Question: For a family of 2 earning $45,000 a year qualifies for PTC. Since the woman is pregnant, Covered California is forcing the woman into Medi-Cal? Why is this happening? Can she opt out and still get the PTC? This couple is far from poor why would this happen?
Answer: She’s not “forced into MediCal”. It is offered to her as another option. She is eligible for Medi-Cal due to pregnancy and income, but it does not prevent her from choosing a Covered California qualified plan with APTC and CSR for which she is also eligible.