Children and Adults

• Adults ages 26-64
• Children and young adults under 26
• Former foster youth under 21
• Pregnant individuals

See also the Seniors and Persons with Disabilities section regarding Medi-Cal programs for these populations.

• California residence.
• Countable income below established limits. Those with income below these limits may qualify for Modified Adjusted Gross Income (MAGI) Medi-Cal. People with higher incomes may qualify for other Medi-Cal programs, possibly with a Share of Cost.
• Medi-Cal disregards property for individuals whose eligibility is determined using Modified Adjusted Gross Income (MAGI). Property limits still apply to certain other Medi-Cal programs. For an overview of Medi-Cal property rules, click here:  Medi-Cal General Property Limitations (MC 007).
• Children and young adults (under the age of 26) are eligible for Medi-Cal regardless of citizenship or immigration status, if they meet all the other eligibility requirements.
• Adults may be eligible for restricted Medi-Cal coverage of emergency and pregnancy related medical care regardless of citizenship or immigration status, if they meet all the other eligibility requirements.
• Beginning April 2022, pregnant individuals will be eligible to full-scope Medi-Cal benefits during both the pregnancy and postpartum periods. Additionally,  Medi-Cal postpartum care coverage will be extended for a period of 365 days regardless of changes in income, citizenship and immigration status, if they meet all the other eligibility requirements.
• Beginning May 2022, adults ages 50 and older will be eligible for full scope Medi-Cal coverage regardless of immigration status, if they meet all the other eligibility requirements.

• Individuals with incomes above the MAGI Medi-Cal income limits: 
  • may qualify for subsidies to reduce monthly health insurance premium costs or reduce out-of-pocket costs (such as co-pays and deductibles).
  • may qualify for Non-MAGI Medi-Cal with or without a Share of Cost.
• The Medi-Cal Access Program (MCAP) provides low cost comprehensive health insurance coverage to eligible pregnant women.  MCAP is for middle-income families who do not have health insurance and whose income is too high for no-cost Medi-Cal. The program is also available to women who have other health insurance plans that do not cover maternity services or with a maternity-only deductible or copayment greater than $500. For additional information regarding the MCAP program, please visit the website, http://mcap.dhcs.ca.gov/ or call 1-800-433-2611.