Under the Affordable Care Act, most individuals are required to have health coverage. If you are not covered by your own or a family member's health plan, you must get insurance or pay a tax penalty called the "shared responsibility payment". Two important ways people can get insurance are through expanded Medi-Cal benefits or the state-operated marketplace called Covered California.
With the implementation of the Affordable Care Act, the Access2Health Customer Service Call Center was implemented under the same Access Management Team. Access2Health Agent receive calls from Covered California customers that are potentially eligible to the new expanded Medi-Cal or households with a mixture of members who are eligible to Medi-Cal and Exchange health plans. Human Services Specialists at Access2Health complete full intakes for Medi-Cal and associated public assistance programs via phone for potentially eligible customers.
Expanded Medi-Cal will provide medical coverage to adults, ages 21-64. Individuals may qualify for expanded Medi-Cal if their Modified Adjusted Gross Income is less than 138 percent of the Federal Poverty Level (FPL).
If you do not qualify for Expanded Medi-Cal, you may qualify for other health coverage through Covered California.
Covered California is the new state-run marketplace or exchange for individuals, families and small businesses. Visit the site to find out if you and your family might get financial assistance on a sliding scale to make coverage more affordable. You will be able to compare and choose health coverage that best fits your needs and budget. (Covered California en español)
The Covered California phone number is 1-888-975-1142.
2-1-1 San Diego also has information on Covered California. Visit the website or dial 2-1-1 to speak to someone.
Open enrollment ended on Jan. 31, 2016, for coverage in 2016. Open enrollment will begin again in the fall. Individuals with special qualifying life events can enroll at any time of the year. Medi-Cal enrollment is also year-round. Medi-Cal and Covered California use the same application. After you enter your information, you will find out whether you qualify for Medi-Cal or Covered California.
What is Modified Adjusted Gross Income (MAGI)?
Generally, your modified adjusted gross income (MAGI) is the total of your adjusted gross income and tax-exempt interest income you may have. These are the amounts on lines 37 and 8b of IRS form 1040. Some examples of income are: wages, salaries, tips, taxable interest, certain dividends, business income, capital gains, and unemployment compensation, as well as annuities, Social Security payments and some pensions