Does Social Security income count against Medi-Cal?

Asked by: Stephanie Kulas  |  Last update: January 30, 2025
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Income-based Medi-Cal counts most types of earned and unearned income you have. However, some income is not counted, including Supplemental Security Income (SSI) benefits and some contributions to retirement accounts.

What is deducted to income for Medi-Cal?

Examples of Medi-Cal income deductions include: child or dependent care, work expenses, court-ordered child support, alimony, educa- tional expenses, and health insurance premiums for other family members. The kind of docu- mentation required for income deductions varies based on the type of deduction and the source.

What income do I report to Medi-Cal?

Income is considered when determining Medi-Cal eligibility. Income includes things such as, earnings from a job, unemployment benefits, disability benefits, self-employment income, retirement benefits, interest on assets, child or spousal support, and other means of income or support.

What disqualifies you from Medi-Cal in California?

The Medi-Cal program determines eligibility for benefits on a “means” tested basis. If a Medi-Cal applicant's property/assets are over the Medi-Cal property limit, the applicant will not be eligible for Medi-Cal unless they lower their property/assets according to the program rules.

How much money can I have in the bank and still qualify for Medi-Cal?

asset information? eligibility for Medi-Cal. For new Medi-Cal applications only, current asset limits are $130,000 for one person and $65,000 for each additional household member, up to 10. Starting on January 1, 2024, Medi-Cal applications will no longer ask for asset information.

How Does Income Affect Medi-Cal and Other Public Benefits?

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Is social security considered income for Medi-Cal?

Income-based Medi-Cal counts most types of earned and unearned income you have. However, some income is not counted, including Supplemental Security Income (SSI) benefits and some contributions to retirement accounts.

What is the income limit for Medi-Cal 2024-2023?

For 2024, the income limits are generally expressed as a percentage of the FPL and vary by the individual's category. For example, an individual may qualify for Medi-Cal if their yearly income is at or below $20,783. A couple may qualify for Medi-Cal if their annual income is at or below $28,208.

What is the new law for Medi-Cal in 2024?

Beginning January 1, 2024, a new law in California will allow adults ages 26 through 49 to qualify for full-scope Medi-Cal, regardless of immigration status. All other Medi-Cal eligibility rules, including income limits, will still apply.

How does Medi-Cal verify income?

Earned Income Most recent pay stub, written statement from employer, completed employer's income verification letter. All verification must show gross income, pay period, date received and hours worked.

Does social security count as income?

Your benefits may be taxable if the total of (1) one-half of your benefits, plus (2) all of your other income, including tax-exempt interest, is greater than the base amount for your filing status.

What happens if I don't report my income change to Medi-Cal?

If you do not report changes to your personal information right away, and then receive Medi-Cal benefits that you do not qualify for, you may have to repay DHCS.

Do I have to pay back Medi-Cal?

The Medi-Cal program must seek repayment from the estates of certain deceased Medi-Cal beneficiaries. Repayment only applies to benefits received by these beneficiaries on or after their 55th birthday and those who owned assets at the time of death.

What is the 3 month rule for Medi-Cal?

You may be able to receive a reimbursement if:

You received a Medi-Cal covered service on a date that you were eligible for Medi-Cal. The three periods of eligibility that are included are the following: RETRO: The 3-month period prior to the month you applied for the Medi-Cal program.

Does Medi-Cal check your taxes?

The Modified Adjusted Gross Income (MAGI) Medi-Cal method uses Federal tax rules to decide if you qualify based on how you file your taxes and your countable income.

What is the salary cut off for Medi-Cal?

Other states call their program Medicaid. You must financially qualify for Medi-Cal. Most single individuals will qualify for Medi-Cal if there income is under $1,676 per month. Most couples will qualify if their income is under $2,267 per month.

Does social security count as income for Covered California?

Add any foreign income, Social Security benefits and interest that are tax-exempt. Then, add or subtract any income changes you expect in the next year. Some people, especially those who are self-employed or unemployed, have unpredictable incomes.

What counts as income verification?

Paystubs. W2s or other wage statements. IRS Form 1099s. Tax filings.

Will I lose my Medicaid if I get Medicare?

People who have both Medicare and full Medicaid coverage are “dually eligible.” Medicare pays first when you're a dual eligible and you get Medicare-covered services. Medicaid pays last, after Medicare and any other health insurance you have.

Does Medi-Cal check bank accounts?

➢ Do assets affect my eligibility? Starting on January 1, 2024, assets, such as bank accounts, cash, a second vehicle, and homes, will no longer be counted when determining Medi-Cal eligibility. Income and income from assets, such as income from property, will continue to be counted.

What is the asset limit for Medi-Cal 2024 for seniors?

On January 1, 2024, Medi-Cal eliminated any asset limit for enrollees and instead considers only applicants' income when assessing financial eligibility for benefits.

Does inheritance count as income for Medi-Cal?

How an inheritance is treated for purposes of Non-MAGI Medi-Cal eligibility depends on what the individual inherits. For example, if an individual receives an inheritance of $100,000 as a lump sum, this lump sum would be treated as income in the Non- MAGI Medi-Cal eligibility determination in the month received.

What is the highest income to qualify for Medicaid 2024?

Parents of Dependent Children: Income limits for 2024 are reported as a percentage of the federal poverty level (FPL). The 2024 FPL for a family of three is $25,820. Other Adults: Eligibility limits for other adults are presented as a percentage of the 2024 FPL for an individual is $15,060.

Do you qualify for Medi-Cal if you are over 65?

For adults age 65 or older, the income limit for no-cost Medi-Cal is only 122% of the poverty line. Once they turn 65, many Californians with low incomes cannot access free Medi-Cal because the countable income limit for seniors, which is set by the state, is much lower than it is for younger adults.

How do I check Medi-Cal eligibility?

Who is eligible? Qualify for Medi-Cal if your income is up to 138 percent of the Federal Poverty Level (FPL) for adults, and up to 266 percent FPL for children. Check Shop and Compare to see if you qualify. Learn more on the Department of Health Care Services website.