Do I have to pay back Medi-Cal?
The
Medi–
Cal program must seek repayment from the estates of certain deceased
Medi–
Cal members. Repayment only applies to benefits received by these members on or after their 55th birthday and who own assets at the time of death. If a deceased member owns nothing when they die, nothing will be owed.
How do I report changes to Medi-Cal?
To
report changes, call Covered California at (800) 300-1506 or log in to your online account.
Can you cancel your health insurance policy at any time?
While
you can cancel your private
health insurance at
any time,
you won’t be able to select
a new
health plan outside of
the open enrollment period unless
you meet certain qualifying reasons.
If you miss this 30-day window
you‘ll have to wait until
your company’s open enrollment period comes around again.
What happens if I don’t report my income change to Medi-Cal?
What
Happens if I Don’t Report My Income Change to Covered California? This means that
if you were receiving all of
your APTC throughout the year based on a lower
income, then you actually received too much assistance, and you will have to pay it back.
Does IRS report to Medi-Cal?
DHCS will only
report a person’s coverage to the
IRS and FTB if that person receives coverage from
Medi–
Cal. Every person in the home enrolled in
Medi–
Cal will get their own Form 1095-B. If you have family members enrolled in Covered California, they should receive Form 1095-A.
How much money can you have in the bank and still qualify for Medi-Cal?
You may
have up to $2,000 in assets as an individual or $3,000 in assets as a couple. Some of your personal assets are not considered when determining whether
you qualify for Medi–
Cal coverage. For example, assets that
do not count are: Your primary home.
Can you own a home and still qualify for Medi-Cal?
First, if
you own a home,
you can still qualify for Medi–
Cal. California has
one of the best health services in this regard because California
does not ask that
you sell
your home and pay for
your medical needs, but rather it will front all the
medical bills for
you while
you are alive.
Does Medi-cal check bank accounts?
While
Medicaid agencies
do not have independent access to a
Medicaid recipient’s financial statements,
Medicaid does an annual update to make sure a
Medicaid recipient still meets the financial eligibility requirements. Furthermore, a
Medicaid agency
can ask for
bank statements at any time, not just on an annual basis.
Will I lose my Medi-Cal if I get married?
Unfortunately,
when it comes to
Medi–
Cal, there is no such thing as “separate property.”
Medi–
Cal will count all of a spouse’s separate assets
when determining a
married applicant’s
Medi–
Cal eligibility. To qualify for
Medi–
Cal, an applicant’s total
married assets cannot exceed $119,220.
What is the income limit for Medi-cal 2020?
Qualifications: An individual earning under $17,237 a year or a family of four with an annual household
income less than $35,535 qualifies for
Medi–
Cal.
How do I check my Medi-cal status?
Call
Medi–
Cal Directly
You can also check on your Medi–Cal status by calling the Medi–Cal hotline at (800) 541-5555. If you’re outside of California, call (916) 636-1980.
How do I contact Medi-Cal?
Medi–
Cal Members and Providers: If you have a question, need help, or need to report a problem, please
call (800) 541-5555 (outside of California, please
call (916) 636-1980) for our
Telephone Service Center. As a participant in the
Medi–
Cal program your feedback is important to us.
Can I check my Medi-cal status online?
You
can access your member services
online through your plan’s website and the Covered California website. Each service manages different aspects of your coverage. Also, your local county office will take care of specific parts of your
Medi–
Cal membership.
How do I email Medi-Cal?
Here is more information on how to: Apply for
Medi–
Cal, get a
Medi–
Cal Application, or Find Out if you Qualify.
Medi–Cal Contacts.
| GENERAL PUBLIC | PHONE / EMAIL |
|---|
| HIPAA Compliance P.O. Box 997413, MS 4721 Sacramento, CA 95899-7413 | (916) 552-9444 |
| Medi–Cal Fraud | (800) 822-6222 stopmedicalfraud@dhcs.ca.gov |
• Mar 23, 2021
Who qualifies for Medi-Cal?
To receive
Medi–
Cal benefits in California, you must be a U.S. citizen, a state resident of California, a permanent U.S. resident, a legal alien or a U.S. national. You are
eligible to receive benefits if you are: Over the age of 65. Blind or disabled.
Is Kaiser covered under Medi-Cal?
Kaiser Permanente participates
in Medi–
Cal in many counties. This means that, if you are a current
Kaiser Permanente member and your situation changes, you may be able to keep your same doctor and continue your care with
Kaiser Permanente if you qualify for
Medi–
Cal.
What income is counted for Medi-Cal?
To qualify for the Aged and Disabled Federal Poverty Level
Medi–
Cal, an individual’s monthly total countable
income (minus a Maintenance Needs Allowance and any health, vision, and dental insurance premiums) must be less than $1,481 ($2,004 for a couple).
What is considered low income in California?
2021:
| Family Size (Persons in Family/Household) | Annual Family Income |
|---|
| HUD Low Income Level 1 | HUD Extremely Low Income Level 3 |
|---|
| 1 | $66,250 | $24,850 |
| 2 | $75,700 | $28,400 |
| 3 | $85,150 | $31,950 |
What is middle class income in California?
US Household Income by Tier
| Location | Middle Income |
|---|
| 2 | Alaska | $84,015.00 |
| 3 | Arizona | $76,860.00 |
| 4 | Arkansas | $76,569.00 |
| 5 | California | $77,806.00 |
What is low income in San Diego?
$95,100
| San Diego County Income Limits Effective April 1, 2021 |
|---|
| FAMILY SIZE | 80% of AMI Low Income | 30% of AMI Extremely Low Income |
|---|
| 1 | 67,900 | 25,450 |
| 2 | 77,600 | 29,100 |
| 3 | 87,300 | 32,750 |
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