Navigate Up
Social Services Agency
Menu +

MAGI Medi-Cal

Published on: 6/13/2017 2:05 PM
Print
 

Modified Adjusted Gross Income (MAGI) Medi-Cal eligibility depends on the following criteria:


Residency


California residency is a requirement for the Medi-Cal program. Residency requirements are met when the applicant:

  • Is physically present and is living in California with the intent to remain permanently, or for an indefinite period
  • Provides acceptable verification of California residency

Income


MAGI Medi-Cal utilizes the adjusted income reported to the IRS on the 1040 to determine eligibility. Income is limited to 138% of the Federal Poverty Level (FPL) for adults and 266% for children. Generally, the income is based on the tax filing household.

Children with parents whose income is between 160% and 266% will have a $13 monthly premium for MAGI. Although the premium is per child, the most any family will have to pay is $39.

Monthly Income Limits for MAGI Medi-Cal*:
Household Size   Adults   Children- No Premium   Children- Premium
1 $1357 $1608 $1608-$2674
2 $1800 $2166 $2166-$3600
3 $2264 $2723 $2723-$4527
4 $2727 $3280 $3280-$5453

 

Citiz​enship/Immigration Status


MAGI Medi-Cal benefits are split into two categories of eligibility: Full Scope and Restricted.

  Full Scope   Restricted Scope

Who is Eligible?
  • U.S. Citizens
  • Eligible Immigrants
  • Undocumented Children
  • Undocumented Adults
What is Covered?
  • Doctor visits
  • Hospital care
  • Emergency room
  • Vision
  • Mental health
  • Pregnancy
  • Family planning
  • X-Rays and mammograms
  • Tuberculosis
  • Renal Dialysis
  • Emergency care
  • Pregnancy and postpartum
  • Tuberculosis
  • Renal dialysis

Tax Household Size


Medi-Cal household size is based on tax household size.

Example: A husband and wife file taxes Married Jointly and claim their two mutual children as dependents. The MAGI household size is 4 for all individuals.

Medi-Cal Household size may not be the same for all individuals..

Example: An unmarried couple with two mutual children where dad files taxes Head of Household and claims the children, and mom files Single. The MAGI household size is 3 for dad and the two kids and 1 for mom.

*These monthly income limits are generic and do not reflect individual eligibility amounts. Your County Eligibility Worker will evaluate your income for program eligibility.

​​​​​

See what's happening!