Financial Help Repayment Limits | Covered California™ (2024)

FAQs

What factors are considered when determining eligibility for financial assistance covered CA? ›

Covered California income limits are a household income of up to 400% of the Federal Poverty Level (FPL). Households who make more than that do not qualify for financial assistance with their health insurance plans. How much is this in hard figures? The limits are based on both household income and household size.

If your income is more than what you told us on your application, you may have to repay some or all of the advanced premium tax credits that you got.

Financial help comes in two forms: the Premium Tax Credit, and reductions in what you pay for your health care (known as cost-sharing reductions). The Premium Tax Credit lowers the cost of your premium: the monthly bill you pay for your Covered California plan.

According to Covered California income guidelines and salary restrictions, if an individual makes less than $47,520 per year or if a family of four earns wages less than $97,200 per year, then they qualify for government assistance based on their income.

Who is Eligible for Covered California? All U.S. citizens, U.S. nationals and noncitizens lawfully present in California may apply for health care through Covered California. Who is Not Eligible for Covered California? If you are not lawfully present in California, you are not eligible for a Covered California plan.

asset information? eligibility for Medi-Cal. For new Medi-Cal applications only, current asset limits are $130,000 for one person and $65,000 for each additional household member, up to 10. Starting on January 1, 2024, Medi-Cal applications will no longer ask for asset information.

Income Increases: If your actual earnings surpass your estimates, you may need to return a portion or all the subsidy you were granted. Income Decreases: On the flip side, a drop in income can make you eligible for further financial assistance.

How will Covered California check my income? Covered California will check the income you reported on your application and compare it to what the IRS has on file for you.

To be eligible for California CalWORKs, you must be a resident of California, and a U.S. citizen, legal alien or qualified alien. You must be unemployed or underemployed and have low or very low income. You must also be one of the following: Have a child 18 years of age or younger, or.

What financial assistance is available in California? ›

CalWORKs is a welfare program that gives cash aid and services to eligible needy California families. The program serves all 58 counties in the state and is operated locally by county welfare departments. If a family has little or no cash and needs...

Individuals who purchase a qualified health care plan through the California health insurance marketplace, may be eligible to receive financial assistance to help pay the insurance premiums, known as the Premium Assistance Subsidy (PAS).

Beginning January 1, 2024, a new law in California will provide adults 26 through 49 years of age access to full scope Medi-Cal services and immigration status does not matter. All other Medi-Cal eligibility rules, including income limits, will still apply.

Your family's taxed and untaxed income, assets, and benefits (such as unemployment or Social Security) all could be considered in the formula. Also considered are your family size and the number of family members who will attend college or career school during the year.

The financial aid office at the college or career school you will attend will determine how much financial aid you're eligible to receive. Your eligibility depends on your Expected Family Contribution, year in school, enrollment status, and the cost of attendance at the school you'll be attending.