What if I start earning too much money


MAGI Income – Modified Adjusted Gross Income Line 37 – 8 b + Social Security* for Medi-Cal.  

How do I go from Medi-Cal to Covered CA?

How do I get notified?  

See sample letters below.

How long do I have to get new coverage?

60 Days – Special Enrollment Period – Loss of Coverage

When Medi-Cal kicks you out for making too much $$$, they don’t enroll you in Covered CA! Insure Me Kevin.com *   Get a quote and subsidy calculation here and we can help you.  No extra charge!

See SB 260 below.  Covered CA is mandated to set you up with a plan.  No extra charge to use a Certified Broker/Agent!  

Do I get subsidies?

Most Likely!!!  Click here for a

complementary quote and subsidy calculation

So, just like President Obama said, your net premium might only be $50/month.  Plus, enhanced Silver 94, very low co-pays & deductibles.

Will Steve Shorr Insurance help me at no additional charge?

Yes, but you must get a quote first and either have a release from Medi-Cal, like shown below  or contact your Social Worker and get one.  If you already have a Covered CA account, you must appoint us as your agent.  After you get your quote, we can discuss your options by appointment.

What if I don’t have a Release – Notice of Action?

Medi-Cal is supposed to send you a notice of action   FAQ’s .  If not, contact your Social Worker and get one   Scroll down for a sample letter.  I do grant they they don’t give you a lot of time to get new coverage.  Note also that loss of coverage qualifies you for a special enrollment period and you don’t have to wait for Open Enrollment, nor are you subject to the rule about having to enroll by the 15th to get coverage by the first.

Use our

complementary subsidy and quote engine

to see how your income, household size, etc qualifies you for subsidies in Covered CA.

There is no charge for us to help you.  If you already have a Covered CA account, here’s how to appoint us as your agent.

We are not just Medi-Cal

We've developed the Medi-Cal portion of our website, as many of our Covered CA clients unfortunately end up here, if their income drops below 133% of FPL, Federal Poverty Level, see the income chart.

We do not get a nickel, for this site or for helping people enroll in Medi-Cal, nor answering complex questions.  When you have other questions or need coverage, take a look at   our other websites:

Sample Notification Letters

 

Medi-Cal Notice that you are losing coverage

Medi-Cal Notice that you are losing coverage

Larger View – Key Points – notice of action

Larger View - Key Points - notice of action

Notice of Action – No More Medi-Cal
Notice of Action - No More Medi-Cal

SB 260 Hurtado

LEGISLATIVE COUNSEL’S DIGEST

 

SB 260, Hurtado. Automatic health care coverage enrollment.
 
Existing law provides for the Medi-Cal program,…  under which qualified low-income individuals receive health care services.  Existing state law creates … Covered California, [no extra charge to use a Certified Broker/Agent] to facilitate the enrollment of qualified individuals and qualified small employers in qualified health plans as required under the federal Patient Protection and Affordable Care Act. …
This bill would require Covered CA  beginning no later than July 1, 2021, to enroll an individual in the lowest cost silver plan [metal level chart] or another plan, as specified, upon receiving the individual’s electronic account from an insurance affordability program. The bill would require enrollment to occur before coverage through the insurance affordability program is terminated, and would prohibit the premium due date from being sooner than the last day of the first month of enrollment. The bill would require the Exchange to provide an individual who is automatically enrolled in the lowest cost silver plan with a notice that includes specified information, including the individual’s right to select another available plan or to not enroll in the plan.
Existing law requires a health care service plan providing individual or group health care coverage or a health insurer to notify an enrollee, subscriber, policyholder, or certificate holder who ceases to be enrolled in coverage that the individual may be eligible for coverage through the Exchange or Medi-Cal.
This bill would require a health care service plan providing individual or group health care coverage or a health insurer to notify an enrollee, subscriber, policyholder, or certificate holder that the health care service plan or health insurer will provide the individual’s contact information to the Exchange if the individual ceases to be enrolled in coverage, and to include a notice that includes specified information, including advising individuals to consider their options carefully if they are eligible for enrollment in the Medicare Program. The bill would allow an individual to opt out of that transfer of information, and would require a health care service plan or health insurer to transfer the information of an individual who ceased to be enrolled in coverage and who did not opt out to Covered CA  beginning January 1, 2021, in a manner prescribed by Covered CA. Because the bill would expand the scope of a crime with respect to health care service plans, the bill would impose a state-mandated local program.  SB260  Hurtado  *
 
 

More Reference Material on when you no longer qualify for Medi-Cal

insure me kevin.com/county-medi-cal-eligibility-questions-answers
sfdph.org/Notice of Action 

sccgov.org

Reporting a Change and Notices of Action

notice of action   FAQ’s
dhcs.ca.gov/

Transitioning Covered California cases to Medi-Cal

dhcs.ca.gov

Policies and Procedures for Annual Renewal and Change in Circumstance Redeterminations and Discontinuance from Medi-Cal

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 

Detailed VIDEO on how to use our quote engine  

Covered CA Certified Agent - No extra charge for our help

Covered CA Certified Agent

No extra charge if you qualify for Covered CA Subsidies.
We don't get compensated to help you with Medi Cal.  Here's Medi-Cal's contact information.

Get a Covered CA Quote, including subsidy calculation

Video on why you should have an agent

Video I'm charles why have an agent

VIDEO  ---   Difference between Medi Cal & Covered CA

Term Life Quotes

Get term life insurance 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

How much life insurance do you need?  Video

4 comments on “Notification when you make too much $$$ for Medi-Cal

  1. I’ve been on medi-cal and recently qualified for Social Security Disability [SSDI?] and receive approx.$800 a month.

    They [Social Security] also gave me a check for the time I should have already had it, which was for $25,000.

    My mother passed away and left me her bank account. I think from what I have read that this won’t disqualify me from Social Security Disability because I didn’t earn the money through working. That’s great.

    The problem is Medi-Cal. I don’t know how to approach it because I know I will need it, I’m unable to work, and in the Bay Area $800 is nothing now that I will have to pay $2000 a month in rent, that is what the inheritance was going to help me with.

    What can I do to avoid being penalized by medi-cal? I’m afraid to tell them anything because I’m afraid they will say I owe them $$$$$. I was going to try to cancel or drop meds-cal for the time being because that money won’t carry me for too long.

    I’m really confused. I would appreciate any info./advice/whatever you can offer.

  2. my x wife just got approved for social security under widows benefits and gets $1,400 a month, $16,800/year.

    she also has an adult disabled child who gets $585 SSA [SSI?] , $7,020 from the deceased parent as well, the child also works and get $300 every two weeks $7,800/year she only makes $5 hour she has down syndrome.

    My question is they are cancelling the medi cal because she makes $8 to much it seems like the should both get medi cal to me

Leave a Reply

Your email address will not be published.