What is a Magi Medi-Cal?

Asked by: Kayleigh Rohan Sr.  |  Last update: September 6, 2023
Score: 4.2/5 (57 votes)

The Modified Adjusted Gross Income (MAGI) Medi-Cal program is a new type of Medi-Cal established with the implementation of Healthcare Reform or ACA. It is a public health insurance program just like Non-MAGI Medi-Cal.

Who qualifies for Magi Medi-Cal?

Who Is Affected? For Medi-Cal eligibility, MAGI is used for most non- elderly, non-disabled groups, including children, pregnant women and parents, and adults in the new Medi-Cal expansion category. The former, non- MAGI rules continue to apply to some Medi-Cal categories, such as eligibility based on disability.

What is the income limit for Magi Medi-Cal?

You are 19-64 years old and your family's income is at or below 138% of the Federal Poverty Level (FPL) ($20,120 for an individual; $41,400 for a family of four). You are a child 18 or younger and your family's income is at or below 266% of FPL ($79,800 per year for a family of four).

What is the difference between Magi and non-Magi in California?

The most common form of Medi-Cal is Modified Adjusted Gross Income (MAGI) Medi-Cal. It uses tax rules to see if you qualify. Non-MAGI Medi-Cal is Medi-Cal that uses other rules to count property, household income, and size to see if you qualify.

What is non-Magi Medi-Cal?

Beginning July 1, 2022, a new law in California increased the asset limit for Non-Modified Adjusted Gross Income (Non-MAGI) Medi-Cal programs. Non-MAGI programs generally provide health care for seniors, people with disabilities, and individuals who are in nursing facilities, as well as some other specialty groups.

MAGI Medi-Cal Basics Through Covered California

19 related questions found

Is Magi less than total income?

Your MAGI (modified adjusted gross income) is your AGI plus certain deductions you must “add back.” These deductions include IRA contributions, student loan interest, one-half of self-employment tax, qualified tuition expenses, and more.

Does Magi Medi-Cal count assets?

Current Medi-Cal beneficiaries who are enrolled in coverage will remain unaffected and enrollees will no longer be subject to an asset limit. These changes apply to all Non- MAGI programs requiring an asset test. DHCS will implement the Phase II changes within CalSAWS by January 1, 2024.

What does Magi income mean?

Modified Adjusted Gross Income (MAGI) in the simplest terms is your Adjusted Gross Income (AGI) plus a few items — like exempt or excluded income and certain deductions. The IRS uses your MAGI to determine your eligibility for certain deductions, credits and retirement plans.

Does Magi include all Social Security?

Social Security income includes Social Security Disability Insurance (SSDI), retirement income, and survivor's benefits. These forms of income are counted in MAGI, even when not taxable.

How does Magi affect Medicare?

If you file your taxes as “married, filing jointly” and your MAGI is greater than $194,000, you'll pay higher premiums for your Part B and Medicare prescription drug coverage. If you file your taxes using a different status, and your MAGI is greater than $97,000, you'll pay higher premiums.

What income disqualifies you from Medi-Cal?

Adults qualify for Medi-Cal with a household income of less than 138% of FPL. However, according to the Covered California income guide, children who enroll on Obama Care California plans may qualify for Medi-Cal when the family has a household income of 266% or less.

What is California Medi-Cal changing to in 2023?

Starting January 2023, Medi-Cal health coverage for most remaining dually eligible beneficiaries changed from Fee-For-Service (FFS) Medi-Cal to Medi-Cal Managed Care.

How do you get Magi income?

Determining your MAGI is a three-step process:
  1. Figure out your gross income for the year.
  2. Calculate your AGI.
  3. Add back certain deductions to calculate your MAGI.

Does Magi include housing allowance?

Clergy housing allowance is not included in modified adjusted gross income (MAGI). MAGI also excludes your pre-tax contributions (salary deferrals) to the retirement account [401(k) or 403(b) type plan], and pre-tax contributions to flexible spending accounts.

How do I lower my Magi?

One way to reduce your MAGI is to lower your AGI. To do this, consider contributing more toward expenses that qualify as above-the-line deductions. These include medical expenses exceeding 10% of your AGI, HSA contributions, capital losses, property taxes, mortgage interest and charitable contributions.

How much of my Social Security is included in Magi?

If a dependent is NOT required to file taxes, then her non- taxable Social Security income is NOT included in her household MAGI. If a dependent is required to file taxes, then all of the dependent's income, including non-taxable Social Security income, will be included in her household MAGI.

Where can I find Magi?

Your MAGI is not included on your federal income tax return, but you can also find your AGI on line 11 of IRS form 1040. If you still need extra help with the adjustments, you can work with a tax professional to ensure you've done the calculations correctly.

Is 401k included in Magi?

Traditional 401(k) contributions effectively reduce both adjusted gross income (AGI) and modified adjusted gross income (MAGI). 1 Participants are able to defer a portion of their salaries and claim tax deductions for that year.

Is Magi income before or after taxes?

MAGI is your adjusted gross income after taking certain tax deductions and tax-exempt interest into account. It modifies your AGI by adding back items like foreign earned income, student loan interest, and the excluded portion of adoption expenses.

What is the definition of Magi for Social Security?

Modified Adjusted Gross Income (MAGI) is the sum of: the beneficiary's adjusted gross income (AGI) (found on line 11 of the Internal Revenue Service (IRS) tax filing form 1040), plus. tax-exempt interest income (line 2a of IRS Form 1040).

Can an IRA affect Medi-Cal eligibility?

In some circumstances, Medi-Cal does not count funds held in an IRA, Keogh, or other work-related retirement arrangement. To find out if Medi-Cal would count your IRA, Keogh, or work-related retirement arrangements, you may contact your local county welfare department.

Is standard deduction included in Magi?

Does MAGI include the standard deduction? Both MAGI and AGI are calculated before a taxpayer claims the standard deduction or any itemized deductions.