How does MediCal determine your

“Net Non-Exempt Income”?

We are sorry for the confusing way this Q & A goes.  Please read through it as best you can and be sure to follow the links we have as sources for our research.  If you still have a question, you can post it here.  

Question

I had to complete the ‘Redetermination Form’ (Form: M/C 210) for my grandmother (whom also receives IHSS  In Home Supportive Services).

I submitted ALL relevant information to continue to keep her on the specific medi-cal program; the A & D FLP – Aged & Disabled Federal Poverty Level program.

However they had to have messed something up, because I received a letter (on 5/31) from MediCal which states as follows;

“Beginning 07/01/2017 you will no longer receive MediCal Benefits under the ‘A&D FPL’ program, because your income “exceeds” the amount allowed for living expenses” (which is absolutely ridiculous & makes me very irritated) …

“You now have a Share of Cost totaling : $663.90”.

Which I’m not quite sure HOW they’re determining these numbers. I submitted all relevant info that was request by Medi-Cal for the redetermination form;

•Utility bills($179mo.)
• Rent : $779
•Secondary Health ins ($297.90mo)
•Medicare Premium ($57.10, medi-cal pays part B + some of part D equaling $120 per mo.)
• bank statements, ect…

(* also., Her only income is SSI *)

GROSS INCOME = $1633.00

Our Research & Reply

***The Aged & Disabled Program only allows $1,235 in countable monthly income (income left after allowable deductions Disability Rights) for an individual  DB 101 CA Health Care Advocates * Our webpage

.

• NET NON EXEMPT INCOME = $1321.50
• MAINTAINENCE NEEDS = $ 600.00
• “Extra Income” / Share of Cost = $ 663.90

 

Question 

SO, here’s what I’m asking you:

How did they determine my grandmothers “NET NON-EXEMPT INCOME” $1,321.05 ?

I thought (according to db101.org)

Reply

***Please use the full URL.  Is this it?  https://ca.db101.org/ca/programs/health_coverage/medi_cal/program2a.htm   

Please send me your actual paper work.  It looks like the page above explains how to do the calculation and it’s in your favor.

Question

that “net non exempt income” should be calculated (at roughly) 1/2 of your income,

Reply

***I don’t see that anywhere

Question

& that her countable income would be based upon $768 (or so) then SUBTRACT DEDUCTIONS & MAINTENANCE NEEDS of the standard issue for a “single person”. Which then she would have ZERO a share of cost, just as before!

 

#2.) where the hell are they coming up with the number of $663.90 for her “excess income / Share of cost”??

 

Reply

I am thinking it’s maybe “extra income” because Medi-Cal pays her Part B + Part D ins. Premium – B+D monthly totaling $124.80 (which leaves her only paying $57.10 for part D which is deducted from her SSI for Part D)

Question

 

Can you help me determine where the hell They went wrong and screwed up!? I am hoping that this isn’t confusing & I wrote this in a way that is understandable & doesn’t make you go cross-eyed lol

Links & Resources

Share of Cost 

Term Life Quotes

Set up a phone, skype or face to face consultation 

Tools to help you figure out how much you should get

Life Insurance Buyers Guide

CA Department of Insurance

NAIC Buyers Guide

Video on how much coverage for death protection you need

Too much Income for Medi-Cal?

health.compare.1.2.3.broker_300x250_04[1]

Guaranteed Issue - No Pre X Clause -
Quote & Subsidy Calculation for
Covered CA
No charge for our services 

2 comments on “Net Non Exempt Income Visitor Q & A

  1. My grandma earns 1096 through social security and then she ears $586 through her pension for a total of 1682.47

    They have calculated her net non exempt income at 1400.55 beginning 12/2017

    Minus her $600 maintenance need means she has a share of cost of $801 beginning 12/2017.

    The wierd thing is my grandma was approved for medi-cal and IHSS last year with the same income.

    I’m thinking somehow the non exempt income might have been calculated differently.

    Can you please help me figure out how they determine non exempt income?

    I looked at the link above https://ca.db101.org/ca/programs/health_coverage/medi_cal/program2a.htm but it didn’t help me.

    My grandma cannot pay for any share of cost. Her rent alone is over $800 per month not counting any bills etc.

Leave a Reply

Your email address will not be published.

wp-puzzle.com logo