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Non-MAGI Medi-Cal

Published on: 10/1/2018 11:10 AM
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Non-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

Age


Eligibility for Non-MAGI Medi-Cal includes:

  • Children age 0-19 and their parent/caretaker relatives
  • Adults age 19-64 who are aged, disabled, blind, in long term care, or are a refugee
  • Adults over age 65

Citizenship/Immigration Status


Non-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

Property


There are two types of property counted for Non-MAGI Medi-Cal:

  • Personal Property: Includes bank accounts (checking and savings), stocks, bonds, cash on hand, etc.
  • Real Property: Land, houses, other buildings, etc.
Property Limits for Non-MAGI Medi-Cal*:
Household Size   Property Limit

1
$2000
2 $3000
3 $3150
4 $3300
5 $3450

Income


The income limits for Non-MAGI vary according to family size and program category. Income is used to determine if an individul/family is eligible for free Medi-Cal or Medi-Cal with a Share of Cost (SOC). Income over the limit becomes the monthly SOC, which is similar to a monthly deductible. It is the amount of medical expenses that a Medi-Cal beneficiary must pay before Medi-Cal will cover any medical expenses. If Medi-Cal is not used in a given month, no SOC will need to be paid that month.

Depending on the program category, there are certain deductions allowed to reduce the net countable income. There are also certain types of unearned income that are not countable, such as CalWORKs grants.

Monthly Income Limits for Non-MAGI Medi-Cal*:
Household Size   Income Limit
1 person $600
2 persons $750
2 adults $934
3 persons $934
4 persons $1100

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

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