Estimate Your Covered California MAGI Income

This simple worksheet helps you estimate the household income Covered California generally uses to determine subsidy eligibility. Start with income that will appear on your federal tax return, then add certain non-taxable income such as tax-exempt interest, non-taxable Social Security benefits, and foreign earned income.

Covered California typically uses your expected household income for the coverage year, not just last year’s tax return. If your income is changing due to retirement, part-time work, job loss, or self-employment, use your best estimate for the upcoming year.

Step 1: Estimate income for the coverage year

W-2 wages, salary, tips: __________________________

Net self-employment or business income: __________________________

Unemployment compensation: __________________________

Taxable pensions, IRA distributions, annuities: __________________________

Taxable Social Security benefits: __________________________

Interest, dividends, capital gains, rental income, other taxable income: __________________________

Estimated Adjusted Gross Income (AGI): __________________________

Step 2: Add back income for MAGI

Tax-exempt interest: __________________________

Non-taxable Social Security benefits: __________________________

Foreign earned income excluded from taxes: __________________________

Estimated Covered California MAGI: __________________________

Common items people forget

• Part-year work or reduced hours
• Retirement during the year
• One-time IRA or pension withdrawals
• Changes in self-employment income
• Social Security benefits that may not all be taxable
• Tax-exempt interest and foreign income

Important: This worksheet is for general educational purposes only and is not tax or legal advice. Covered California eligibility is based on expected household income for the coverage year. For tax filing questions, consult a qualified tax professional.

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