California Medicaid Eligibility Calculator

Check if you qualify for Medicaid in California (CA). Enter your household size and income to see eligibility for adults, children, and pregnant women. ✓ Expanded

California Medicaid at a Glance

138%
Adult FPL Limit
266%
Child FPL Limit
14,900,000
Enrolled
6.8%
Uninsured Rate

Check Your Eligibility

California Medicaid Income Limits (2026)

Household SizeAdult LimitChild LimitPregnant Limit
1 person$21,597/yr$41,629/yr$50,393/yr
2 people$29,187/yr$56,259/yr$68,103/yr
3 people$36,777/yr$70,889/yr$85,813/yr
4 people$44,367/yr$85,519/yr$103,523/yr
5 people$51,957/yr$100,149/yr$121,233/yr
6 people$59,547/yr$114,779/yr$138,943/yr
7 people$67,137/yr$129,409/yr$156,653/yr
8 people$74,727/yr$144,039/yr$174,363/yr

What California Medicaid Covers

California Medicaid provides comprehensive health coverage including:

✓ Doctor & specialist visits
✓ Hospital inpatient & outpatient
✓ Prescription medications
✓ Lab tests & X-rays
✓ Mental health services
✓ Preventive care & screenings
✓ Emergency room visits
✓ Maternity & newborn care
✓ Dental (varies by state)
✓ Vision care (varies by state)

How to Apply for Medicaid in California

1. Online: Visit your state Medicaid website or HealthCare.gov to submit an application.

2. Phone: Call 1-800-318-2596 (TTY: 1-855-889-4325) to apply by phone.

3. In Person: Visit your local California Department of Social Services or Medicaid office.

4. Mail: Download and mail a paper application from your state Medicaid website.

Tip: You can apply for Medicaid at any time — there is no open enrollment period. Processing typically takes 45 days (90 days for disability-based applications).

Frequently Asked Questions

What are the California Medicaid income limits for 2026?
In California, Medicaid income limits are 138% FPL for adults (expansion state), 266% FPL for children, and 322% FPL for pregnant women. For a single adult, this means approximately $21,597/year.
Has California expanded Medicaid?
Yes, California has expanded Medicaid under the Affordable Care Act, covering adults up to 138% of the Federal Poverty Level (FPL). This means more low-income adults qualify for free or low-cost health coverage.
How do I apply for Medicaid in California?
You can apply for California Medicaid online at HealthCare.gov, by calling 1-800-318-2596, visiting your local Medicaid office, or mailing a paper application. Applications are accepted year-round.
What is MAGI and how does it affect Medicaid eligibility?
Modified Adjusted Gross Income (MAGI) is the income methodology used for most Medicaid eligibility determinations. It includes taxable income, tax-exempt interest, and Social Security benefits. Deductions like student loan interest and IRA contributions are subtracted. A 5% income disregard is applied to the FPL threshold.
Can I have assets and still qualify for California Medicaid?
For most MAGI-based Medicaid categories (adults, children, pregnant women), there is no asset test — only income matters. However, elderly and disabled applicants may face asset limits, typically $2,000 for individuals or $3,000 for couples, though some states have eliminated asset tests.
What is the Medicaid coverage gap in non-expansion states?
Since California has expanded Medicaid, there is no coverage gap. All adults up to 138% FPL are covered.

Medicaid Calculators by State