Who is eligible for Medi-cal insurance?

 

 Medi-Cal Cards Getting A Facelift | California Healthline

Eligibility for Medi-Cal insurance in California is determined based on several factors, including income, household size, age, disability status, and immigration status. Here are some general guidelines for eligibility:

  1. Income Eligibility: Medi-Cal eligibility is primarily based on your household's income compared to the Federal Poverty Level (FPL). The income limits vary depending on factors such as household size and whether you qualify under specific programs, such as the Medi-Cal Expansion program or the Aged, Blind, and Disabled program. In some cases, there may be no income limit for certain categories, such as pregnant women and children.

  2. Household Size: The size of your household, including the number of adults and children, is considered in determining your eligibility for Medi-Cal. Generally, the income limits increase with a larger household size.

  3. Age and Disability: Certain age groups and individuals with disabilities may be eligible for Medi-Cal. This includes individuals who are 65 years or older, blind, or have a qualifying disability. Specific programs are available for seniors and persons with disabilities.

  4. Immigration Status: Eligibility for Medi-Cal is also influenced by your immigration status. Some individuals who are not eligible for federally funded Medicaid due to immigration status may still be eligible for restricted-scope Medi-Cal or other state-funded programs.

It's important to note that eligibility requirements for Medi-Cal can be complex, and they may change over time due to policy updates. To determine your eligibility for Medi-Cal insurance accurately, it's recommended to visit the official website of the California Department of Health Care Services (DHCS) or use the Covered California website. These resources provide detailed information about eligibility criteria, income guidelines, and application processes specific to California.

Additionally, you can contact your local county human services agency or a certified enrollment counselor who can assist you in determining your eligibility and guide you through the application process for Medi-Cal.

 

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