Is It Safe to Stay on Medi-Cal If Your Income Exceeds the Eligibility Threshold?

If you live in California and your income has increased to the point where you no longer qualify for Medi-Cal (the state’s Medicaid program), it’s crucial to take immediate action. Staying on Medi-Cal while ineligible can have serious consequences.

Consequences of Staying on Medi-Cal Ineligibly

As mentioned in the post, states have the authority to pursue financial compensation from individuals who receive benefits they are not entitled to. This can include back-payments for all months or years that you were ineligible. In some cases, the state may also charge civil or criminal penalties.

ACA Special Enrollment Period

If you realize that your income has increased and you no longer qualify for Medi-Cal, the best course of action is to contact Covered California immediately. You may qualify for a special enrollment period, which allows you to enroll in a health insurance plan outside of the regular open enrollment period.

Special enrollment periods are typically triggered by certain life events, such as loss of income or change in household size. In this case, a change in income would qualify you for a special enrollment period.

Seeking Professional Help

Navigating the complexities of health insurance can be challenging. If you are unsure about your eligibility for Medi-Cal or other health insurance programs, it’s highly recommended to seek assistance from a licensed insurance agent. These agents can provide personalized guidance and help you find the best health insurance plan for your needs and budget.

Act Now to Avoid Penalties and Gaps in Coverage

It’s important to remember that staying on Medi-Cal ineligibly can have serious consequences. If you have concerns about your income affecting your health insurance coverage, take action now to avoid penalties and gaps in coverage. Contact Covered California or a licensed insurance agent to explore your options and ensure that you have the protection you need.

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