AMERICAN INDIAN / ALASKA NATIVE PLANS …

1 ENHANCED SILVER PLANS (100%-250%)SILVER 94 (100%-150%) SILVER 73 (>200%-250%) SILVER 87 (>150%-200%) % OF FPL100%138%150%200%213%250%266%300%322%4 00%1$12,060$16,754$18,090$24,120 $25,859$30,150$32,293$36,180$39,091$48,2 402$16,240$22,715$24,360$32,480 $35,060$40,600$43,784$48,720$53,002$64,9 603$20,420$28,677$30,630$40,840 $44,262$51,050$55,275$61,260$66,912$81,6 804$24,600$34,638$36,900$49,200 $53,463$61,500$66,766$73,800$80,822$98,4 005$28,780$40,600$43,170$57,560 $62,665$71,950$78,258$86,340$94,733$115, 1206$32,960$46,562$49,440$65,920 $71,867$82,400$89,749$98,880$108,643$131 ,8407$37,140$52,523$55,710$74,280 $81,068$92,850$101,240$111,420$122,554$1 48,5608$41,320$58,485$61,980$82,640 $90,270$103,300$112,731$123,960$136,464$ 165.

2 280each additional person, add$4,180 $ 5,9 6 2$6,270 $8,360 $9,202$10,450 $11,492$12,540 $13,911$16,720 PREMIUM ASSISTANCEMEDI-CAL ACCESS PROGRAM (FOR PREGNANT WOMEN)COUNTY CHILDREN S HEALTH INITIATIVE PROGRAM MEDI-CAL FOR ADULTSMEDI-CAL FOR KIDS (0-18 yrs.)HOUSEHOLD SIZEPROGRAM ELIGIBILITY BY FEDERAL POVERTY LEVEL FOR 2018 Medi-Cal and Covered California have various programs with overlapping income INDIAN / ALASKA NATIVE PLANS4/2018 Medi-Cal uses FPL limits of the current year to determine eligibility for its programs. The column headings shaded in purple are associated with eligibility ranges for Medi-Cal programs: Medi-Cal for Adults up to 138% FPL Medi-Cal for Children up to 266% FPL MCAP: over 213% - 322% FPL CCHIP: over 266% - 322% FPLThe shaded columns display 2018 FPL values according to the Department of Health Care Services (see annual values on page 4) which administers the Medi-Cal program.

3 Covered California uses FPL limits from the prior year to determine eligibility for its programs as required by regulation. The unshaded columns are associated with Covered California eligibility ranges:Premium Assistance 100% - 400% FPLE nhanced Silver PLANS 100% - 250% FPL Silver 94 100% - 150% FPL Silver 87 over 150% - 200% FPL Silver 73 over 200% - 250% FPLA merican INDIAN / ALASKA NATIVE PLANS 100% - 300% FPLThe unshaded columns display 2017 FPL values to determine eligibility for premium tax credits and cost sharing reductions for health PLANS effective in 2018. The unshaded columns, including the 100% column, display 2017 FPL values as published by the Department of Health and Human Services.

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