EDD unemployment income limits for Medi-Cal eligibility in 2025
Does anyone know what the current income limits are for Medi-Cal if you're aging or disabled in California? I got laid off from my healthcare job last month and just started receiving unemployment benefits while looking for work. I also have partial SSDI payments ($1,850/month) that I've been receiving for the past few years due to my chronic condition. My questions are: 1. Is my unemployment benefit ($450/week) counted as income for Medi-Cal eligibility? 2. Does my SSDI payment count toward the income limit? I'm 58 and really worried about maintaining my healthcare coverage while I'm between jobs. The EDD rep I spoke with couldn't answer my Medi-Cal questions and the Medi-Cal helpline keeps disconnecting me after 45+ minutes on hold. Any help would be so appreciated!
18 comments

NebulaNomad
Yes, both unemployment benefits and SSDI count as income for Medi-Cal eligibility purposes. For 2025, if you're aged (65+) or disabled, the income limit for an individual is $1,732 per month (138% of Federal Poverty Level). However, there are special programs like the Working Disabled Program and the 250% Working Disabled Program that might help if you're over the limit. Your total monthly income would be around $3,650 (SSDI + unemployment), which is over the basic limit. I'd recommend applying anyway because: 1. There's a Medi-Cal program specifically for people with disabilities with higher income limits 2. They consider your medical expenses which can lower your 'countable income' 3. The Aged & Disabled Federal Poverty Level program might work for you You should contact your county Medi-Cal office directly rather than the general helpline.
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Zara Shah
AuthorThank you so much for this detailed info! I'm definitely over that $1,732 limit then. I'll look into those special programs you mentioned. Do you know if there's a specific name for the program for people with disabilities that has higher income limits? I want to make sure I ask for the right thing when I call.
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Luca Ferrari
the income limits change like every yr so make sure ur getting the 2025 info!! my mom got kicked off bcuz they used old numbers to calculate her benefits last yr... such a mess
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Zara Shah
AuthorOh that's really good to know! I'll definitely make sure they're using the current 2025 numbers. Sorry that happened to your mom, dealing with these systems is so frustrating.
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Nia Wilson
I went through something similar last year when I lost my job. YES unemployment counts as income and YES SSDI counts too for Medi-Cal. It's all income. What saved me was applying for the Medi-Cal 250% Working Disabled Program - I was able to do some part-time consulting work which qualified me as 'working' even though I was also on unemployment. The regular income limit was way too low for me too, but this program has a much higher threshold - 250% of federal poverty level which is like $3,250/month for an individual in 2025. I'd recommend applying ASAP because there's often a waiting period and you don't want to have a gap in coverage!
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Zara Shah
AuthorThank you for sharing your experience! That's really helpful to know about the 250% Working Disabled Program. I've been doing some freelance health education work on the side (just a few hours a week) while job hunting, so maybe that would qualify me as 'working' too? I'm going to apply right away.
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Mateo Martinez
To give you the most accurate information: the Medi-Cal program you want to look into is called the Aged, Blind, & Disabled (ABD) Medi-Cal program. For 2025, the income limit for an individual is $1,732 monthly, but there are important deductions applied: 1. They don't count the first $65 of earnings plus half of the remaining earned income 2. They allow a $20 general income deduction 3. They deduct health insurance premiums you pay So your actual 'countable income' might be lower than your total income. And yes, both unemployment and SSDI count as income, but they're treated differently when calculating eligibility. If your countable income is still too high, look into the Medi-Cal 250% Working Disabled Program as mentioned or the Medi-Cal Access Program. Call your county Medi-Cal office directly rather than the general line. Ask for a eligibility worker who specializes in ABD Medi-Cal.
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Zara Shah
AuthorThis is incredibly helpful, thank you! I didn't know about those deductions. I pay about $240/month for supplemental health insurance that covers what Medicare doesn't, so it sounds like I can deduct that. I'll call my county office tomorrow and specifically ask about ABD Medi-Cal and those deductions.
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Aisha Hussain
Ughhh the Medi-Cal system is THE WORST! when i was on unemployment last year they kept sending me confusing letters saying i was approved then not approved then needed to verify identity AGAIN. total nightmare. good luck!!!
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Ethan Clark
Have you tried contacting EDD directly about how unemployment affects your Medi-Cal eligibility? I was stuck in a similar situation trying to get answers about how my UI benefits affected my healthcare coverage. After trying for weeks to get through on the regular EDD line with no luck, I found this service called Claimyr (claimyr.com) that got me connected to an EDD rep in about 20 minutes. They have a video showing how it works: https://youtu.be/JmuwXR7HA10?si=TSwYbu_GOwYzt9km The EDD rep I spoke with was actually really helpful and explained exactly how my unemployment benefits affected my Medi-Cal eligibility and directed me to the right department. Saved me so much frustration after weeks of getting nowhere.
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Luca Ferrari
omg i used that service too!! so worth it after i spent like 3 days trying to get thru myself
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Zara Shah
AuthorThanks for this suggestion! I haven't been able to get clear answers from EDD about the Medi-Cal connection. I'll check out that service - at this point I just need to talk to someone who knows how these programs work together before I lose my coverage.
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StarStrider
Just a heads up that Medi-Cal and EDD are completely different systems and most EDD reps don't know much about Medi-Cal eligibility. Your best bet is to contact your county social services department directly - they handle Medi-Cal applications. The state DHCS website (Department of Health Care Services) also has good info on income limits for different programs.
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Mateo Martinez
This is correct. While both are state programs, they're administered separately. However, an EDD rep can tell you how your unemployment benefits are reported to other state agencies, which is still valuable information for the OP.
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Zara Shah
Thank you everyone for all this helpful information! I called my county Medi-Cal office this morning and spoke with someone who specializes in the ABD program. She confirmed that both my unemployment and SSDI count as income, but with the deductions (especially my supplemental health insurance premium), my countable income is lower. She also said my part-time freelance work makes me eligible to apply for the 250% Working Disabled Program, which would give me much more breathing room with the income limits. I've submitted my application and have an appointment next week to finish the process. I feel so much better knowing I have options! Thank you all again for your guidance.
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NebulaNomad
That's great news! Make sure to bring documentation of your disability status, current income (EDD award letter, SSDI statement), and proof of your freelance work to your appointment. Glad you're getting it sorted out!
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Aisha Hussain
yay!! so glad ur getting somewhere with this!!
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Tasia Synder
This is such great information in this thread! I'm in a similar situation - just got laid off from my job and trying to figure out how my unemployment will affect my existing Medi-Cal coverage. I'm 42 and have been on Medi-Cal through the expanded eligibility program, but now I'm worried my UI benefits might push me over the income limit. Does anyone know if there's a grace period when you first start receiving unemployment? Like, do they immediately recalculate your Medi-Cal eligibility or is there a window where your coverage continues? I'm supposed to report income changes within 10 days but I'm scared of losing coverage while I'm job hunting. Also, has anyone had experience with how they handle the transition if you do go over the income limit? Do they just cut you off or help you transition to other coverage options?
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