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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.

Getting Off Medi-Cal?

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Question: I got onto Medi-Cal last year becuse I lost my job. My income will soon go up and I really want to sign up for Anthem or Kaiser, etc. My agent says CC will NOT let me sign up for a plan unless I "disenroll" first, from Medi-Cal. Is that true?

Answer: Yes. The CC system can now instantly access Medi-Cal data during the application process. Applicants currently on Medi-Cal will automatically be found ineligible for Covered California coverage, with or without advance premium tax credits. The individual(s) must get off the Medi-Cal system before becoming eligible for CC coverage.


What happens to a family of 3 that made a verified $27,500 in 2013 which will qualify them for Silver 94 but at the end of 2014 their income is only $26,000. Will they have to pay back all of the premium assistance for 2014 sense they should have been on medi-cal which offers no subsidies?

I have noticed this as well. My question is - if one has to disenroll FIRST from Medi-Cal before they can even apply for a regular plan, how can they possibly avoid the coverage gap? This will affect a great of number of people whose change in income will no longer qualify them for Medi-Cal.

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