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iii. Redetermination of Eligibility
The county must determine a beneficiary’s ongoing eligibility upon learning of a change potentially affecting eligibility from the beneficiary or from its own review as follows:
• Determine if the change in circumstances affects eligibility. For example, a change of address may not affect eligibility for Medi-Cal, but a change in household size might. If there is no change in eligibility based on the new information, no other action is needed. Another example: If income increases $100/month, but the annual household income remains below the eligibility
limit, the individual remains eligible for the same program so no further action is needed.
• If the county determines that the change in circumstances may affect
Too much Income for Medi-Cal?
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Bank Statement Review
This page is Q & A – FAQ on how Medi Cal might review your bank statement to determine how much $$$ you make. MAGI Modified Adjusted Gross Income
Will a $40 transfer Birthday give from my biological father in Mexico
(I live in CA) will be ok w/ MediCal annual redetermination on the bank statement.
[one of the accepted proofs on income]
Disclaimer- We are not paid to help with Medi-Cal and are not tax accountants.
However, the month before my fathers transfer was my bday & I desperately asked for cash
***How much cash are we talking about? Was it a gift? Loan? Here’s the best I could find on the Internet about what might be reviewed – discovered in a bank statement.
bc my HOA increased & I’ll be unable to pay my bills. so I deposited every cent I had-$220 the previous month-the total amount of my bday gifts (more than usual obviously but I think my family is worried I’m going to lose my condo). So I’m worried if they ask for another bank statement from the month before it will show that huge bday money deposit. And it said u can only have $60 deposited quarterly I just read online???
***Please when citing facts, provide the URL – Internet Address.
If my redetermination date is Nov; papers mailed in Oct do u know if I have Til Nov 30th? Should I wait Til my next bank statement comes out- bc I NEVER have deposits like that- this was just a one time thing& it could cost me so much. I’m so scared.
***The way I see it, this is gift income and doesn’t count towards MAGI. See disclaimer above.
Even if it did, near as I can tell, from the income chart, one person can earn up to 138% of Federal Poverty Level $16k or so. Your $1,091/month would be $13,092 so you’ve got a $3k cushion anyway.
Even if you went to $17k, you would qualify for $307/month premium subsidy, Silver 94 benefits and a net premium of as low as $39.
Please put your correct MAGI income into the “draft” quote we sent you and see where things are at. Also, please advise what line 37 on your tax return should be, plus foreign income, social security – send your 1099 and tax exempt interest.
To start fresh on a complementary quote, click here.
I was just lost bc [because] I don’t think I have it thru covered CA. As far as I know at least. Nothing on my app says anything about that or those plans.
***You’re referring to the quotes from our complementary engine for those who earn enough for Covered CA tax credits – subsidies. Covered CA wants to have everyone go through their portal. One can just go directly to Medi-Cal. Here’s their contact information. In Los Angeles County, one can enroll online.
I think I got it bc of my low income & disabilities.
***Sounds right. Right, near as we can tell Medi-Cal is automatic if one qualifies for SSI.
I find Medicare almost useless bc it only covers 80% & I obviously can’t cover a penny of the other 20%-
***You might look at Medi-Medi Plans
I’m so desperate to keep the medi-Cal (bc it covers the rest- …. MediCal & SMLB (the SMLB helps cover the Medicare deductible & copay a etc).
Qualified Medicare Beneficiary (QMB), Specified Low-Income Medicare Beneficiary (SLMB), or the Qualifying Individual-1 Q I -1) programs. The State will pay Medicare Parts A and B premiums, deductibles, and coinsurance fees for persons eligible for the QMB program. The State will pay Medicare Part B premiums for persons eligible for SLMB or Q I -1.
I’m so scared. All bc of those transfers.
***I doubt it. See above about 138% of Federal Poverty Level and your cushion. There is also a difference in some Medi-Cal programs on qualification. As a Covered CA agent, I’m pretty much only familar with MAGI Income Qualification, not asset tests. There are also different rules for qualifing for nursing home coverage.
***Medi-Cal asking too many questions might work in your favor? There might be MORE benefits they can offer you.
I only have SSDI, no SSI & I have medicare because of my disabilities (I got it after a year on Social security)
***Normally it’s two years. Learn More ===> ssa.gov/pubs/EN-05-10029
and also Medi-Cal i’m assuming I think it was because of my low income which is only the SSDI.
Video on how much coverage for death protection you need
Related pages inSection
- Bank Statement Review
- Confusing Forms – No Telephone Support – Web Vistor Q & A
- Covered CA – Don’t want Medi-Cal for the kids – redetermination form?
- Household Definition – Who counts?
- MC 216 Income & Expense Definitions
- MC 262 Long-Term Care Medi-Cal Renewal
We can’t afford to do Covered CA’s and Medi-Cal’s work to answer your questions. Please use our contact page and talk to someone who is getting a great salary and benefits to help you. Try their Facebook page https://www.facebook.com/CoveredCA/
Try calling the Insurance Company that is handling your Medi-Cal.
Excerpt of email from DHCA
Thank you for contacting the Department of Health Care Services (DHCS).
We are prohibited by law from sharing Protected Health Information (PHI), and Personal Confidential Information (PCI).
Please refer the consumer to the Medi-Cal Now In-Box at [email protected] and we will be happy to assist them with any Medi-Cal issues they may have.
Protected Health Information (PHI) is individually identifiable health information that describes the past, present, or future physical or mental health or the condition of an individual. PHI includes information about the health care services an individual has received or will receive and information about payment for health care services provided in the past, present, or future. Personal confidential information (PCI) is information that is not public which identifies or describes an individual including names, home addresses, home telephone numbers, Social Security Numbers, medical or employment histories, personnel records, licensing records or workers’ compensation. Thank you for allowing DHCS to serve you. Email dated 6.5.2017 10:43 AM
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