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.