California Insurance Affordability Programs Income Levels # Persons (Effective April 1, 2015 - March 31, 2016) Maintenance Need Level (MNL) 100% FPL* Aged & Disabled *** 109% FPL 1931(b) Parents and Full Scope for Pregnant Women in 3rd Trimester 160% FPL Free MediCal Kids (Targeted 213% FPL (Pregnant 138% FPL (Expansion Low Income Children's women & infants Adults & parents) Program - no under 1) premium) 250% FPL Covered California Cost Sharing Reductions (CSRs) 266% FPL Medi-Cal 400% FPL Covered California Premium Tax Credits (PTCs) (until 11/15) Kids (Targeted Low Income Children's Program who pay premium / cost sharing (Children up to age 19) Monthly Annual Monthly Annual Monthly Annual Monthly Annual (until 11/15) Annual 322% FPL for Medi-Cal 250% FPL for Working Disabled Medi-Cal Program Access Program (MCAP) for Infants and Mothers (formerly AIM) 214 322%FPL Monthly Annual Monthly Annually Monthly Monthly Annual Monthly Annual Monthly Annual Monthly Annual Monthly 1 $600 $7,200 $981 $11,770 $1,211 $1,070 $12,830 $1,354 $16,243 $1,570 $18,832 $2,090 $25,071 $2,431 $29,175 $2,453 $29,425 $2,610 $31,309 $3,159 $37,900 $3,890 $46,680 2 $ 750 ** $9,000 $1,328 $15,930 $1,638 $1,447 $17,364 $1,832 $21,984 $2,124 $25,488 $2,828 $33,931 $3,277 $39,325 $3,319 $39,825 $3,532 $42,374 $4,275 $51,295 $5,243 $62,920 3 $934 $11,208 $1,675 $20,090 n/a $1,825 $21,899 $2,311 $27,725 $2,679 $32,144 $3,566 $42,792 $4,123 $49,475 $4,186 $50,225 $4,454 $53,440 $5,391 $64,690 $6,597 $79,160 4 $1,100 $13,200 $2,021 $24,250 n/a $2,203 $26,433 $2,789 $33,465 $3,234 $38,800 $4,305 $51,653 $4,969 $59,625 $5,053 $60,625 $5,376 $64,505 $6,508 $78,085 $7,950 $95,400 5 $1,259 $15,108 $2,368 $28,410 n/a $2,581 $30,967 $3,268 $39,206 $3,788 $45,456 $5,043 $60,514 $5,815 $69,775 $5,919 $71,025 $6,298 $75,571 $7,624 $91,481 $9,303 $111,640 6 $1,417 $17,004 $2,715 $32,570 n/a $2,959 $35,502 $3,746 $44,947 $4,343 $52,112 $5,782 $69,375 $6,660 $79,925 $6,786 $81,425 $7,220 $86,637 $8,740 $104,876 $10,657 $130,280 * The federal government sets the poverty levels every year. The new levels are effective April 1 for Medi-Cal. For Covered California, the new FPL levels are effective at the beginning of the following open enrollment period. These different effective dates are why we list 250% for Medi-Cal and for Covered CA separately. ** Pregnant woman or adult & child: $750/mo. If 2 adults, MN level is $934/mo or $11,208/year *** For a married couple, if both are eligible. This amount is equal to the 100% FPL amount plus $230 for an individual or plus $310 for a couple. The countable income in this program for a couple cannot be lower than the SSI/SSP level for a disabled couple. CA Welf. & Inst. Code § 14005.40(c)(1). Currently, the SSI/SSP couples' rate is the lower amount. For more info, see ACWDL 15-12. Notes: • Monthly and Annual FPL Levels are rounded up to the next highest dollar. • Monthly income is 4.33 times weekly income. • The 5% income disregard has been applied to MAGI income levels where it applies • For families with more than 6 members: add $347/month or $4,164/year to the 100% FPL amount for each additional person • See ACWDL 15-14 for more information regarding the income levels Materials developed for the Health Consumer Alliance 4/2015 www.healthconsumer.org