Medi-Cal, MAGI Medi-Cal and Covered California Income Levels

(Medi-Cal Effective April 1, 2015/Covered California Effective Next Open Enrollment) 

 

Family Size/# of Persons

100% FPL[1]

Aged & Disabled[2]

60% FPL[3]

108% FPL[4]

109% FPL[5]

114% FPL[6]

 

Monthly

Annual

Monthly

Monthly

Annual

Monthly

Annual

Monthly

Annual

Monthly

Annual

1

981

11,770

1211

589

7062

1059

12712

1069

12829

1118

13418

2

1328

15,930

1638

797

9558

1434

17204

1448

17364

1514

18160

3

1674

20,090

n/a

1004

12054

1808

21697

1825

21898

1908

22903

4

2021

24,250

n/a

1213

14550

2183

26190

2203

26433

2304

27645

5

2368

28,410

n/a

1421

17046

2557

30683

2581

30967

2700

32387

6

2714

32,570

n/a

1628

19542

2931

35176

2958

35501

3094

37130

 

  

Family Size/# of Persons

120% FPL[7]

133% FPL[8]

135% FPL[9]

138% FPL[10]

142% FPL[11]

 

Monthly

Annual

Monthly

Annual

Monthly

Annual

Monthly

Annual

Monthly

Annual

1

1177

14124

1305

15654

1324

15890

1354

16243

1393

16713

2

1594

19116

1766

21187

1793

21506

1833

21983

1886

22621

3

2009

24108

2226

26720

2260

27122

2310

27724

2377

28528

4

2425

29100

2688

32253

2728

32738

2789

33465

2870

34435

5

2842

34092

3149

37785

3197

38354

3268

39206

3363

40342

6

3257

39084

3610

43318

3664

43970

3745

44947

3854

46249

  

 

Family Size/# of Persons

150% FPL[12]

160% FPL[13]

185% FPL[14]

200% FPL[15]

208% FPL[16]

 

Monthly

Annual

Monthly

Annual

Monthly

Annual

Monthly

Annual

Monthly

Annual

1

1472

17655

1570

18832

1815

21775

1962

23540

2040

24482

2

1992

23895

2125

25488

2457

29471

2656

31860

2762

33134

3

2511

30135

2678

32144

3097

37167

3348

40180

3482

41787

4

3032

36375

3234

38800

3739

44863

4042

48500

4204

50440

5

3552

42615

3789

45456

4381

52559

4736

56820

4925

59093

6

4071

48855

4342

52112

5021

60255

5428

65140

5645

67746

 

  


 

 

Family Size/# of Persons

213% FPL[17]

250% FPL[18]

266% FPL[19]

322% FPL[20]

400% FPL[21]

 

Monthly

Annual

Monthly

Annual

Monthly

Annual

Monthly

Annual

Monthly

Annual

1

2090

25070

2453

29425

2609

31308

3159

37899

3924

47080

2

2829

33931

3320

39825

3532

42374

4276

51295

5312

63720

3

3566

42792

4185

50225

4453

53439

5390

64690

6696

80360

4

4305

51653

5053

60625

5376

64505

6508

78085

8084

97000

5

5044

60513

5920

71025

6299

75571

7625

91480

9472

113640

6

5781

69374

6785

81425

7219

86636

8739

104875

10856

130280

 



[1] QMB Program; Pre-ACA Children Ages 6-19; A&D FPL; Pre-ACA Section 1931(b) for Certain Recipients.

[2] 100% of FPL plus $230 for individuals, $310 for couples 

[3] Full-Scope coverage of ACA Pregnant Women

[4] Floor for ACA Title XXI CHIP Expansion Children Ages 6-19

[5]ACA Parents and Caretaker Relatives

[6] ACA Parents and Caretaker Relatives not eligible for ACA New Adult Group due to non-financial eligibility criteria (109% FPL + 5% MAGI disregard)

[7] Specified Low Income Beneficiaries

[8] Pre-ACA Children Ages 1-6; ACA Children and Title XXI Expansion Children Ages 6-19

[9] Qualified Individual 1Program

[10] ACA New Adult Group Ages 19-64

[11] ACA Children Ages 1-6

[12] Pre-ACA Targeted Low Income Program

[13] ACA Optional Targeted Low Income Children (OTLIC) Program with no premium 

[14] Pre-ACA Transitional Medi-Cal (TMC)

[15] Qualified Working Disabled Individuals; Pre-ACA Pregnant Women and Infants Up to Age 1 (disregard is in the 200%FPL)

[16] ACA Infants Ages 0-1

[17] Floor for ACA Access for Infants and Mothers (AIM) Infants (OTLIC)

[18] Pre-ACA OTLIC and Working Disabled Program

[19] ACA OTLIC who pay a premium/cost sharing

[20] ACA AIM Infant

[21] Advanced Premium Tax Credits (APTC) under Covered California


 

Medi-Cal, MAGI Medi-Cal and Covered California Income Levels (ACWDL 14-04)

(Medi-Cal Effective April 1, 2014/Covered California Effective Next Open Enrollment) 

 

Family Size/# of Persons

100% FPL[1]

Aged & Disabled[2]

60% FPL[3]

108% FPL[4]

109% FPL[5]

114% FPL[6]

 

Monthly

Annual

Monthly

Monthly

Annual

Monthly

Annual

Monthly

Annual

Monthly

Annual

1

973

11670

1203

584

7002

1051

12604

1061

12721

1109

13304

2

1311

15730

1621

787

9438

1416

16989

1429

17146

1495

17933

2 adults

1311

15730

1621

787

9438

1416

16989

1429

17146

1495

17933

3

1650

19790

n/a

990

11874

1782

21374

1798

21572

1881

22561

4

1988

23850

n/a

1193

14310

2147

25758

2167

25997

2266

27189

5

2326

27910

n/a

1396

16746

2512

30143

2536

30422

2652

31818

6

2665

31970

n/a

1599

19182

2878

34528

2904

34848

3038

36446

 

  

Family Size/# of Persons

120% FPL[7]

133% FPL[8]

135% FPL[9]

138% FPL[10]

142% FPL[11]

 

Monthly

Annual

Monthly

Annual

Monthly

Annual

Monthly

Annual

Monthly

Annual

1

1167

14004

1294

15522

1313

15755

1313

16105

1381

16572

2

1573

18876

1744

20921

1770

21236

1770

21708

1862

22337

2 adults

1573

18876

1744

20921

1770

21236

1770

21708

1862

22337

3

1979

23748

2194

26321

2227

26717

2227

27311

2342

28102

4

2385

28620

2644

31721

2684

32198

2684

32913

2823

33867

5

2791

33492

3094

37121

3140

37679

3140

38516

3303

39633

6

3197

38364

3544

42521

3597

43160

3597

44119

3784

45398

  

 

Family Size/# of Persons

150% FPL[12]

160% FPL[13]

185% FPL[14]

200% FPL[15]

208% FPL[16]

 

Monthly

Annual

Monthly

Annual

Monthly

Annual

Monthly

Annual

Monthly

Annual

1

1459

17505

1556

18672

1800

21590

1945

23340

2023

24274

2

1967

23595

2098

25168

2426

29101

2622

31460

2727

32719

2 adults

1967

23595

2098

25168

2426

29101

2622

31460

2727

32719

3

2474

29685

2639

31664

3051

36612

3299

39580

3431

41164

4

2982

35775

3180

38160

3677

44123

3975

47700

4134

49608

5

3489

41865

3722

44656

4303

51634

4652

55820

4838

58053

6

3997

47955

4263

51152

4929

59145

5329

63940

5542

66498

 

 

 

 

Family Size/# of Persons

213% FPL[17]

250% FPL[18]

266% FPL[19]

322% FPL[20]

400% FPL[21]

 

Monthly

Annual

Monthly

Annual

Monthly

Annual

Monthly

Annual

Monthly

Annual

1

2072

24858

2432

29175

2587

31043

3132

37578

3822

45984

2

2793

33505

3278

39325

3487

41842

4221

50651

5172

62064

2 adults

2793

33505

3278

39325

3487

41842

4221

50651

5172

62064

3

3513

42153

4123

49475

4387

52642

5311

63724

6512

78144

4

4234

50801

4969

59625

5287

63441

6400

76797

7852

94224

5

4955

59449

5815

69775

6187

74241

7490

89871

9192

110304

6

5675

68097

6661

79925

2587

85041

3132

102944

10532

126384

 



[1] QMB Program; Pre-ACA Children Ages 6-19; A&D FPL; Pre-ACA Section 1931(b) for Certain Recipients.

[2] 100% of FPL plus $230 for individuals, $310 for couples 

[3] Full-Scope coverage of ACA Pregnant Women

[4] Floor for ACA Title XXI CHIP Expansion Children Ages 6-19

[5]ACA Parents and Caretaker Relatives

[6] ACA Parents and Caretaker Relatives not eligible for ACA New Adult Group due to non-financial eligibility criteria (109% FPL + 5% MAGI disregard)

[7] Specified Low Income Beneficiaries

[8] Pre-ACA Children Ages 1-6; ACA Children and Title XXI Expansion Children Ages 6-19

[9] Qualified Individual 1Program

[10] ACA New Adult Group Ages 19-64

[11] ACA Children Ages 1-6

[12] Pre-ACA Targeted Low Income Program

[13] ACA Optional Targeted Low Income Children (OTLIC) Program with no premium 

[14] Pre-ACA Transitional Medi-Cal (TMC)

[15] Qualified Working Disabled Individuals; Pre-ACA Pregnant Women and Infants Up to Age 1 (disregard is in the 200%FPL)

[16] ACA Infants Ages 0-1

[17] Floor for ACA Access for Infants and Mothers (AIM) Infants (OTLIC)

[18] Pre-ACA OTLIC and Working Disabled Program

[19] ACA OTLIC who pay a premium/cost sharing

[20] ACA AIM Infant

[21] Advanced Premium Tax Credits (APTC) under Covered California