Hi Kevin! I have magi Medical ,have no income other than my husband ssa. Now if i apply for spousal benefit at 62 , it will make our income exceeds the maximum income for Medical a couple hundreds dollars and I don't want to loose it :I wonder if i can reapply Medical with my spousal income only, since my husband doesn't get anything from Medical. Thank you for your help.
MAGI Medi-Cal is based on household income. If you are married and file "Married Filing Joint", then all income is counted. If your income is above the Medi-Cal limit, it sounds like you would be offered a large subsidy toward a health plan through Covered California. It's possible that there will be plans at $0 per month for a Bronze or Silver plan.
You mean your name and Medi-Cal are the both listed as the Pay to: entities? You will need to work with the other party to split the proceeds so the other party is paid their portion. The other party could sign off on the check, but then they would be waiving any payment, unless they really trust you to pay them.
so. there are 2 kinds of medical? magi Medi-cal and non Magi Medi-cal? I have Magi Medi-cal since 2018 and I am 59 years old. I have own a property now. Do i have to repay Magi-medi-cal by my property afer I die ?
Hi Kevin, what happens when my average monthly income is low but I get significantly more income in December? When I report that income change in January, will I lose Magi Medi-cal? But my monthly income will be low again in January, do I then apply again immediately?
Medi-Cal takes into account fluctuating income. Many people have hourly wage jobs where one month they may work more hours, only to drop down in hours the next month. Medi-Cal is looking for consistent monthly income over the income threshold for eligibility. There is no problem reporting the spike of income. Just note on the paper work that the estimated hours will drop to a lower level the next month. However, if the spike of income turns into your normal monthly wage, you want to inform Medi-Cal of the consistently higher wage amount.
Hi Kevin, if I lose my job in the latter part of the year. My income so far for the year will be too high for medi-cal. But since medi-cal is monthly based, what documents can I show in the application that my income will be low going forward? How long will the medi-cal application take? Thanks!
It is always interesting when Covered California or Medi-Cal request you prove your income is zero. What do they want? Your past due notices? However, most of the Medi-Cal case workers accept your word that your income dropped. When you change your income section to lower the income, you are submitting the application to Covered California. If the monthly income is below Covered California subsidy range, the Medi-Cal eligibility is almost instantaneous. The information is then sent to your county for final eligibility and enrollment.
When you are characterizing your income within the Covered California income section, most self-employed individuals will state the income as an annual amount, as opposed to monthly. The Covered California system will take the annual amount and convert it into monthly amounts. Medi-Cal can also characterize the household income on an annual basis when it comes to individuals with fluctuating incomes or multiple income sources.
@@KevinKnauss So in this case, is it ok to NOT report any income changes since the annual income will be lower than the annual income threshold even though the income will be too high for some months?
There are times when you are waiting to see if the income estimate holds. When you know that the income will be lower or higher, that is when you adjust the income estimate. For example, you have based your income on the previous years where you net $3,000 per month. Four months into the new year, you pick up another contract that adds $500 per month net to your income. That is when you would make adjustments to the income. @@frugalorfrugalor3513
@@KevinKnauss Using the numbers in your reply -- With self employment, let's say I make $2500 in January, $3500 in February, $2500 in March, $3500 in April, $2500 in May, and so forth. My average income is $3000 per month. But some monthly income is over the threshold half of the time during the year. Do I need to report changes?
No, changes are not necessary as long as the average income you are realizing will be close to estimated annual income. The point of making the income changes is to avoid either a large tax credit or large subsidy liability. For example, your income jumps to $5k per month on a consistent level, but you are receiving subsidies based on a $3k average. You will have to repay excess subsidies on your tax return. To avoid that situation, you would want to increase the income. Conversely, your income drops to $2k per month. You would want to decrease the income to increase the subsidies and in turn lower your monthly health insurance subsidy.@@frugalorfrugalor3513
i call to cancel my magi medical to transfer to cover CA. However, a worker said My unemployment income is not qualify for cover CA. except, I quit magi medial and pay to cover CA at preminum price. well, I scare that i will lost my house after I die. and just want to use cover ca $1 to save my house for my daughter. what do you recommend me to do?
In general, you don’t want to terminate Medi-Cal. Just because you cancel Medi-Cal, that does not mean you are eligible for Covered California. You need to report your income to Medi-Cal and let them determine your eligibility. If you are no longer eligible for Medi-Cal, you can then get a plan through Covered California with the subsidies. Medi-Cal will update your Covered California account to reflect the higher income and eligibility for the subsidies. But if you voluntarily terminate Medi-Cal, you are still flagged in the system as being Medi-Cal eligible and you CANNOT get the subsidies. Always work with Medi-Cal to report changes to your household situation.
Hi my children are on medi-cal and I just found out I am pregnant. I called Medi-cal office to let them know because now that I'm pregnant according to the chart you showed in the video I hit around the 200th percentile. I told the representative I was pregnant and they said I would receive a letter in the mail regarding my eligibility. The letter I received said I was not eligible because I made more than $2,950.00 a month and I did not qualify for special enrollment. My question is I thought pregnant women have different income qualifications and it seems as though they didn't imput my pregnancy even though I told them. I am also considered high risk so I really don't have all the time in the world considering I need to be seen more frequently than an average pregnancy. I'm going to call them first thing Monday but I don't know what to say or how to use the lingo to get my point across. Any help or advice you give would be greatly appreciated. Thank you! Edit: we are a family of 5 not including bun in the oven and we make 4700 a month.
Regardless of the household size, 5 or 6, you are in the income range for Medi-Cal or pregnant women. You should be eligible for that program and enrolled into it. Other adults in the household would remain on Covered California with the subsidy. I’m not sure why you receive the denial. But I have seen other oddities recently with some Medi-Cal eligibilities. The Special Enrollment sounds more like a Covered California condition, not a Medi-Cal condition. Something is amiss. Keep contacting Medi-Cal and describing the situation.
The easiest confirmation is to call you county’s Medi-Cal office. Sometimes you will receive a notification or letter that indicates the type of Medi-Cal or an aid code that denotes the type of Medi-Cal you have.
The MAGI is your federal adjusted gross income PLUS any social security retirement/disability income and tax exempt interest. Here is a video I did on how it is figured. ua-cam.com/video/Z9N6S-PVqgw/v-deo.html
Hi Kevin! I have magi Medical ,have no income other than my husband ssa. Now if i apply for spousal benefit at 62 , it will make our income exceeds the maximum income for Medical a couple hundreds dollars and I don't want to loose it :I wonder if i can reapply Medical with my spousal income only, since my husband doesn't get anything from Medical. Thank you for your help.
MAGI Medi-Cal is based on household income. If you are married and file "Married Filing Joint", then all income is counted. If your income is above the Medi-Cal limit, it sounds like you would be offered a large subsidy toward a health plan through Covered California. It's possible that there will be plans at $0 per month for a Bronze or Silver plan.
My settlement check is mad out to myself and medical. How can I cash it.insurance said im responsible for paying back medical
You mean your name and Medi-Cal are the both listed as the Pay to: entities? You will need to work with the other party to split the proceeds so the other party is paid their portion. The other party could sign off on the check, but then they would be waiving any payment, unless they really trust you to pay them.
so. there are 2 kinds of medical? magi Medi-cal and non Magi Medi-cal?
I have Magi Medi-cal since 2018 and I am 59 years old. I have own a property now. Do i have to repay Magi-medi-cal by my property afer I die ?
No. SB833, passed several years ago, relieves people with MAGI Medi-Cal from Estate Recovery.
Hi Kevin, what happens when my average monthly income is low but I get significantly more income in December? When I report that income change in January, will I lose Magi Medi-cal? But my monthly income will be low again in January, do I then apply again immediately?
Medi-Cal takes into account fluctuating income. Many people have hourly wage jobs where one month they may work more hours, only to drop down in hours the next month. Medi-Cal is looking for consistent monthly income over the income threshold for eligibility.
There is no problem reporting the spike of income. Just note on the paper work that the estimated hours will drop to a lower level the next month. However, if the spike of income turns into your normal monthly wage, you want to inform Medi-Cal of the consistently higher wage amount.
Hi Kevin, if I lose my job in the latter part of the year. My income so far for the year will be too high for medi-cal. But since medi-cal is monthly based, what documents can I show in the application that my income will be low going forward? How long will the medi-cal application take? Thanks!
It is always interesting when Covered California or Medi-Cal request you prove your income is zero. What do they want? Your past due notices? However, most of the Medi-Cal case workers accept your word that your income dropped.
When you change your income section to lower the income, you are submitting the application to Covered California. If the monthly income is below Covered California subsidy range, the Medi-Cal eligibility is almost instantaneous. The information is then sent to your county for final eligibility and enrollment.
For self employed with fluctuating monthly income, one month may qualify, another month may not. But annual income qualifies.
How does that work?
When you are characterizing your income within the Covered California income section, most self-employed individuals will state the income as an annual amount, as opposed to monthly. The Covered California system will take the annual amount and convert it into monthly amounts. Medi-Cal can also characterize the household income on an annual basis when it comes to individuals with fluctuating incomes or multiple income sources.
@@KevinKnauss So in this case, is it ok to NOT report any income changes since the annual income will be lower than the annual income threshold even though the income will be too high for some months?
There are times when you are waiting to see if the income estimate holds. When you know that the income will be lower or higher, that is when you adjust the income estimate.
For example, you have based your income on the previous years where you net $3,000 per month. Four months into the new year, you pick up another contract that adds $500 per month net to your income. That is when you would make adjustments to the income. @@frugalorfrugalor3513
@@KevinKnauss Using the numbers in your reply -- With self employment, let's say I make $2500 in January, $3500 in February, $2500 in March, $3500 in April, $2500 in May, and so forth. My average income is $3000 per month. But some monthly income is over the threshold half of the time during the year. Do I need to report changes?
No, changes are not necessary as long as the average income you are realizing will be close to estimated annual income. The point of making the income changes is to avoid either a large tax credit or large subsidy liability.
For example, your income jumps to $5k per month on a consistent level, but you are receiving subsidies based on a $3k average. You will have to repay excess subsidies on your tax return. To avoid that situation, you would want to increase the income.
Conversely, your income drops to $2k per month. You would want to decrease the income to increase the subsidies and in turn lower your monthly health insurance subsidy.@@frugalorfrugalor3513
i call to cancel my magi medical to transfer to cover CA. However, a worker said My unemployment income is not qualify for cover CA. except, I quit magi medial and pay to cover CA at preminum price. well, I scare that i will lost my house after I die. and just want to use cover ca $1 to save my house for my daughter. what do you recommend me to do?
In general, you don’t want to terminate Medi-Cal. Just because you cancel Medi-Cal, that does not mean you are eligible for Covered California. You need to report your income to Medi-Cal and let them determine your eligibility. If you are no longer eligible for Medi-Cal, you can then get a plan through Covered California with the subsidies. Medi-Cal will update your Covered California account to reflect the higher income and eligibility for the subsidies.
But if you voluntarily terminate Medi-Cal, you are still flagged in the system as being Medi-Cal eligible and you CANNOT get the subsidies. Always work with Medi-Cal to report changes to your household situation.
Hi my children are on medi-cal and I just found out I am pregnant. I called Medi-cal office to let them know because now that I'm pregnant according to the chart you showed in the video I hit around the 200th percentile. I told the representative I was pregnant and they said I would receive a letter in the mail regarding my eligibility. The letter I received said I was not eligible because I made more than $2,950.00 a month and I did not qualify for special enrollment.
My question is I thought pregnant women have different income qualifications and it seems as though they didn't imput my pregnancy even though I told them.
I am also considered high risk so I really don't have all the time in the world considering I need to be seen more frequently than an average pregnancy.
I'm going to call them first thing Monday but I don't know what to say or how to use the lingo to get my point across. Any help or advice you give would be greatly appreciated. Thank you!
Edit: we are a family of 5 not including bun in the oven and we make 4700 a month.
Regardless of the household size, 5 or 6, you are in the income range for Medi-Cal or pregnant women. You should be eligible for that program and enrolled into it. Other adults in the household would remain on Covered California with the subsidy.
I’m not sure why you receive the denial. But I have seen other oddities recently with some Medi-Cal eligibilities. The Special Enrollment sounds more like a Covered California condition, not a Medi-Cal condition. Something is amiss. Keep contacting Medi-Cal and describing the situation.
How can I know that I am at magi medical or non magi medical!
The easiest confirmation is to call you county’s Medi-Cal office. Sometimes you will receive a notification or letter that indicates the type of Medi-Cal or an aid code that denotes the type of Medi-Cal you have.
How do i calculate MAGI
The MAGI is your federal adjusted gross income PLUS any social security retirement/disability income and tax exempt interest. Here is a video I did on how it is figured. ua-cam.com/video/Z9N6S-PVqgw/v-deo.html
Is it true that MAJI Medi-Cal is only good till age 62? if so, what happens when you reach 62 & not old enough for Medicare?
No, MAGI Medi-Cal is good until you are eligible for Part A of Medicare, usually when a person turns 65 years old.