Income Guidelines for Covered California – 2015

Program Eligibility by Federal Poverty Level (FPL)
Household Size Cost Sharing Reduction Eligible for Income-Based Medi-Cal Eligible for Premium Assistance (PA)
Medi-Cal Access Program (No PA)

formerly AIM (Access for Infants & Mothers)


(> 213% to ≤ 322%)
Silver Cost Sharing Reductions (CSR)
94%

(≥100 to ≤150% FPL)
87%

(>150 to ≤200% FPL)
73%

(>200 to ≤250% FPL)
MAGI Medi-Cal (kids 0-18 yrs.) up to 266% 2014 FPL
100% ≤ 138% > 138% 150% 200% ≥ 213% 250% ≥ 266% 300% 322% 400%
1 $11,670 $16,105 $16,106 $17,505 $23,340 $24,858 $29,175 $31,043 $35,010 $37,578 $46,680
2 $15,730 $21,708 $21,709 $23,595 $31,460 $33,505 $39,325 $41,842 $47,190 $50,651 $62,920
3 $19,790 $27,311 $27,312 $29,685 $39,580 $42,153 $49,475 $52,642 $59,370 $63,724 $79,160
4 $23,850 $32,913 $32,914 $35,775 $47,700 $50,801 $59,625 $63,441 $71,550 $76,797 $95,400
5 $27,910 $38,516 $38,517 $41,865 $55,820 $59,449 $69,775 $74,241 $83,730 $89,871 $111,640
6 $31,970 $44,119 $44,120 $47,955 $63,940 $68,097 $79,925 $85,041 $95,910 $102,944 $127,880
7 $36,030 $49,722 $49,723 $54,045 $72,060 $76,744 $90,075 $95,840 $108,090 $116,017 $144,120
8 $40,090 $55,325 $55,326 $60,135 $80,180 $85,392 $100,225 $106,640 $120,270 $129,090 $160,360
For each additional person, add $4,060 $5,603 $6,090 $8,120 $8,648 $10,150 $10,800 $12,180 $13,074 $16,240

Individual Hourly Income Subsidy Table
  40 hrs. per wk 36 hrs. per wk 30 hrs. per wk 25 hrs. per wk 20 hrs. per wk
Minimum Wage $16,640.00 $14,976.00 $12,480.00 $10,400.00 $8,320.00
$9.00 per hour $18,720.00 $16,848.00 $14,040.00 $11,700.00 $9,360.00
$10.00 per hour $20,800.00 $18,720.00 $15,600.00 $13,000.00 $10,400.00
$11.00 per hour $22,880.00 $20,592.00 $17,160.00 $14,300.00 $11,440.00
$12.00 per hour $24,960.00 $22,464.00 $18,720.00 $15,600.00 $12,480.00
$13.00 per hour $27,040.00 $24,336.00 $20,280.00 $16,900.00 $13,520.00
$14.00 per hour $29,120.00 $26,208.00 $21,840.00 $18,200.00 $14,560.00
$15.00 per hour $31,200.00 $28,080.00 $23,400.00 $19,500.00 $15,600.00
$16.00 per hour $33,280.00 $29,952.00 $24,960.00 $20,800.00 $16,640.00
$17.00 per hour $35,360.00 $31,824.00 $26,520.00 $22,100.00 $17,680.00
$18.00 per hour $37,440.00 $33,696.00 $28,080.00 $23,400.00 $18,720.00
$19.00 per hour $39,520.00 $35,568.00 $29,640.00 $24,700.00 $19,760.00
$20.00 per hour $41,600.00 $37,440.00 $31,200.00 $26,000.00 $20,800.00
Legend
Premium assistance through Covered California Medi-Cal