Medi Cal Share of Cost Worksheets
Calculate how much you need to spend to eliminate your Share of Cost
Worksheet for Medi Cal with no share of cost
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- Aged & Disabled, Medically Needy, and Working Disabled Medi-Cal Programs January 2024 CANHR
- CHCF explanation SOC Share of Cost Rev December 2017
- Is the amount in Step 13 equal to or less than $1,801 effective 4/1/2025 Canhr * That amount is 138% of the FPL.
- If yes, then you qualify for Medi-Cal with no share of cost.
- Covered CA Chart for 138% & 250% FPL
- Two years ago, California state officials agreed to change the $600-a-month allocation for other needs to match 138% of the federal poverty level. (That figure, which changes annually, is the same one California generally sets as the income limit for Medi-Cal.) This year, that would amount to over $1,700 a month.The new level was supposed to go into effect in January 2025, but the plan was jettisoned amid a state budget deficit. Groups that advocate for the elderly and disabled are now asking the state to make it happen in 2026. Read More >>> LA Times 11.27.2024
- Aged & Disabled Federal Poverty Level Medi-Cal (A&D FPL).
If you are aged or disabled, and are not eligible for SSI, you may be able to get Medi-Cal through the Aged & Disabled Federal Poverty Level (A&D FPL) program. You must:- Be either aged (65+), or disabled (meet Social Security’s definition of disability, even if your disability is blindness)
- Have less than xxx in countable monthly income for an individual ($xxx for a couple).
- canhr.org/aged-disabled-medi-cal-program/
- Our webpage on Aged & Disabled
- If you are single and live on your own, follow these steps to figure out if your countable income makes you eligible for A&D FPL Medi-Cal. If you live with others, you should use DB101’s Benefits and Work Estimator.
- Find your total countable income using Social Security’s rules. DB 101
Visit our Main Webpage on Medi Cal Share of Cost & How to eliminate it
How much do I have to spend to eliminate share of Cost?
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- Yeah, it’s very confusing. Please scroll down and read everything. Send us your paperwork and we can review, [email protected]
- Log into Benefits Cal.org and see if you can find the information there.
- Check with your Medi Cal Social Worker
- See the worksheets below
- Send us your NOTICE OF ACTION, all documents, etc. from Medi Cal
- Understanding the Shared Monthly Cost for Medi-Cal CANHR
- The most common way to reduce or avoid a shared monthly cost is to purchase supplemental health insurance policies to lower countable income, such as supplemental dental, vision, or a Medicare Part D prescription drug plan.
- See above for more. It’s important to note that not everyone can purchase these plans. The monthly cost of these health insurance plans lower your countable income, which may help you qualify for Medi-Cal with no shared monthly cost.
Footnotes * Wikipedia * Investopedia * Merriam – Webster * Things to know about Share of Cost * HICAP *
Share of Cost: “A person’s or family’s net income in excess of their maintenance need that must be paid or obligated toward the cost of health care services before the person or family may be certified and receive Medi-Cal.” 22 CCR § 50090 * Western Poverty Law *
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