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Income and immigration status

2026 Covered California Income Limits & Eligibility

Understand how household income is estimated, who belongs on the application, and how citizenship or immigration status affects Covered California eligibility.

Household income

Estimate the coverage year, not just this month.

Covered California eligibility depends on more than current monthly income. The application uses the tax household, projected income for the coverage year, California residency, and citizenship or immigration information for people seeking coverage.

01

Build the tax household

Include the tax filer, spouse, and tax dependents, even when some household members are not applying for coverage.

02

Establish a MAGI baseline

Start with adjusted gross income from a recent federal return, then add applicable MAGI items for household members.

03

Project the full year

Adjust for expected raises, job changes, self-employment results, retirement, or other changes during the coverage year.

Recent household AGI Applicable MAGI additions Expected yearly changes Projected annual household income

MAGI additions can include tax-exempt interest, nontaxable Social Security benefits, and excluded foreign income. Tax situations vary; this overview is not tax advice.

2026 income reference

Covered California income limits by household size.

Use these federal poverty level reference points to understand the official 2026 program ranges. Your actual eligibility depends on the complete application, access to other coverage, and current program rules.

2026 Covered California and Medi-Cal federal poverty level reference amounts by household size.
Household 100% FPL Medi-Cal: 138% FPL 150% FPL 165% FPL 200% FPL 250% FPL 400% FPL
1 $15,650 $22,025 $23,475 $25,823 $31,300 $39,125 $62,600
2 $21,150 $29,864 $31,725 $34,898 $42,300 $52,875 $84,600
3 $26,650 $37,702 $39,975 $43,973 $53,300 $66,625 $106,600
4 $32,150 $45,540 $48,225 $53,048 $64,300 $80,375 $128,600
5 $37,650 $53,379 $56,475 $62,123 $75,300 $94,125 $150,600
6 $43,150 $61,217 $64,725 $71,198 $86,300 $107,875 $172,600
7 $48,650 $69,056 $72,975 $80,273 $97,300 $121,625 $194,600
8 $54,150 $76,894 $81,225 $89,348 $108,300 $135,375 $216,600
100%-150% FPLSilver 94
>150%-200% FPLSilver 87
>200%-250% FPLSilver 73
100%-165% FPL2026 California premium assistance

The Medi-Cal column uses a different reference year from the marketplace columns. Do not calculate it from the 100% amount. Income alone does not guarantee financial help or an enrollment opportunity.

Covered California uses prior-year FPL amounts for marketplace programs, while Medi-Cal uses current-year amounts. Most consumers up to 138% FPL are eligible for Medi-Cal, but exceptions and separate program rules apply. Amounts shown are annual unless stated otherwise. Open the official 2026 chart

Income sources

What usually counts toward the estimate?

Covered California uses federal tax concepts. Review the official list when income is unusual, seasonal, or changing.

Commonly counted

Taxable and MAGI income

  • Federal taxable wages and tips
  • Net self-employment income
  • Unemployment compensation
  • Social Security and SSDI
  • Retirement, pension, and investment income

Commonly not counted

Excluded from the estimate

  • Child support and gifts
  • Supplemental Security Income (SSI)
  • Veterans disability payments
  • Workers' compensation
  • Loan proceeds and the Child Tax Credit

Citizenship and immigration

Mixed-status families can still apply.

Only people seeking coverage need to meet the marketplace citizenship or lawful-presence rules. Other family members can remain on the application so household size and income are calculated correctly.

01

Citizens and lawfully present immigrants

U.S. citizens, U.S. nationals, green card holders, refugees, asylees, certain humanitarian statuses, and many valid visa holders may qualify when other requirements are met.

02

People who are not lawfully present

They cannot enroll in a Covered California marketplace plan, but they can apply for family members and be screened for Medi-Cal or other programs.

03

Current DACA rule

DACA recipients are no longer eligible for Covered California marketplace coverage under a federal rule that took effect in 2025. Other coverage may still be available.

Covered California states that application information is kept confidential. If immigration status cannot be verified electronically, it may request an accepted document from the person applying for coverage.

Application preparation

Gather the details that apply to your household.

Skyline can help organize application information and explain what Covered California is requesting, but tax and immigration questions may require advice from a qualified professional.

See documents used to confirm eligibility

Keep records supporting your estimate and update your application when income changes. Use the secure application process for documents, not a general contact form.

Tax household

Tax filing status, spouse, dependents, and who needs coverage.

Income records

Recent tax return, pay information, self-employment records, and expected yearly changes.

Applicant documents

Social Security numbers when available and citizenship or immigration documents for people applying for coverage.

From our clients

Trusted health coverage guidance from a local team.

FAQ

Frequently asked questions about Covered California Eligibility

What are the 2026 Covered California income limits?

Covered California uses household size and federal poverty level percentages rather than one income limit for everyone. For 2026, the official program chart shows federal Premium Tax Credit eligibility from 100% through 400% FPL, Enhanced Silver ranges from 100% through 250% FPL, and California premium assistance from 100% through 165% FPL. Medi-Cal uses current-year thresholds and separate program rules.

What income does Covered California use?

Financial help is based on the household income you expect for the coverage year. The calculation generally starts with adjusted gross income and adds certain MAGI items, including tax-exempt interest, nontaxable Social Security, and excluded foreign income.

Who is included in a Covered California household?

A household generally includes the tax filer, a spouse, and tax dependents. Include household members even when some are not applying for health insurance.

Does self-employment income count?

Yes. Covered California generally uses net self-employment income after allowable business expenses, not gross business revenue. Tax treatment can vary, so use current records and seek tax advice when needed.

Which immigration statuses can qualify for Covered California?

U.S. citizens, U.S. nationals, and many lawfully present immigrants can qualify when they meet the other eligibility rules. Examples include lawful permanent residents, refugees, asylees, certain humanitarian statuses, and many valid nonimmigrant visa holders.

Can a mixed-status family apply?

Yes. Family members who are not seeking coverage can still be included so Covered California can determine household size and income. Immigration documents are requested for applicants when needed to verify eligibility.

Can a person with DACA enroll through Covered California?

No. Under a federal rule effective in 2025, DACA recipients are no longer eligible for marketplace coverage through Covered California. They may still qualify for Medi-Cal or other coverage depending on their circumstances.

Ready to compare Covered California?

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