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Covered California Q&A

Covered California and Obamacare related questions from consumers, employers and agents are answered by Phil Daigle with the best information available at the time. Archived entries may no longer be accurate as the Covered California and Obamacare knowledge-base is evolving quickly. TO REQUEST A PERSONAL RESPONSE INCLUDE EMAIL ADDRESS.


Medi-Cal Kids and CC Subsidized Parents?

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Question I have not been able to find out how the Medi-Cal eligible kids are being handled. An organization that I am working with was instructed by Kaiser to include a denial letter wit the application, if the kids qualify for Medi-Cal. I have not been able to get any information on the plans, who qualifies or what to do with all these kids.

Answer: In California, the income limit for adult eligibility for Medi-Cal is 138% of Federal Poverty Level (FPL) and for children it’s 266% FPL. That’s why you can have parents eligible for a CC subsidy while the kids are eligible for Medi-Cal. If the kids are eligible for Medi-Cal a “denial letter” won’t work. If they pass on Medi-Cal when eligible, they cannot be eligible for a CC subsidy. As for how to handle it? Complete a Single Simplified Application for the family and let CC sort it out. Medi-Cal Expansion Chart.jpg

2 Comments

So are we assuming that Medi-Cal with Share of Cost no longer exist after January2014?

I was told by a Covered CA representative that parents can apply for a subsidy plan leaving the children off the plan and that we can write an individual plan off exchange for the kids. The large majority of my middle class clients who do qualify for subsidies do not want their kids on Medi-Cal especially those with chronic medical conditions.

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