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Calculate your  Covered CA MAGI Income

take #Line8b 11 Adjusted Gross income then add line 2a, 6a &   8 (Foreign Income)

magi income adjusted gross income  1040

    • IMPORTANT!!! 

      The upcoming year - the future for what you tell Covered CA!

      Sure, many people think it’s the past as Covered CA may ask for last years paperwork, but that’s BS!  You might have to give back all the subsidies when you file Subsidy Reconciliation form #8962!

    • Visit our MAIN webpage on MAGI Income

 

What is  the “bottom Line” or  #MAGI Modified Adjusted Gross Income 
that one should put down for Covered CA Income?

Scroll down for a comprehensive list and details of all the ins and outs of the definition of MAGI Income

More information on MAGI Definition

 

Contact Us - Ask Questions - Get More Information
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How to #Estimate MAGI Income for Covered CA?

Covered CA bases your subsidies on what you expect your household income will be for the upcoming coverage year, not last year’s income. When you calculate your income, you’ll need to include the incomes of you, your spouse, and anyone you claim as a dependent when you file taxes.

You can start by using your adjusted gross income (AGI) from your most recent federal income tax return, located on line 11 on the Form 1040.

agi calculator

taxact.com/adjusted-gross-income-calculator

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Official Publications on MAGI

UC Berkeley explains MAGI Modified Adjusted Gross Income

Click on image to enlarge and for a more clear picture

Berkely MAGI Chart

 

Federal IRS  #Form8962  Reconciliation Form for Covered CA Subsidies

 attaches to IRS 1040  it all comes out when you file taxes!

 

8962 goes by MAGI

 

 

  • If you got too high a subsidy or too low, it gets reconciled at tax time on form 8962.  If your subsidies were too high you may have to pay the excess back and maybe penalties, if too low, you can get a tax refund or lower the amount you have to pay.  In a lot of ways, IMHO subsidies are hocus pocus, jiggery pokery  - smoke and mirrors as it's all guesswork and promises.  Be sure to report income and household changes within 30 days.

  • See below or visit our 8962 Webpage for more information
  • MAGI   AGI  Income, what is it  our webpage?

All our Health plans are Guaranteed Issue with No Pre X Clause
Quote & Subsidy #Calculation
There is No charge for our complementary services, we are paid by the Insurance Company.

Guaranteed Issue - No Pre X Clause - Quote & Subsidy Calculation - No charge for our complementary services - If not in CA click here for Nationwide Quotes

 

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Watch our 10 minute VIDEO
that explains everything about getting a quote

Full detailed explanation of how to use our quote engine video

    • Our Quote Engine Takes all the complexity out of using pencil and paper to figure out the premiums per the Obamacare/ACA rules under   CFR §1.36B-3 *

 

Foreign Income  

How does #Foreign Income get added back in, for Covered CA?

If you live and work abroad, you may be able to claim the foreign earned income exclusion. If you qualify, you won’t pay tax on up to $100,800 of your wages.

(i) IRC §91[foreign income] Form 2555

***However, Foreign Income count’s towards Covered CA MAGI income, if you want subsidies!  So you have to add back in Line 8 d of Schedule 1 to AGI Adjusted Gross Income to get Modified AGI

Foreign Earned Income IRS Form  # 2555

foreign earned income

 

Foreign Earned Income Instructions for # 2555  & Exclusion

  1. Do you need USA health coverage, as a resident?  Get quotes
  2. Travel Insurance?   Get Quotes
  3. Do you qualify for an exemption?
  4. For more information – See Tax Guides & Publications

Schedule D - Capital #Gains  

#Interest Income  550
HTML
  PDF

 

Details… of MAGI 

#Household.income means Code of FEDERAL Regulations – IRS Income Taxes – 1.36B 1 – (e) …(1) … the sum of—

(i) A taxpayer’s modified adjusted gross income; (Line 37 Line 11  1040)  plus 

(ii) The aggregate modified adjusted gross income of all other individuals who—

          (A) Are included in the taxpayer’s family under paragraph (d) [below] of this section; and

          (B) Are required to file a return of tax imposed by section 1 for the taxable year (determined without regard to the exception under section (1)(g)(7) to the requirement to file a return). [26 USC §6012  ♦ IRS tool to see if you must file a return  ♦  Medi-Cal Household Size Flow Chart ♦ Blog – Insure Me Kevin.com] DHCS

magi medi cal - whose income count

(f) Dependent has the same meaning as in section §152 *  IRS Interactive Assistant

(d) … A taxpayer’s family means the individuals for whom a taxpayer properly claims a deduction for a personal exemption under section 151 for the taxable year.

Family size [Medi-Cal Household Size Flow Chart ♦ Blog – Insure Me Kevin.com] means the number of individuals in the family. Family and family size may include individuals who are not subject to or are exempt from the penalty [mandate] under  §5000 A  (f)  (1) for failing to maintain minimum essential coverage.  Health Care.gov explanation *

      Count income & household size  Who to include in your household  Tax filer + spouse + tax dependents = household         Healthcare.Gov 

 26 USC § 151 – Allowance of deductions for personal exemptions  pdf

(a) Allowance of deductions
In the case of an individual, the exemptions provided by this section shall be allowed as deductions in computing taxable income.

(b) Taxpayer and spouse
An exemption of the exemption amount for the taxpayer; and an additional exemption of the exemption amount for the spouse of the taxpayer if a joint return is not made by the taxpayer and his spouse, and if the spouse, for the calendar year in which the taxable year of the taxpayer begins, has no gross income and is not the dependent of another taxpayer.

To be more clear  —  (2) Married taxpayers must file joint return. A taxpayer who is married (within the meaning of section 7703) at the close of the taxable year is an applicable taxpayer only if the taxpayer and the taxpayer’s spouse file a joint return for the taxable year. GPO.Gov Final Regulations Page 11   *   Turbo Tax Calculator  *  Tax Policy Center…..  Joint or separate?  * Estranged Spouse?

(c) Additional exemption for dependents
An exemption of the exemption amount for each individual who is a dependent (as defined in section 152) of the taxpayer for the taxable year.

Premium Tax Credit Form 8962   &    Instructions

Get a Free No Obligation Calculation of your Tax Credit, Premiums and see the benefit brochures.

View other pages & resources in this section…

View old HISTORICAL versions of this webpage at archive.org

FAQ's  #Negative MAGI Income – Qualification for Medi Cal? Subsidies?”

 

  • Question  If your MAGI Income is negative, can you still qualify for Covered CA subsidies APTC even if you have some income, before you get to line 11 of your 1040?
    .
  • Answer - NO!  See the income chart.  Your MAGI Income - AGI needs to be over 138% of FPL Federal Poverty Level
  • Question If your carry over net operating loss (from prior years) is allowed to be taken into account, is it part of the Federal Modified Adjusted Gross Income number ) or does California specifically require you to take it out of the equation?
  • MAGI details from a Higher Up at Medi Cal

    • Medi Cal agrees that MAGI can be negative and will educate the Counties...
    •  
    • Good morning,

      For Modified Adjusted Gross Income (MAGI) Medi-Cal income and deductions policy, DHCS published All County Welfare Director’s Letter (ACWDL 21-04).

      Page 2, Section 1 provides guidance on policy for countable income for MAGI program calculation, which is federal taxable income minus any allowable (post-tax) deductions under federal code. Page 3 links to an Income and Deductions chart tool to determine if a post-tax deduction can be used for MAGI-based Medi-Cal and for Covered California eligibility. Please note that the chart and the Covered California website deductions are post-tax deductions, and pre-tax deductions are already included when calculating AGI.

      Tax loss is not considered an acceptable post-deduction for MAGI Medi-Cal or Covered California per federal code.  The Centers for Medicare and Medicaid Services (CMS) has also published a document detailing MAGI rules with deduction information on page 7.

      If the tax loss is considered as more of a capital gains/loss, or other loss such as real estate reported on Schedule E, then this amount should be entered into the system as an income with a negative (for example: -819,988).  This will tell the system the income is actually at a loss and will reduce the income.

      Thank you, and please let us know if you have any further questions.

      Kathryn Floto, MPA | Health Program Specialist II
      Medi-Cal Eligibility Division
      California Department of Health Care Services

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