California Medicaid (Medi-Cal) Income Guidelines
Medi-Cal is the state-funded medical assistance program for low-income, uninsured children and families, and individuals who are entitled to a government health plan. Persons who receive SSI and TANF benefits automatically qualify for Medi-Cal due to their low-income and/or disabled status. In California, low-income individuals who do not have children cannot receive Medi-Cal, regardless of their life situation or income level.
Medi-Cal covers a variety of health care services, with programs designed for specific needs, including Breast and Cervical Cancer Treatment and Long Term Care. Individuals and families can receive care from a variety of health care professionals throughout the state of California for little or no cost. Covered care includes preventive care, hospitalization, doctor’s office visits, outpatient services, and more. Pregnant women also have tremendous coverage from prenatal care to delivery and afterwards through the Medi-Cal program.
Group Income (percent of FPL)
Child age 1-5 133%
Child age 6-19 100%
Parent (unemployed) 100%
Parent (employed) 106%
Pregnant Women 200%
Single Aged/Blind/Disabled 100%
Aged/Blind/Disabled Couple 100%
Other Eligible Groups
- Families who receive Temporary Assistance for Needy Families (TANF) benefits
- Supplemental Security Income (SSI) beneficiaries
- Disabled individuals who no longer qualify for SSI benefits
- Low-income Medicare recipients
- Qualified Medicare Beneficiary (QMB) program: Medicaid pays your Medicare monthly premium, deductibles, and coinsurance if your income is below the poverty level.
- Specified Low-Income Medicare Beneficiary (SLMB) program: Medicaid pays your monthly premiums only if your income is below 120% FPL.
- Medically Needy program: Medicaid for those who have high medical expenses that when subtracted from your income deem you eligible for Medicaid.
Federal Poverty Level 2012
Medi-Cal Phone Suport: 800-541-5555