complicate the pregnancy, including those for diagnoses, illnesses, or medical conditions which might threaten the carrying of the fetus to full term or the safe delivery of the fetus. Pregnancy-related services may be provided prenatally from the day that pregnancy is medically established and postnatally to the end of the month in which the 60th day following delivery occurs. Drug coverage, prescribed for pregnancy-related services and dispensed within this eligibility time period, includes the full scope of Medi-Cal pharmaceutical benefits. There is no Medi-Cal service that is excluded from pregnancy-related coverage as long as the service is medically necessary. Medi-Cal providers must document a pregnancy diagnosis code on the billing claim form in order to be reimbursed for pregnancy-related services. In California both full-scope and pregnancy-related coverages qualify for minimum essential coverage (MEC).

Also, pregnant women whose incomes are above 138 percent up to 213 percent of the FPL can choose either pregnancy-related Medi-Cal, explained above, or enroll in a Qualified Health Plan (QHP) through Covered California and receive advanced premium tax credit (APTC) to reduce their monthly premiums. Pregnant women who are enrolled in a QHP prior to becoming pregnant and are eligible for Medicaid may enroll in Medi-Cal or stay enrolled in their QHP and continue to receive APTC and cost share reductions. Pregnant women in this income range may not, however, be enrolled in Medi-Cal and a QHP at the same time.

Pregnant women who have income over 213 percent up to 322 percent of the FPL may be eligible for the Medi-Cal Access Program (MCAP). Pregnant women who are not eligible for full-scope or pregnancy-related Medi-Cal may qualify for the MCAP, regardless of citizenship and immigration status. MCAP offers low-cost comprehensive coverage, with no copayments, deductibles and coinsurance. However, there is a fee equal to 1.5 percent of the yearly family income. The fee can be paid in monthly installments over 12 months. Pregnant women may qualify for both Covered California and the MCAP, but cannot enroll in both programs and must choose one program.