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Rev: 01/2025 California Department of Health Care Services

Medi-Cal Eligibility Division

1501 Capitol Avenue | Sacramento, CA | 95899-7413 MS 4607 | Phone (916) 552-9200 | www.dhcs.ca.gov State of California

Gavin Newsom, Governor

California Health and Human Services Agency

You may qualify for no-cost or low-cost Medi-Cal coverage under the new 2025 income limits Dear Covered California Member or Medi-Cal Beneficiary,

Medi-Cal income levels have changed for 2025. You may qualify for no-cost or low-cost Medi-Cal and may be able to switch plans if you currently:

• Have Medi-Cal with a Share of Cost • Buy medical insurance to end your Medi-Cal Share of Cost • Pay a premium (monthly cost) for your Medi-Cal or Covered California plan

There may be financial benefits if you switch plans.

If you want to keep your current health coverage If you want to keep the health coverage you have now, you do not need to do anything.

If you qualify for no-cost Medi-Cal You may be able to get a refund for some of your past Medi-Cal premiums. If you paid for services when you had a Share of Cost, you may also be able to get back some of what you paid.

To learn more and find out if you qualify:

• Call your local county office. Tell them you got this letter. Ask for an “eligibility redetermination.” To get the phone number for your local county office, call 1-800-541-5555. You can also find their number on the Department of Health Care Services website at: http://dhcs.ca.gov/COL. If you have a Covered California health plan You may qualify for no-cost or low-cost Medi-Cal. You might save money if you switch to Medi-Cal. You cannot get a refund for Covered California premiums you paid. But you will save money in the future. With Medi-Cal, you may qualify for refunds for certain out-of-pocket expenses. You might have to change your health plan and/or your doctor if you switch to Medi-Cal.

To learn more and find out if you qualify: • Call Covered California at 1-855-312-3250 (TTY: 1-800-889-4500). Tell them you got this letter. Ask for an “eligibility redetermination.” The Customer Service Representative should explain how to get a redetermination.