FAQ’s & Explanations
What is my Household Size–
Try this Flow Chart for a simpler explanation
How many dependents are on your Tax Return? Section 151
Household Income includes all dependents on your return
MAGI based Medi-Cal One can get FREE Medi-Cal base on MAGI Income Line 37 of your 1040 – If your income falls below 138% of the CA Poverty Line on the chart above. There is no longer an asset test, nor estate recovery.
MAGI Medi-Cal for Pregnant Women
Medi-Cal Access Program If you’re pregnant – up to 322% of FPL – Formerly AIM
C-CHIP County Children’s Health Initiative Program in three northern CA counties
Kids under 19 go in Medi-Cal if MAGI Income is below 266% of Federal Poverty Level. While you can purchase coverage direct from an Insurance Company at Open or Special Enrollment, there is no PTC subsidy or premium tax credit.
Learn More ==> Western Poverty Page 72
Enhanced Silver – Cost Sharing 94, 87 & 73 – in addition to subsidies, you get lower deductibles & Co Pays. 94 is better than platinum which is 90 and 87 is better than gold which is 80 – metal level.
Silver 70 has a $2,500 Deductible and Standard Metal Levels, Bronze $5k deductible, Gold and Platinum $0 Deductible
Federal Poverty Level – Defintion
Use our free calculator to see how much subsidy and enhanced silver benefit you might qualify for.
We are paid by Covered CA and the Insurance Companies to help you, when you appoint us as your agent NO CHARGE!
| In CA use our link to enroll and get proposals, no extra charge for our help
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Please, ask us your most complex questions. We will usually give you a citation too!
Related Pages in
- FAQ’s – on FPL Income Chart Frequently Asked Questions
- Premium Tax Credit Summary by IRS
Will the subsidies go away with Donald Trump?
Flow Chart from IRS Website – Eligibilty for APTC Advance Premium Tax Credit – Subsidy
Accepted proofs of income for Covered CA – IMHO your 1040 is the best one!
Federal Poverty Level (FPL) Chart
FPL calculator ONLY
Use ours which includes benefits & subsidies and online enrollment
Share of Cost (Cost Sharing Reduction) Medi-Cal – Doesn’t apply in CA! (≥100 to ≤150%) FPL – The rules for 100 to 138 are quite complex doesn’t apply in CA Learn More ===> Western Poverty & Law 375 booklet – email us