Medi-Cal Aged &/or Disabled Federal Poverty Level
(A&D FPL) Program
(i.e., health coverage for medically necessary services such as physician visits, hospital care, ambulances, prescription drugs, and in-home care) available with no Share of Cost (SOC). 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).
- Have less than $2,000 in Countable assets for an individual ($3,000 for a couple).
- Have less than $1,271 – 123% of FPL in countable monthly income for an individual ($1,719 for a couple). ca health advocates.org ADFPL * AB 715 Fact Sheet *
This Medi-Cal program uses SSI countable income rules as well as a few extra rules you should know. For more information, visit or webpage on the SSI program, the Medi-Cal section of the Disability Benefits 101 website. CA Health Care Advocates Archive
This is practically my first day analyzing this and I don’t get paid for Medi-Cal work. Please review the above links. It doesn’t seem that the income qualification does one any better, than just MAGI Income Qualification.
Links – Resources
CA Health Advocates – Medi-Cal for People who have Medicare
Chart – MAGI and NON-MAGI Qualification for Medi-Cal
Covered CA – Income Reconciliation
Welfare & Instituions Code General Provisions [14000 – 14042]
Google Ad Sense
Life Insurance Buyers Guide
Video on how much coverage for death protection you need
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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
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
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.
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
- Aged and Disabled Federal Poverty Level Program
- C-CHIP County Children’s Health Initiative Program
- Cancer Breast & Cervical Program BCCTP
- Child Survivor Benefits
- Foster Children to Age 26
- Hearing Rights
- MAGI Income – Medi-Cal Qualification?
- Effective Date? Temporary Instant ID Card
- Medi-Cal Pre-Empts Covered CA?
- Monthly or Annual Income Qualification
- Notification when you make too much $$$ for Medi-Cal
- Premiums for Medi-Cal?
- Proofs – Identity, Expenses, Income, Lawful Presence
- Share of Cost – What is it?
- Pregnant Women – Medi-Cal Eligibility – MCAP to 322% FPL