“How to Eliminate Medi-Cal Share of Cost with the 250% Working Disabled Program”
Eligibility subject to county Medi-Cal determination. Must meet disability, income, and program requirements.
“There are no minimum hours or amount you must earn”
How to Eliminate Medi-Cal Share of Cost
Using the 250% Working Disabled Program
A Little-Known Strategy
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There is a Medi-Cal program that may allow you to:
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Work (even part-time)
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Keep full Medi-Cal coverage
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Eliminate your Share of Cost (SOC)
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This program is called the 250% Working Disabled Program (WDP)
👉 Eligibility subject to county Medi-Cal determination. Must meet disability, income, and program requirements.
🚨 You May Qualify with Very Small Income
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There is no minimum number of hours required to work (DHCS guidance)
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Even:
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Part-time work
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Self-employment
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Very small income
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may qualify as “working” (DHCS Working Disabled Program page)
👉 This is one of the most overlooked Medi-Cal strategies
- Email us [email protected]
What This Means for You
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Instead of:
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Paying a high monthly share of cost
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You may qualify for:
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Full Medi-Cal coverage
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With a $0 or low monthly premium (DHCS WDP program updates)
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👉Email us [email protected]
Why the Working Disabled Program Works
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Disability-based income (such as SSDI) is not counted the same way as earned income (program methodology explained in WDP materials)
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Earned income is:
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Partially excluded
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Not counted dollar-for-dollar (SSI income rules applied to Medi-Cal)
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Eligibility is based on income up to:
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250% of the Federal Poverty Level (DHCS program description)
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👉Example (Simplified)
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SSDI income: $2,500/month
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Small part-time work: $300/month
Result:
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Only part of the $300 is counted
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SSDI may not disqualify eligibility
👉 The person may qualify for:
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Full Medi-Cal
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No Share of Cost
(Eligibility determined by county based on full rules)
Share of Cost vs Working Disabled Program
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Share of Cost Medi-Cal
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Pay large medical expenses before coverage begins
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Working Disabled Program
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Coverage starts immediately
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May have:
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$0 premium
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Or a small monthly premium
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👉 This is why many people switch when eligible
- Email us [email protected]
Quick Eligibility Check
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Are you considered disabled under Social Security rules?
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Yes / No
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Do you have ANY earned income (even small)? DHCS.Gov
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Yes / No
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Is your income likely under about 250% of the Federal Poverty Level?
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Yes / No / Not sure
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If You Answered YES to All 3:
👉 You may qualify for the Working Disabled Program
👉 You may be able to eliminate your Share of Cost
- Email us [email protected]
Asset Rules (Important Update for 2026+)
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California previously eliminated asset limits
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Asset limits are reinstated as of 2026
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Current limits:
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$130,000 (individual)
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+$65,000 per additional household member
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👉Some assets may still be excluded (home, vehicle, etc.)
- Email us [email protected]
Important: County Approval Required
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The Working Disabled Program is:
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Administered by your county Medi-Cal office
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You must:
👉When This Strategy Works Best
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You currently have a high share of cost
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You can perform any level of work
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You want predictable coverage instead of monthly spend-down
Most Agents Don’t Tell You This – it’s rather technical..
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There are ways to reduce or eliminate Share of Cost that:
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Do not involve spending thousands on medical bills
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Do not require giving up income
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👉 The Working Disabled Program is one of those strategies
- Email us [email protected]
Not Sure If You Qualify?
We can help you evaluate:
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Your income
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Your work situation
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Your current share of cost
👉 Request a Share of Cost Review
👉 Schedule a Zoom Consultation
- Email us [email protected]
- Social Security Publication 10095 Working while disabled how we can help
- Medi Cal working while disabled dhcs.gov
Can You Eliminate Your Medi-Cal Share of Cost?
You May Qualify Even If You Only Earn $50–$100 Per Month
Start Here:
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Do you currently have a Medi-Cal Share of Cost (SOC)?
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No → You may already qualify for full Medi-Cal
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Yes → Continue below
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Step 1: Do You Have Any Earned Income?
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Yes → Go to Step 2
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No → Go to Step 4
Step 2: Are You Disabled (SSDI or Similar Criteria)?
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Yes → You may qualify for the Working Disabled 250% FPL Program (WDP)
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Replace SOC with a zero premium
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Keep full Medi-Cal coverage
(42 U.S.C. § 1396a(a)(10)(A)(ii)(XIII))
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No → Go to Step 3
Step 3: Can You Work Even a Small Amount?
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Yes → Consider creating earned income
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Even part-time work may qualify you for WDP
(DHCS Medi-Cal Eligibility Procedures Manual § 5H)
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No → Go to Step 4
Step 4: Do You Have Medical or Dental Expenses?
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Yes → Consider the Dental or other Insurance Expense Strategy
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Use dental premiums or Medical expenses like adult diapers to meet or reduce SOC
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No → Go to Step 5
Step 5: Can Your Income Be Adjusted?
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Yes → Consider Income Structuring
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Reduce countable income
- Qualifying Health & Dental Coverage our webpage
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Lower or eliminate SOC
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No → SOC may still apply, but strategies may reduce impact
Step 6: Asset Check (2026 and Beyond)
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Do your assets exceed:
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$130,000 (individual)
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+$65,000 per additional person
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Yes → Planning may be needed before qualifying
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No → Continue with strategy above
(California asset limits reinstated effective 2026 – DHCS / CANHR / CA Health Advocates)
- Email us [email protected]
- Share of Cost vs
- Working Disabled Program vs
- Dental, Vision, Insurance Premium Strategy
| Feature | Share of Cost Medi-Cal | Working Disabled Program | Insurance Expense Strategy |
|---|---|---|---|
| Monthly Cost | High / unpredictable | Low fixed premium | Variable |
| Requires Work | No | Yes (any level) | No |
| Income Treatment | Strict | Favorable exclusions | No change |
| Asset Rules (2026+) | Yes | Yes | Yes |
| Coverage | Full Medi-Cal after SOC met | Full Medi-Cal | Full Medi-Cal after SOC |
| Best Use | No other options | Working individuals | Temporary SOC reduction |
Share of Cost vs Working Disabled Program
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Share of Cost:
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Pay thousands before coverage starts
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Working Disabled Program:
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Full Medi-Cal immediately
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Possibly $0 cost
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