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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.

Now Over the Medi-Cal limit. What do I do?

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Question: Recently, I discovered that I make a few thousand dollars over the Medi-Cal limit for 2014. I'm just now doing my taxes. What should I do? My average is/was $23,000.

Answer: Though it's not clear from your question, I'm going to assume that you are currently receiving Medi-Cal benefits and your income no longer makes you eligible. All you have to do is notify Medi-Cal of your current income. Medi-Cal will drop you from their roles and when that happens you will be eligible for Covered California with premium assistance. You will not be penalized nor have to pay any additional taxes for 2014.


I’m currently 6 months pregnant and have a Blue shield plan through covered ca with subsidies. When I reported my pregnancy to covered ca, I was then also placed in Medi cal and have been told that I am eligible to receive both for my pregnancy and delivery. However, no one seems to understand or be able to provide me with a straight forward answer as to how this works and if my delivery will be paid in full. It is my understanding that whatever my Blue shield through covered ca doesn’t cover then medi cal should pick up the remaining cost, is that correct? Also, Medi cal sees me in their state wide system as maternity eligible, but not in their Los Angeles county system. Medi cal advised me to apply at my county office but covered ca said don’t do it because i will be opting out of covered ca subsidy benefits. How does all of this work? Please advise!

they will drop the end of august 2015

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