What is the max age for Medi-Cal?
Asked by: Audra Sanford | Last update: November 17, 2025Score: 4.4/5 (75 votes)
Does Medi-Cal have an age limit?
Beginning January 1, 2024, a new law in California will provide adults 26 through 49 years of age access to full scope Medi-Cal services and immigration status does not matter. All other Medi-Cal eligibility rules, including income limits, will still apply.
Does everyone over 65 qualify for Medi-Cal in California?
If you are aged (65+) or disabled and are not eligible for the SSI program, you may be able to get Medi-Cal through the Aged & Disabled Federal Poverty Level (A&D FPL) program. To qualify, you must: Be aged (65+) or disabled (meet Social Security's definition of disability, even if your disability is blindness).
What are the new rules for Medi-Cal in 2024?
On January 1, 2024, Medi-Cal eliminated any asset limit for enrollees and instead considers only applicants' income when assessing financial eligibility for benefits.
What is the cut-off age for Medi-Cal insurance?
The Affordable Care Act requires plans and issuers that offer dependent child coverage to make the coverage available until a child reaches the age of 26. Both married and unmarried children qualify for this coverage. This rule applies to all plans in the individual market and to all employer plans.
What Is Medi-Cal? (Part 1)
Does Medi-Cal have a limit?
Medi-Cal's asset limit was officially eliminated as of January 1, 2024. This is a moment that we at California Health Advocates, as well as advocates, beneficiaries and family members around the state have invested decades in advocating for and have been long awaiting.
What is the age limit for Medi-Cal insurance in California?
You can stay on a parent's plan until you turn 26
Once you're on a parent's job-based plan, in most cases you can stay on it until you turn 26. Generally, you can join a parent's plan and stay on until you turn 26 even if you: Get married.
What will disqualify you from Medi-Cal?
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.
Can I have money in the bank and still get Medi-Cal?
➢ 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 long can you keep Medi-Cal?
Medi-Cal members must renew their coverage each year to keep their health care benefits.
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.
Do seniors get free healthcare in California?
Yes. Medi-Cal offers free or low-cost health care for people who live in California. Full scope Medi-Cal is different from the restricted scope Medi-Cal coverage you have now. Restricted scope Medi-Cal only covers some services, but it does not cover things like medications and primary care.
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.
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 age is considered a senior in California?
(1) “Qualifying resident” or “senior citizen” means a person 62 years of age or older, or 55 years of age or older in a senior citizen housing development.
What is restricted Medi-Cal?
Restricted Medi-Cal only covers emergency services. It does not cover things like medicine and primary care. Things to consider in the upcoming months: • Your immigration status will not be considered as part of the eligibility process.
What is the highest income to qualify for 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).
Can I own a house and get Medi-Cal in California?
First, if you own a home, you can still qualify for Medi-Cal. California has one of the best health services in this regard because California does not ask that you sell your home and pay for your medical needs, but rather it will front all the medical bills for you while you are alive.
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.
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.
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.
How long do you lose Medicaid if you leave the country?
Medicaid provides no option for coverage outside of the United States. If you are covered by Medicaid, you should be aware that coverage can be suspended if you remain outside of the country for more than 30 days. You would have to jump through hoops in order to regain this coverage.
At what age does Medicaid coverage end?
Young people up to 21 may be eligible for Medicaid. Youth who have "aged out" of foster care can be covered under Medicaid until they reach 26; there is no income limit for these youth.
What is continuous eligibility for Medi-Cal?
Under existing law, beginning no earlier than January 1, 2025, a child under 5 years of age is continuously eligible for Medi-Cal, including without regard to income, until the child reaches 5 years of age, subject to specified circumstances.
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.