Medi-Cal Share of Cost and Premium Reduction Calculator
Estimate your monthly Share of Cost and how much insurance premium may reduce it to $0.
Enter 0 if the client is not paying Part B.
Dental, vision, Medigap, Medicare Advantage premium, and similar coverage.
Optional.
Advanced Settings
#Add Dental, Vision or Medi-Gap Premiums to Reduce the Countable Income Used to Calculate Share of Cost
How much insurance premium do you need to reduce your Share of Cost to $0?
- $1–$84 per month:
Get quotes and enroll dental or vision plan - $85–$425 per month: AmFirst Maximum Care offers premium choices within from $85 to $425
- Applications are often processed quickly, and proof of coverage can usually be provided within 24 hours after approval. Then you can easily upload (instructions) to BenefitsCal.com
- Just complete the one page application and email [email protected] to us.
- $426–$600 per month:
- A combination of AmFirst Maximum Care
- and another qualifying dental or vision premium
- $601 or more: The situation should be reviewed individually before applying. Send us the information below
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- Medi-Gap premiums
- The monthly Share of Cost shown by your county.
- Your county and ZIP code.
- Whether you have Medicare Parts A and B and the premium amounts
- Any premiums you already pay for Medicare Part B, Part D, Medicare Advantage, Medi-Gap, dental or vision.
- Whether the problem concerns future months or previous months.
- Your Notice of Action from the county
- Email Steve Your Share of Cost Information
- Our email is encrypted by PauBox
Optional Deeper Details Below
The practical explanation is above. The section below includes supporting documents, background material, citations, examples, and technical details for readers who want more.
References & Citations
- California Medi-Cal rules provide for the deduction of health-insurance premiums in applicable Medically Needy income calculations.
- See California Code of Regulations, Title 22, §50555.2
- See the DHCS Non-MAGI Medi-Cal Guide
- Center for Health Care Rights Plain English How to Eliminated Share of Cost
- CANHR Fact Sheet on Share of Cost
- Your county eligibility worker makes the final determination for your individual case.
- See California Code of Regulations, Title 22, §50555.2
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