How much money can you have in the bank and still qualify for Medi-Cal?

To find out if you qualify for one of Medi-Cal's programs, look at your countable asset levels. You may have up to $2,000 in assets as an individual or $3,000 in assets as a couple. As of July 1, 2022 the asset limit for some Medi-Cal programs will go up to $130,000 for an individual and $195,000 for a couple.
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Does having a savings account affect Medi-Cal?

One of the vexing issues for people attempting to qualify for Medi-Cal are the limits on a person's assets. And when they do have assets, such as a savings account, the Medi-Cal rules necessitate that the individual must spend down those assets in order to qualify for conditional or Non-MAGI Medi-Cal eligibility.
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What disqualifies Medi-Cal?

The Medi-Cal program determines eligibility for benefits on a “means” tested basis. If a Medi-Cal applicant's property/assets are over the Medi-Cal property limit, the applicant will not be eligible for Medi-Cal unless they lower their property/assets according to the program rules.
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How much savings can you have for Medi-Cal?

If you are SINGLE and residing in a long-term care facility, you must have $2,000 or less in your property reserve. for Medi-Cal, your separate property plus one-half of the community property must be valued at $2,000 or less.
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What is the maximum income to qualify for Medi-Cal 2021?

For dependents under the age of 19, a household income of 266 percent or less makes them eligible for Medi-Cal. A single adult can earn up to $17,775 in 2021 and still qualify for Medi-Cal. A single adult with one dependent can earn up to $46,338 annually and the child will still be eligible for Medi-Cal.
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How much income can you have and STILL qualify for Medicaid?



Do you have to repay Medi-Cal after your income increases?

Many of these people fear they will have to repay Medi-Cal for the months they were really ineligible for the no cost health insurance. Do you have to repay Medi-Cal after your income increases and you were no longer eligible? The short answer is usually not.
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What is the highest income to qualify for Medicaid?

Federal Poverty Level thresholds to qualify for Medicaid

The Federal Poverty Level is determined by the size of a family for the lower 48 states and the District of Columbia. For example, in 2022 it is $13,590 for a single adult person, $27,750 for a family of four and $46,630 for a family of eight.
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What is the maximum income to qualify for Medi-Cal in 2022?

In 2022, the monthly income will increase to $1,564. In other words, an adult can earn up to $1,564 per month and still qualify for no cost Medi-Cal. MAGI Medi-Cal annual amounts for a single adult increased to $18,755, from $17,775 in 2021, for a single adult.
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Does owning a house affect Medi-Cal?

As I mentioned, your home is exempt when you apply and while you're on Medi-Cal. However, your house is no longer exempt after your death or if you're a married couple, after the death of both of you.
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Do I qualify for Medi-Cal?

If your family has income at or below 138% of the Federal Poverty Level (FPL) (266% of FPL if you're a child), you may be eligible for Income-Based Medi-Cal. If you qualify for SSI (Supplemental Security Income), you are automatically eligible for SSI-Linked Medi-Cal.
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Does Medi-Cal check your bank account?

Because of this look back period, the agency that governs the state's Medicaid program will ask for financial statements (checking, savings, IRA, etc.) for 60-months immediately preceeding to one's application date.
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Does Medi-Cal look at assets?

To find out if you qualify for one of Medi-Cal's programs, look at your countable asset levels. You may have up to $2,000 in assets as an individual or $3,000 in assets as a couple. As of July 1, 2022 the asset limit for some Medi-Cal programs will go up to $130,000 for an individual and $195,000 for a couple.
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What if I make too much for Medi-Cal?

So, if you're earning enough money to replace the benefits and cover your medical costs without help from the government, then you're usually not eligible for the program. If your expenses are higher than the state average, Social Security may increase the threshold on a case-by-case basis.
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How does Medi-Cal determine income?

Income-based Medi-Cal counts most types of earned and unearned income you have. However, some income is not counted, including Supplemental Security Income (SSI) benefits and some contributions to retirement accounts.
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What is considered poverty level in California?

According to the CPM, 16.4% of Californians (about 6.3 million) lacked enough resources—$35,600 per year for a family of four, on average—to meet basic needs in 2019. The poverty rate dropped from 17.6% in 2018.
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What are Medicaid requirements?

Medicaid beneficiaries generally must be residents of the state in which they are receiving Medicaid. They must be either citizens of the United States or certain qualified non-citizens, such as lawful permanent residents. In addition, some eligibility groups are limited by age, or by pregnancy or parenting status.
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How do I meet my Medicaid spend down?

If you are enrolled in Pay-in Spenddown, there are three ways to meet your spenddown:
  1. Use your medical expenses toward your monthly spenddown amount; or.
  2. Pay your monthly spenddown amount to HFS; or.
  3. Combine medical expenses (bills and receipts) and a payment to HFS.
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How do I qualify for dual Medicare and Medicaid?

Persons who are eligible for both Medicare and Medicaid are called “dual eligibles”, or sometimes, Medicare-Medicaid enrollees. To be considered dually eligible, persons must be enrolled in Medicare Part A (hospital insurance), and / or Medicare Part B (medical insurance).
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Does Medi-Cal check tax return?

For tax year 2014, health coverage for Medi-Cal is reported by self-attestation by checking a block on your tax return when filing your taxes.
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What happens if you don't report changes to Medi-Cal?

If you do not report changes to your personal information right away, and then receive Medi-Cal benefits that you do not qualify for, you may have to repay DHCS. 19. You, or any family member receiving Medi-Cal, must not be getting public assistance from another state.
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Do I have to report income to Medi-Cal?

To qualify for Medi-Cal, you must live in the state of California and meet certain rules. You must give income and tax filing status information for everyone who is in your family and is on your tax return. You also may need to give information about your property. You do not have to file taxes to qualify for Medi-Cal.
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What is the difference between Covered California and Medi-Cal?

Medi-Cal offers low-cost or free health coverage to eligible Californian residents with limited income. Covered California is the state's health insurance marketplace where Californians can shop for health plans and access financial assistance if they qualify for it.
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What counts as income for Covered California?

What Counts as Income
  • Federal taxable wages.
  • Tips.
  • Self-employment income.
  • Unemployment compensation.
  • Pandemic Unemployment Compensation ($300/week)
  • Social Security.
  • Social Security Disability Income (SSDI)
  • Retirement or pension.
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How does inheritance affect Medi-Cal?

When you receive an inheritance of money, that cash is an asset, no different than a savings account. The inheritance is not counted as monthly income. It is generally considered a one-time lump sum distribution. Consequently, an inheritance of money should not impact your MAGI Medi-Cal eligibility.
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