🏥 California Medicaid · Updated May 2026

Medi-Cal Eligibility 2026: Income Limits & How to Apply

Medi-Cal is California's free or low-cost health insurance program. 15.4 million Californians are enrolled. Find out if you qualify — and how to apply — in plain English.

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15.4M Californians enrolled in Medi-Cal
$0 Monthly premium for most members
138% Federal Poverty Level income threshold

What Is Medi-Cal?

Medi-Cal is California's version of Medicaid — the federal and state-funded health insurance program for people with low or no income. It provides free or very low-cost comprehensive health coverage, including doctor visits, hospital care, prescription drugs, mental health treatment, dental care, and more.

Unlike Covered California plans (which charge monthly premiums), most Medi-Cal members pay no premium at all. Copays, when they apply, are minimal and capped at 5% of household income annually. For most people at or below 138% of the federal poverty level, Medi-Cal is completely free.

Medi-Cal is administered by the California Department of Health Care Services (DHCS) and delivered through county social services offices and Managed Care plans.

2026 Medi-Cal Income Limits by Household Size

Most working-age adults (19–64) qualify for Medi-Cal through the MAGI (Modified Adjusted Gross Income) pathway at 138% of the Federal Poverty Level. Children and pregnant people qualify at higher limits.

2026 Update: Income limits increased slightly from 2025. A single adult can now earn up to $1,836/month. These thresholds are updated each January. Always apply — eligibility calculations are complex and you may qualify even if your income is close to the limit.
Household Size Monthly Limit (MAGI) Annual Limit Children's Limit (Monthly)
1 person $1,836 $22,025
2 people $2,480 $29,760 $4,784
3 people $3,143 $37,702 $6,057
4 people $3,806 $45,642 $7,332
5 people $4,469 $53,628 $8,607
6 people $5,132 $61,584 $9,882
7 people $5,795 $69,540 $11,157
8 people $6,458 $77,496 $12,432

Source: 2026 Federal Poverty Guidelines (138% MAGI threshold for adults; 266% for children in most counties). Children's limits shown for household of that size. Figures for illustrative purposes — always verify at BenefitsCal.com.

What counts as income? MAGI includes wages, self-employment income, Social Security benefits, interest, and most other taxable income. Pre-tax contributions to a 401(k), HSA, or health insurance premiums can lower your MAGI and may help you qualify.

Who Qualifies for Medi-Cal?

Medi-Cal covers a wide range of Californians. Below are the main eligibility categories:

👤 Working-Age Adults (19–64)

Income at or below 138% FPL. U.S. citizens, permanent residents, and most qualified immigrants. No asset test applies — savings and property don't count.

👶 Children & Teens (Under 19)

Income up to 266% FPL (about $6,057/month for a family of 3). Citizenship or immigration status requirements may be more flexible than for adults.

🤱 Pregnant People

Income up to 213% FPL during pregnancy. Coverage begins immediately upon determination and continues 12 months postpartum. Includes prenatal and delivery care.

🧓 Seniors (65+) & Disabled

Eligible through the Aged, Blind, and Disabled (ABD) program. Asset limits were reinstated in 2026 for this non-MAGI pathway: $130,000 for an individual, $195,000 for a couple.

🌎 DACA Recipients

DACA recipients who meet income requirements qualify for full-scope Medi-Cal. Status under DACA does not need to be disclosed in ways that trigger immigration concerns.

📋 Legal Immigrants

Permanent residents, refugees, asylees, parolees, and many other qualified immigrants are eligible for full-scope Medi-Cal on the same terms as citizens.

2026 Immigration Change: Undocumented adults who were enrolled in full-scope Medi-Cal before January 1, 2026 keep their coverage through June 30, 2026. New applicants with unsatisfactory immigration status (UIS) applying on or after January 1, 2026 are limited to restricted-scope (emergency and pregnancy) services. Those enrolled before that date transition to full-scope without dental starting July 1, 2026. If you are already enrolled, you are likely protected.

What Does Medi-Cal Cover?

Full-scope Medi-Cal provides comprehensive health coverage. Here's what's included:

Doctor visits & preventive care
Hospital stays & emergency care
Prescription medications
Mental health & therapy
Substance use treatment
Dental care (most members)
Vision care & glasses
Prenatal & maternity care
Lab tests & X-rays
Home health & long-term care
Physical therapy & rehab
Family planning services
Medical transportation
Specialist referrals

Most Medi-Cal members receive care through a Managed Care Plan — a health plan similar to an HMO that coordinates your coverage. You choose a primary care doctor and get referrals for specialists. In some rural counties, Medi-Cal is provided through a fee-for-service model instead.

How to Apply for Medi-Cal

You can apply any time — there's no enrollment period. Applications are accepted year-round and processed within 45 days for MAGI programs.

1

Apply Online (Fastest)

Visit BenefitsCal.com — California's official benefits portal. Create an account, complete the application, and upload documents digitally. You'll get a confirmation immediately and a decision within 45 days.

2

Apply Through Covered California

Visit CoveredCA.com or call 1-800-300-1506. When you apply for Covered California, the system automatically checks your Medi-Cal eligibility. If you qualify for Medi-Cal, you'll be enrolled automatically.

3

Apply In Person

Visit your county social services office (also called county Department of Social Services, DPSS, or HHS). Staff can help you complete the application and answer questions. Bring proof of identity, income, residency, and immigration status if applicable.

4

Apply by Phone or Mail

Call your county Medi-Cal office directly. Paper applications can also be mailed — download the SAWS 2 Plus form from DHCS.ca.gov. Processing by mail may take longer.

Documents you may need: Photo ID (driver's license, passport, or ID card), proof of California residency (utility bill, lease), proof of income (pay stubs, tax return, or a self-attestation form), Social Security number (if available), and immigration documents if applicable. Not having all documents doesn't prevent you from applying — you can provide them later.

Retroactive coverage: Medi-Cal can cover eligible medical expenses going back up to 3 months before your application date. If you had medical bills before you applied, ask about retroactive coverage when you apply.

Common Misconceptions About Medi-Cal

MYTH
"I have savings, so I don't qualify."

For standard MAGI Medi-Cal — which covers most adults under 65, children, and pregnant people — there is no asset test in 2026. Savings accounts, a car, or a home are not counted. Only non-MAGI programs for seniors (65+) reinstated an asset test on January 1, 2026.

MYTH
"Applying for Medi-Cal will hurt my immigration case."

Medi-Cal is explicitly excluded from the federal public charge rule for most visa categories. Using Medi-Cal is not a negative factor for green card applications under most immigration pathways. If you have specific immigration concerns, consult an immigration attorney — but for most people, there is no public charge risk from Medi-Cal.

MYTH
"I work full-time so I probably don't qualify."

Many working Californians qualify. A single adult earning up to $1,836/month qualifies in 2026. A family of 4 earning up to $3,806/month qualifies. Income from some sources may not be counted, and pre-tax deductions (401k, health premiums) lower your MAGI. Always apply and let the county decide.

MYTH
"Medi-Cal will take my house after I die."

California significantly limited Medi-Cal estate recovery. The state can only seek recovery for long-term care services provided after age 55. For most Medi-Cal recipients under 55, or those who only receive standard medical care, there is no estate claim. This rule was clarified and restricted in recent years.

MYTH
"I missed the enrollment window."

Medi-Cal has no enrollment period. Unlike Covered California private plans, you can apply for Medi-Cal any day of the year and coverage can begin the same month you apply. If you qualify, you're in.

Also Check Your Eligibility For

Many Californians who qualify for Medi-Cal also qualify for other benefits programs. Use our free screener to check all programs at once:

→ Use our free screener to check all 7 programs in 30 seconds

Frequently Asked Questions

What is the Medi-Cal income limit for 2026?

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For a single adult (ages 19–64), the 2026 Medi-Cal limit is $1,836/month or $22,025/year — that's 138% of the Federal Poverty Level. A 2-person household can earn up to $2,480/month; a 4-person household up to $3,806/month. Children qualify at higher levels (up to 266% FPL). If your income is close, always apply — you may still qualify after deductions.

Does Medi-Cal have an asset test in 2026?

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For standard MAGI Medi-Cal (working-age adults, children, pregnant people), there is no asset test. Your savings, car, or home don't affect eligibility. California reinstated an asset limit on January 1, 2026 only for Non-MAGI programs (primarily Long-Term Care Medi-Cal for seniors 65+). If you're under 65 and applying on income grounds, your assets don't count.

Can undocumented immigrants get Medi-Cal?

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Starting January 1, 2026, undocumented adults who are new applicants are limited to restricted-scope Medi-Cal (emergency care, pregnancy services, and certain other services). Those already enrolled in full-scope Medi-Cal before that date continue receiving coverage through June 30, 2026, then transition to full-scope without dental starting July 1, 2026. Children's eligibility is separate and broader. DACA recipients with qualifying income are eligible for full-scope Medi-Cal.

How long does Medi-Cal approval take?

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Most MAGI applications (adults and children based on income) are processed within 45 days. Pregnancy-related applications may be approved faster — sometimes same-day. Non-MAGI applications (seniors, disabled) can take up to 90 days. You can check your status online at BenefitsCal.com after applying.

Can I have both Medicare and Medi-Cal?

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Yes — this is called "dual eligibility" or "Medi-Medi." If you have Medicare and low income, Medi-Cal can cover your Medicare premiums, deductibles, and copays, plus additional services Medicare doesn't cover. Apply at your county social services office or call 1-800-541-5555.

Do I have to pay for Medi-Cal?

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Most members pay $0 in monthly premiums. Copays may apply to some services but are small (typically $1–$3) and total copays cannot exceed 5% of household income per year. Many services — preventive care, family planning, emergency services — have no copay. Children on Medi-Cal pay no copays at all.

What's the difference between Medi-Cal and Covered California?

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Medi-Cal is free or nearly free public health insurance for people with low income. Covered California is the state marketplace where you can buy private insurance plans with potential premium subsidies. If your income is below 138% FPL, you'll likely qualify for Medi-Cal rather than subsidized Covered California plans. If you apply through Covered California and qualify for Medi-Cal, you'll be automatically enrolled.

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