Low-income Americans with limited assets are provided with basic health care coverage through Medicaid. This federal- and state-funded program offers free or low-cost coverage for children, pregnant women, the blind, disabled and elderly through individual state plans that operate with federal oversight.
Alameda seniors over age 65 and disabled adults who are U.S. citizens or legal residents can qualify for full coverage under California’s Medicaid program, Medi-Cal, if they meet these financial guidelines:
- A monthly income of $1,242 or less and no more than $2,000 in countable assets for single applicants
- Monthly earnings of $1,682 or less and up to $3,000 in countable assets for married couples applying together
Income from all sources counts, including earnings, pensions, stock dividends, Social Security, VA and disability benefits. Some assets are disregarded, including a primary home, household items, personal belongings and one vehicle.
Those who are over the applicable income limit may be able to qualify through a
share of cost, which requires an applicant to spend their over-limit income on medical bills and services to reach the eligibility threshold.
Those who are eligible for or currently receiving Supplemental Security Income are automatically enrolled in Medi-Cal. Applicants who need nursing home care can qualify for Medi-Cal institutional coverage with any income but must still meet the appropriate asset limit.
Medi-Cal makes an exception to the asset limit for married couples when only one spouse applies for coverage. Although the applicant is still limited to $2,000 in countable assets, up to $126,420 of the couple’s jointly owned assets can be set aside as a spousal resource allowance.
Alameda residents can
apply for Medi-Cal coverage online or call
Covered California at (800) 300-1506.
Assisted Living Waiver Medi-Cal doesn’t cover the cost of assisted living room and board, but it offers an
Assisted Living waiver to help seniors pay for various services provided in this type of care setting. For those who qualify, the ALW may cover:
- Transitional assistance to relocate from a nursing home
- Help completing activities of daily living, such as bathing, toileting and grooming
- Necessary skilled nursing care
- Prepared meals and snacks
- Housekeeping and laundry services
- Recreational and social activities
To qualify for the ALW, Alameda residents must be aged 21 or older and eligible for full-scope Medi-Cal with no share of cost. They must also need a nursing facility level of care but be able to live safely in an assisted living setting.
The waiver isn’t an entitlement under Medi-Cal, so participation caps may apply, and it’s only available at state-licensed, participating facilities. Eligible seniors may need to relocate within Alameda County and/or be placed on a waiting list to receive services.
To begin the ALW application and assessment process, interested seniors should contact
NorCal Care, the Care Coordination Agency serving Alameda County, at (916) 385-2784.