What is the maximum income you can make for Medi-Cal?
Medi-Cal income limits are based on household size and a percentage of the Federal Poverty Level (FPL), with most adults qualifying at or below 138% of the FPL and children qualifying up to 266% of the FPL.
You can review official qualification details on the Department of Health Care Services Eligibility Chart.
General Income Limits (138% FPL for Adults)
- 1 person: $21,597 per year ($1,801 per month)
- 2 people: $29,187 per year ($2,433 per month)
- 3 people: $36,777 per year
- 4 people: $44,367 per year
- 5 people: $51,957 per year
- 6 people: $59,547 per year
Note: For households larger than 6 people, add $7,590 per additional person.
Limits by Category
- Adults (Ages 19–64): Income must be at or below 138% FPL.
- Children (Ages 0–19): Income must be at or below 266% FPL (limits are higher, e.g., a family of 4 up to $85,519).
- Pregnant Individuals: Income limit is up to 213% FPL.
- Higher Incomes: If your income is slightly above these limits, you may still qualify for Medi-Cal through a Share of Cost program, which works similar to a monthly deductible.
How much money can you earn and still qualify for Medi-Cal?
Medi-Cal income limits depend on your household size, age, and life situation, with most adults qualifying at or below 138% of the Federal Poverty Level (FPL) and children qualifying up to 266% of the FPL.
You can review official qualification criteria and details directly through the DHCS Medi-Cal Eligibility Chart.
General Income Limits (138% FPL for Adults 19–64)
- 1 person: $21,597 per year (~$1,836 per month)
- 2 people: $29,187 per year (~$2,482 per month)
- 3 people: $36,777 per year (~$3,126 per month)
- 4 people: $44,367 per year (~$3,771 per month)
- Each additional person adds approximately $7,590 per year.
Higher Limits for Specific Groups
- Children (Ages 0–19): Eligible with household income up to 266% FPL (e.g., up to $85,519 per year for a family of four).
- Pregnant Individuals: Eligible with household income up to 213% FPL.
What is the income limit for Medi-Cal in 2026?
For most adults aged 19 to 64, the 2026 Medi-Cal income limit is 138% of the Federal Poverty Level, which is $1,800 per month ($21,597 per year) for a single person.
Income Limits by Household Size (138% FPL)
For standard MAGI-based Medi-Cal (adults, expansion groups):
- 1 person: $1,800 / month ($21,597 / year)
- 2 people: $2,432 / month ($29,187 / year)
- 3 people: $3,065 / month ($36,777 / year)
- 4 people: $3,697 / month ($44,367 / year)
- 5 people: $4,330 / month ($51,957 / year)
You can check complete, official household charts directly through the Department of Health Care Services Eligibility Chart.
Limits for Other Groups
- Children and Pregnant Individuals: Qualify at higher thresholds, up to 266% of the Federal Poverty Level (~$3,774/month for a single-person household).
- Aged, Blind & Disabled (ABD): The basic non-MAGI limit sits around $1,801/month for a single individual (factoring in California's standard income disregard).
- Working Disabled Program: Allows higher earnings up to 250% of the FPL (~$3,260/month for individuals).
What is the income limit for Medi-Cal in California?
The income limit for most adults (ages 19–64) to qualify for free Medi-Cal in California is 138% of the Federal Poverty Level (FPL), which is roughly $21,597 per year for a single person and $44,367 per year for a family of four.
Income Limits by Household Size (138% FPL)
For adults aged 19 to 64, the estimated annual income caps include:
- 1 person: $21,597
- 2 people: $29,187
- 3 people: $36,777
- 4 people: $44,367
Income Limits for Other Groups
Different rules and higher thresholds apply depending on your age or life situation:
- Children (Ages 0–19): Up to 266% FPL (e.g., $41,629 for a household of 1; $85,519 for a family of 4).
- Pregnant Individuals: Up to 213% FPL (and specialized prenatal programs cover even higher tiers).
- Aged (65+) & Disabled: Countable monthly income must generally be under $1,836 for an individual or $2,490 for a couple under specific poverty-level pathways, though higher incomes may qualify with a "Share of Cost".
You can check official rules and apply through the Department of Health Care Services or via BenefitsCal.
What if my income is too high for Medi-Cal?
If your income is too high for free Medi-Cal, you can shop for discounted private health insurance through Covered California, or qualify for Medi-Cal through a "Share of Cost" program.
Options If Your Income Is Too High
- Covered California: This is the state’s official health insurance marketplace. If you make too much for regular Medi-Cal, you can get financial help and tax credits to lower the cost of a private plan. Losing Medi-Cal gives you a special window to sign up.
- Share of Cost Medi-Cal: If your income is just a bit over the limit (often for seniors or people with disabilities), you might qualify for a program with a "Share of Cost". This works like a monthly deductible. You pay your own medical bills up to a certain amount each month, and then Medi-Cal pays for the rest of your care.
- Working Disabled Program: If you have a disability and work, California lets you earn a higher income and still keep Medi-Cal, sometimes for little or no cost.
- Deductions and Adjustments: Make sure you report all tax deductions and household changes. Certain expenses or changes in tax filing can lower your countable income to fit the limits.
Medi-Cal Eligibility Rules Are Changing (Again) in 2026 - Here’s What You Need to Know
What will disqualify you from Medi-Cal in California?
Exceeding income limits, having excess assets (for seniors and disabled individuals), or failing to live in California will disqualify you from Medi-Cal.
Income Limits
- Your household income must stay below specific federal poverty level guidelines.
- Most regular programs use modified adjusted gross income.
- Earning too much money during annual renewals ends your free or low-cost coverage.
Asset and Resource Limits
- Seniors (age 65+) and disabled individuals face a resource limit.
- The asset limit is $130,000 for a single person and $195,000 for a couple, with $65,000 added for each extra household member.
- Primary homes and cars do not count toward this total.
Residency and Documentation
- You must be a resident of California.
- Moving out of state means you lose eligibility.
- Failing to respond to annual renewal notices or failing to provide requested income and asset proofs will also cause a cancellation.
Immigration Status Rules
- New enrollments for undocumented adults (ages 19 and older) were paused starting January 1, 2026.
- Existing undocumented recipients can keep their coverage if they complete annual renewals.
Can I get Medi-Cal if I have money in the bank?
Yes, you can get Medi-Cal if you have money in the bank, but the rules depend on your age, health status, and household income.
For Most Adults (Under Age 65)
If you are under 65, not disabled, and not in a nursing home, your bank account balance and savings do not matter. California does not count bank accounts, cash, or other assets for general Medi-Cal eligibility. Only your monthly income counts.
For Seniors (65+), People with Disabilities, or Long-Term Care
If you are 65 or older, have a disability, or need nursing home care, Medi-Cal does count your bank accounts and cash.
- Single person limit: Your total assets must be under $130,000.
- Extra household members: You get an extra $65,000 in asset limit for each additional person in your home.
- You can learn more about these rules directly through the Department of Health Care Services.
What Else Matters?
- Income limits: Even if your bank savings are allowed, your monthly income (such as a job, social security, or a pension) must still stay below the program limit.
- Exempt property: Your primary home and one car do not count toward your asset limit.
Will people lose Medi-Cal in 2026?
Yes, some people will face a loss of Medi-Cal coverage in 2026 due to newly implemented federal restrictions and reinstated state rules.
Who is at Risk of Losing Coverage
- Certain Immigrant Populations: Starting October 1, 2026, federal changes narrow the definition of qualified non-citizens for federal Medicaid funding, impacting certain refugees, asylees, and humanitarian parolees (though California provides a bridge of state-funded coverage for some groups through June 30, 2027).
- Seniors and Individuals with Disabilities: Effective January 1, 2026, California reinstated the asset limit test ($130,000 for an individual; $195,000 for a couple) for non-MAGI programs like long-term care. Those exceeding these countable property limits during their 2026 annual renewals will lose eligibility unless they reduce their assets.
- People Who Miss Renewal Deadlines: Regular checks and stricter administrative renewal requirements mean that failure to return paperwork on time can result in canceled coverage.
Exempt Groups Who Will Keep Medi-Cal
- Children ages 0–18
- Pregnant and postpartum individuals
- Current and former foster youth under age 26
You can read official updates and guidance directly from the California Department of Health Care Services.
What is the income limit for covered Medi-Cal in California?
Most adults in California qualify for free Medi-Cal if their household income is at or below 138% of the Federal Poverty Level (FPL), which is about $22,025 per year for a single person and $45,540 per year for a family of four.
Medi-Cal and Covered California are linked; if your income falls below the Medi-Cal threshold, you are directed to Medi-Cal, while incomes above 138% FPL qualify for private plans through the state marketplace.
Income Limits by Household Size (138% FPL)
- 1 person: Up to $22,025 per year ($1,836/month)
- 2 people: Up to $29,840 per year ($2,487/month approx)
- 3 people: Up to $37,660 per year ($3,138/month approx)
- 4 people: Up to $45,540 per year ($3,795/month approx)
Limits for Children and Pregnant Individuals
- Children (under age 19): Qualify up to 266% FPL (about $41,629 for a single person/child household up to much higher amounts for families).
- Pregnant individuals: Qualify up to 213% FPL for standard no-cost Medi-Cal, with higher tiers available through specialized programs like the Medi-Cal Access Program (MCAP) up to 322% FPL.
You can check your exact household eligibility using the Covered California Official Site or read more through the Department of Health Care Services.
Who qualifies for free Medicare in California?
You qualify for premium-free Medicare Part A if you are a U.S. citizen or legal resident for at least five years and you (or your spouse) have worked and paid Medicare taxes for at least 10 years (40 quarters).
However, Medicare itself is a federal program and is never entirely "free" (Part B always requires a monthly premium unless covered by assistance). In California, low-income residents can get help paying for Medicare premiums, deductibles, and copayments through Medi-Cal and Medicare Savings Programs (MSPs).
Who Qualifies for Free or Low-Cost Medicare Assistance in California
- Seniors & Individuals with Disabilities: People aged 65 or older, or younger than 65 with a qualifying disability, who meet specific income guidelines.
- Income Limits: Individual monthly or annual income below specific thresholds (for instance, individual Medicare Savings Programs income eligibility is generally under $22,025 per year).
- Asset Limits: Liquid resources and assets must be at or below $130,000 for an individual and $195,000 for a couple.
- SSI Recipients: Californians who receive Supplemental Security Income (SSI) and are eligible for Part A are automatically enrolled in Medicare cost-saving assistance like the Qualified Medicare Beneficiary (QMB) program.