What is the difference between Medi-Cal and Magi Medi-Cal?
Asked by: Shany Kemmer | Last update: October 5, 2025Score: 4.9/5 (38 votes)
Who qualifies for Magi Medi-Cal?
MAGI Medi-Cal includes the following new categories: childless adults between the ages of 19 and 64 who are not blind or disabled; pregnant women; parents/caretaker relatives; and children up to age 19. Eligibility for these individuals is based on reported income.
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.
What does magi mean for Medi-Cal?
Modified Adjusted Gross Income (MAGI) The figure used to determine eligibility for premium tax credits and other savings for Marketplace health insurance plans and for Medicaid and the Children's Health Insurance Program (CHIP).
What is Medi-Cal called now?
California offers two ways to get health coverage. They are “Medi-Cal” and “Covered California.” Both programs use the same application. What Is Medi-Cal? Medi-Cal is California's version of the Federal Medicaid program.
What Is the Difference Between Medi-Cal and Covered California? - InsuranceGuide360.com
Why does no one accept Medi-Cal?
The most frequent reasons physicians limit Medi-Cal patients in their practices are payment rates and administrative hassles.
What are the four types of Medicaid?
- State-operated fee-for-service (FFS)
- Primary care case management (PCCM)
- Comprehensive risk-based managed care (MCO model)
- Limited-benefit plans.
What is the difference between Magi and non Magi?
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.
How does Magi work?
Education Credits: MAGI is calculated by adding AGI plus foreign earned income and housing exclusions, foreign housing deduction, excluded income by bona fide residents of Puerto Rico or American Samoa.
Does Magi Medi-Cal look at assets?
➢ 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.
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 disadvantage of Medi-Cal?
The perception that Medi-Cal offered poorer coverage or less respectful treatment than other types of insurance. Concerns among noncitizen respondents that applying for Medi-Cal might affect their immigration status.
Which Medi-Cal plan is best?
OAKLAND, Calif., Jan. 19, 2023 – Kaiser Permanente Northern California's Medi-Cal health plan is the highest rated in the state for quality care, according to a December 2022 report from the state's Department of Health Care Services (DHCS).
How much money can I have in my bank account if I have 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. » I was not eligible in the past.
Is Magi used for Medicare premiums?
We use the most recent federal tax return the IRS provides to us. If you must pay higher premiums, we use a sliding scale to calculate the adjustments. This is based on your "modified adjusted gross income" (MAGI). Your MAGI is your total adjusted gross income and tax-exempt interest income.
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 is the point of Magi?
In Christianity, the Biblical Magi (/ˈmeɪdʒaɪ/ MAY-jy or /ˈmædʒaɪ/ MAJ-eye; singular: magus), also known as the Three Wise Men, Three Kings, and Three Magi, are distinguished foreigners who visit Jesus after his birth, bearing gifts of gold, frankincense, and myrrh in homage to him.
What is the Magi limit?
How does my Modified Adjusted Gross Income (MAGI) affect my contribution limits? For single filers, in 2024 your Modified Adjusted Gross Income (MAGI) must be under $146,000. In 2025 your MAGI must be under $150,000 to make a full Roth IRA contribution. For joint filers, in 2024 your MAGI must be under $230,000.
How do I check my Magi?
For instance, you'll be able to find your adjusted gross income on line 11 of your 2024 Form 1040. To calculate MAGI, you'll take your AGI and “add-back” certain deductions. Given that this is how MAGI is calculated, your MAGI will always be equal to or more than your AGI.
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) ($21,597 for an individual; $44,367 for a family of four). You are a child 18 or younger and your family's income is at or below 266% of FPL ($85,519 per year for a family of four).
How often does Medicaid check your bank account?
Medicaid agencies can check your account balances for bank accounts at any financial institution you've used in the past five years. They will check when you submit an application and on an annual basis, but checks can occur at any time.
Do social security benefits count as income for Medi-Cal?
If your family's income is at or below the limit for a program, you may qualify if you meet other program rules. Notes: Some types of income do not count against these limits, including SSI benefits.
What does Medi-Cal not cover?
Restricted scope Medi-Cal covers limited services. It does not cover medicine or primary care. If you have pregnancy-related limited scope Medi-Cal, you will have the full scope of Medi-Cal benefits, if the service is medically necessary.
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.