Medi-Cal Aged &  Disabled Federal Poverty Level
(A&D FPL) Program

Aged, Blind & Disabled Medi-Cal Program

Full-Scope Medi–Cal Health Benefits

• See  the My Medi Cal brochure for details & Benefits
• The Aged and/or  Disabled Federal Poverty Level Program (See Income Chart) (A&D FPL) serves individuals aged 65 and older, and persons with disabilities.
• To qualify for this program, individuals   Must meet all of the following three criteria:
  • Be aged (65+) or
  • disabled (meet Social Security’s definition of disability, even if your disability is blindness).
    1. Listing of Impairments
    1. If you are on SSI you get – Automatic Qualification for Medi Cal
  • income & assets limits much more liberalized!  
• Worksheets for Determining Eligibility Under the Aged & Disabled Federal Poverty Level (A&D FPL) Medi-Cal Program  Disability Rights * 

• 2026  Asset Limits are back  Learn More   Insure Me Kevin.com  *   DHCS.CA.Gov *

Resources & Links

• CANHR.org – Fact Sheet 
• CA Health Care Advocates
• Kaiser Foundation
• Does Integrating Medicare and Medicaid Improve Care for Dual Eligibles?
• DHCS.CA.Gov
• Disability Benefits 101
•  BenefitsCal  online enrollment
  • 

• Medicare And Disabilities

  • -Medicare and People with Disabilities: An Overview–
  • Medicare and People with End Stage Renal Disease (ESRD)

FAQ’s

Question

My tax person informed me that claiming my 81 year old father-in-law as a dependent on my taxes would not affect his eligibility for A&D – Aged & Disabled FPL Full Scope – Federal Poverty Level Medical-cal. Is this true?

Similar situation in regards to claiming my mother. She receives SSI/SSDI and receives medical Medi-Cal . Would claiming her as a dependent affect her eligibility for medi-cal

Answer

See Chapter 3 – Western Poverty Law Center on Health Insurance for Low Income.   See also Social Security’s website on SSI

Does your Mom get SSI or SSDI, it makes a difference. SSI is dealt with here.   See also Social Security’s website on SSI  for income & resource information.

SSI

Eligibility
Benefits
Resources
Income
Living Arrangements

SSDI gives one Medicare after two years.

We don’t get paid to help people with Medi-Cal, SSI or SSDI. When you read the manual, be sure to read it 3x and when you think you understand it, read it again. We’ve only skimmed the material

Question

I am 70 years of age and have been on medi cal due to low income. I recently applied for my ex husbands social security and my income increased to $1,379.10. Can I still qualify for medi cal?

***Sorry, it looks like you are now over the income limit.  See excerpt below.   Losing Medi-Cal would give you a Special Enrollment Period into a Medicare Advantage Plan where there are generally no premiums and very little co-pays that we can help you with.  You might also qualify for low income subsidies for your prescriptions.

****

Question

What if one qualified for Medi-Cal because of a disability, but wants to opt out and get subsidies in Covered CA or just pay full price during Open Enrollment?

Excerpt of email…

[Covered CA] was advised that since member has disability even if he doesn’t want to be on Medi-cal, he will still be referred to them. … Medi-cal caters for people with disability.  The member should ask Medi-cal for possibility of releasing him, unfortunately, it’s not under our control .

Maybe shouldn’t argue with Medi-Cal to say not disabled – could hurt Medicare and Social Security Disability Claim

Child - Subpages 

• Share of Cost – Medically Needy – Eliminate with Health Insurance Premiums
• SSI – Supplemental Security Benefits – Automatic Medi Cal – SSDI no index
  • DAC Disabled Adult Child – Keep Medi Cal – Retirement – Pickle no index
    • Disabled Adult Children – over 26 – stay on parents insurance

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