Otlicp 2025

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If your income is too high for Medi-Cal, you may qualify to purchase health insurance through Covered California. Covered California offers premium assistance. It helps lower the cost of health care for individuals and families who enroll in a Covered California health plan and meet income rules.
Starting January 1, 2024, the asset test to qualify for a Medicare Savings Program was eliminated. This means individuals can have any amount of assets and still qualify for a Medicare Savings Program. Assets are things that you own, such as bank accounts, cash, second homes and vehicles.
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.
If you apply for Medi-Cal in 2023: Medi-Cal will consider assets and income information as part of the application process. The current asset limit is $130,000 for one person. Each additional household member adds $65,000 to the asset limit. Up to 10 members can be in a household.
Assets are things you own, which can be counted for Medi-Cal eligibility. These items include bank accounts, cash, second vehicles and homes, and other financial resources. Please see below for examples.
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All children enrolled in the Healthy Families Program have been transitioned into a new Medi-Cal program called the Optional Targeted Low Income Children Program (OTLICP).
Retroactive Medi-Cal covers unpaid medical expenses from the three months prior to the month you apply for Medi-Cal. If you have unpaid bills from the three previous months, enter that information during the application process. If you qualify for Medi-Cal, you will also be evaluated for retroactive coverage.
OTLICP provides full scope Medi-Cal to certain otherwise eligible children ages zero through age 19. To qualify under this program, the net non-exempt family income must be at or below 266% of the FPL.

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