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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.


Kids in Medi-Cal Automatically?

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Question: I was told that if I have Covered CA health plan, my child is automatically enrolled in Medi-Cal. Is that true?

Answer: Not necessarily. It depends on the family income. If the household income is over 138% Federal Poverty Level (FPL) (approx. $33K for family of 4), but below 265% FPL (approx. $63K for family of 4), the children age 18 and younger are automatically enrolled in Medi-Cal. If the income is below 139% FPL, the parents are eligible for Medi-Cal as well. With income above 265% (and less than 400%) FPL, both the adults and children are eligible for Covered California coverage with premium assistance. If you or your children are eligible for Medi-Cal you can choose not to enroll, but you will not receive premium assistance.

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