Medicare Blog

what to click on the covered ca application if one of your family member has medicare

by Michele Ziemann Published 1 year ago Updated 1 year ago
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Can I apply for Covered California if I am already enrolled in Medicare?

If individuals are enrolled in Medicare, they cannot apply for coverage through Covered California because they are already covered. Medicare is considered minimum essential coverage under the Affordable Care Act. Covered California does not offer Medicare Advantage Plans or any Medicare supplemental plans,...

How do I contact Covered California health insurance?

Or call us at 1-800-300-1506 (TTY: 1-888-889-4500). If you qualify for Medi-Cal, the coverage and costs are different and may be free for you. 7. Can I get health insurance through Covered California?

How do I apply for Medi-Cal or covered California?

It's easy. Apply on our website or get free, confidential help by phone. Covered California and Medi-Cal use the same application. This means that once you apply, you’ll find out which program you qualify for.

How do I get Medicare if I am on disability in California?

People with a plan through Covered California who have been determined disabled by the Social Security Administration will be automatically enrolled in Medicare within two years of receiving Social Security Disability Insurance (SSDI) income. You can purchase health coverage through Covered California during your two-year waiting period.

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Can I get Covered California if I have Medicare?

Medicare is not part of Covered California and if you are enrolled in Medicare, you cannot purchase a Covered California health plan. Covered California does not offer Medicare supplement insurance, Medigap, or Part D drug plans.

Can you have Medicare and Medi-Cal at the same time?

The short answer to whether some seniors may qualify for both Medicare and Medi-Cal (California's Medicaid program) is: yes.

Can you have both Medi-Cal and Covered California?

These two-program families are called “mixed-program families.” Your family can apply for both through Covered California application. Individuals in a mixed-program family will face different, but typically lower, costs due to their eligibility for both Covered California and Medi-Cal.

How do I add family members to Covered California?

You can do so online by logging into your account. If you are unable to log in or need further assistance, please call us at (800) 300-1506. If you have questions or concerns about your application or coverage, please contact Covered California's Service Center at (800) 300-1506 or TTY: (888) 889-4500.

How much money can you have in the bank and still qualify for Medi-Cal?

First, as of July 1, 2022, the state will raise the asset limit in the Medi-Cal programs serving older adults and people with disabilities to $130,000 for an individual and $65,000 for each additional family member.

Can Medi-Cal check your bank account?

While Medicaid agencies do not have independent access to a Medicaid recipient's financial statements, Medicaid does an annual update to make sure a Medicaid recipient still meets the financial eligibility requirements. Furthermore, a Medicaid agency can ask for bank statements at any time, not just on an annual basis.

What is the maximum income to qualify for Medi-Cal 2021?

For dependents under the age of 19, a household income of 266 percent or less makes them eligible for Medi-Cal. A single adult can earn up to $17,775 in 2021 and still qualify for Medi-Cal. A single adult with one dependent can earn up to $46,338 annually and the child will still be eligible for Medi-Cal.

What is the maximum income to qualify for Medi-Cal 2022?

In 2022, the MMMNA in CA is $3,435 / month. If a non-applicant spouse has monthly income under this amount, income can be transferred from the applicant spouse to the non-applicant spouse to bring their monthly income up to this level.

How do I qualify for dual Medicare and Medicaid?

Persons who are eligible for both Medicare and Medicaid are called “dual eligibles”, or sometimes, Medicare-Medicaid enrollees. To be considered dually eligible, persons must be enrolled in Medicare Part A (hospital insurance), and / or Medicare Part B (medical insurance).

What counts as household income for Covered California?

A household includes the tax filer and any spouse or tax dependents. Your spouse and tax dependents should be included even if they aren't applying for health insurance. Don't include anyone you aren't claiming as a dependent on your taxes.

What is considered a member of a household?

Household members include the filer, spouse, dependents and all other individuals who normally live with you that are not dependents.

How do I make changes to my Covered California application?

To report changes, call Covered California at (800) 300-1506 or sign in to your online account. You can also find a Licensed Insurance Agent, Certified Enrollment Counselor or county eligibility worker who can provide free assistance in your area.

Covered California and Medicare Supplemental Plans

Covered California does not sell Medicare Advantage plans (such as Medicare HMOs and PPOs), Medicare Part D prescription drug plans or Medigap poli...

Covered California, Medicare and Tax Credits

Generally, someone who is eligible for Medicare — even if they do not enroll in it — cannot receive tax credits to help them pay for a Covered Cali...

Covered California, Medicare and Medi-Cal

If consumers are enrolled in Medicare, they cannot purchase a Covered California health plan. Purchasing a Covered California health plan would giv...

Covered California, Medi-Cal and Disabilities

An individual who has a permanent disability, but is not yet eligible for Medicare due to the two-year waiting period for people receiving SSDI pay...

Medicare Options and Enrollment

Consumers can review and compare their Medicare options on the Medicare website, call (800) MEDICARE, or work with a licensed insurance agent. For...

Can you use special enrollment period for a new couple?

One or both members of the new couple can use the special-enrollment period to enroll in coverage.

Can I apply for Medi-Cal if I have a life event?

You can apply for coverage through Covered California at any time if you experience a qualifying life event. Medi-Cal enrollment is year-round, and you don't need a life event to apply.

Can I apply for Medi-Cal through Covered California?

You can apply for coverage through Covered California at any time if you experience a qualifying life event. Medi-Cal enrollment is year-round, and you don't need a life event to apply. You lose Medi-Cal coverage. You lose your employer-sponsored coverage. Your COBRA coverage is exhausted.

What information do I need to apply?

Sail through the Covered California application by having the following information handy.

Immigration information (if applicable)

One of the following for each household member from a document that is NOT expired

Tax Information

Tax filing status (single, married filing jointly, head of household, etc.)

Income information

You will be asked to estimate expected household income for the current year, not last year’s income. To qualify for the right amount of saving it’s important to give it your best guess. To see the guidelines chart and salary levels, click Covered California Income Limits.

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