Is Medi-Cal a means-tested benefit?

Asked by: Ivy Lesch  |  Last update: August 2, 2025
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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.

What qualifies as a means-tested benefit?

Means-tested benefit

You can claim means-tested benefits if you can demonstrate that your income and capital are below a certain level. The means-tested benefits are: Universal Credit. Pension Credit. Housing Benefit (England, Scotland and Wales) or Housing Benefit (Northern Ireland)

What is Medi-Cal classified as?

Medi-Cal is California's Medicaid health care program. This program pays for a variety of medical services for children and adults with limited income and resources.

How much money can you 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.

Can I get Medi-Cal if I have a savings account?

Medi-Cal limits seniors and people with disabilities to assets of no more than $2,000 for individuals and $3,000 for couples — a restriction that has not changed since 1989. Assets include cash on hand, money in a checking or savings account, a second car, and other resources.

What Is Medi-Cal? (Part 1)

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What income is counted for 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 is Medi-Cal code A?

OHC Code “A” identifies Medi-Cal recipients who have OHC; however providers are allowed, but not required, to bill the OHC carrier prior to billing Medi-Cal if the response from the Medi-Cal eligibility verification system is the “A” OHC code.

What is Medi-Cal Part A?

Medicare Part A (Hospital Insurance) covers inpatient hospital stays, care in a skilled nursing facility for a limited period, hospice care, and some home health care. Medicare Part B (Medical Insurance) covers certain doctors' services, outpatient care, medical supplies, and preventive services.

What are considered assets for Medi-Cal?

Assets are things you own, which can be counted for Medi-Cal eligibility. These items include bank accounts, cash, second vehicles and homes, and other financial resources.

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.

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.

What is a means-tested benefit in California?

The government could force a sponsor. to pay for any “means-tested public. benefits” you use. These are: Supplemental Security Income (SSI), food stamps, CalWORKs, Medi-Cal (nonemergency), and Healthy Families.

What benefits are not affected by savings?

Disability Living Allowance (DLA) and Personal Independence Payments (PIP) are not affected by income or savings. For more information on how savings and investments are calculated, contact the Department for Work and Pensions or the Citizens Advice Bureau.

How much money can you have in the bank on social security retirement?

How much money can I have in the bank when I retire? The answer is simple: there is no limit on your savings. Social Security benefits are not means-tested, meaning your eligibility and benefit amount are not influenced by your accumulated wealth.

What is the 3 month rule for Medi-Cal?

You may request Medi-Cal to pay retroactively for the three months prior to the month in which you apply.

What disqualifies you from Medi-Cal?

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. If you have disabilities, your income can be slightly higher.

What are the two types of Medi-Cal?

Medi-Cal is health coverage for low-income children and adults. There are two kinds of Medi-Cal, the expanded Modified Adjusted Gross Income (MAGI) coverage and classic coverage. Some Medi-Cal programs have a Share of Cost, but most do not.

How do I know what kind of Medi-Cal I have?

Contact your local county social services office to learn about your Medi-Cal status and eligibility. The California Department of Health Care Services has a full directory of each county's agency.

What is the best Medi-Cal health plan in California?

Kaiser Permanente is also the only Medicare health plan in California to receive a 5-star rating, according to the Centers for Medicare & Medicaid Services' 2023 Medicare Star Ratings.

What does a Medi-Cal bic card look like?

Medi-Cal Benefits Identification Card

The new BIC has State of California written on top and has pictures of poppy flowers. If you have been on Medi-Cal before or are currently on Medi-Cal your current BIC, which is a white card with blue writing, is still valid and will not be reissued unless you lose your card.

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.

Do I have to report income to Medi-Cal?

You must give income and tax filing status information for everyone who is in your family and is on your tax return. You also may need to give information about your property. You do not have to file taxes to qualify for Medi-Cal.

How often does Medicaid check your income?

Yes, income and assets have to be verified again for Medicaid Redetermination. After initial acceptance into the Medicaid program, redetermination is generally every 12 months. The redetermination process is meant to ensure the senior Medicaid beneficiary still meets the eligibility criteria, such as income and assets.