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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.


Pregnant Applicant Dual Eligible?

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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.

1 Comment

HI my wife is now pregnant .last year I choose a bronze plan. How will this affect us in terms of cost.my wife is unemployed and my income is about 28000.

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