Share of cost FAQ’s
California Medi-Cal Share of Cost FAQs
What is Medi-Cal share of cost in California?
Share of cost is the monthly amount a California Medi-Cal member must pay or incur in medical expenses before Medi-Cal begins paying for services.
Does share of cost reset every month in California?
Yes. California Medi-Cal share of cost resets every calendar month.
Is share of cost the same as a deductible?
No. A deductible is usually annual and based on an insurance plan. Share of cost is monthly and based on income.
Who has to pay share of cost in California?
Typically seniors, individuals with disabilities, or people whose income exceeds standard Medi-Cal limits but still qualifies after deductions.
Do prescription drugs count toward share of cost?
Yes, prescription medications usually count toward share of cost in California.
Can unpaid medical bills count toward share of cost?
In many cases, yes — including certain unpaid bills from prior months.
Can my share of cost change?
Yes. Changes in income, household size, or deductions can change your share of cost.
Can I switch from Medi-Cal with share of cost to Covered California?
In some situations, yes. Many Californians qualify for Covered California subsidies that reduce overall costs.
Is Covered California better than Medi-Cal with share of cost?
It depends. For people with high share of cost, Covered California plans can sometimes be more affordable and predictable.
Should I talk to an agent about share of cost?
Absolutely. California Medi-Cal rules are complex, and a licensed agent can help identify better options.
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