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Covered California Income Limits 2026

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Your Covered California income limits determine what kind of financial help you qualify for in 2026 — whether that's free or low-cost Medi-Cal, a federal premium tax credit that lowers your monthly premium, an enhanced Silver plan with lower out-of-pocket costs, or the California state subsidy. Eligibility is based on your household's income compared to the Federal Poverty Level (FPL) for your household size.

Below is the complete 2026 Covered California income chart, followed by a plain-English breakdown of each program and the one detail most people (and most websites) get wrong. We are licensed California agents and we walk people through this every day — at no cost.

2026 Covered California Income Limits Chart by Household Size

Annual household income (Modified Adjusted Gross Income). Covered California uses the prior year's Federal Poverty Level to set these ranges for 2026.

Household Size 100% FPL 138%
(Medi-Cal adult cap)
150%
(Silver 94 cap)
200%
(Silver 87 cap)
250%
(Silver 73 cap)
266%
(Medi-Cal kids cap)
400%
(Fed subsidy cap)
1 person$15,650$22,025$23,475$31,300$39,125$42,454$62,600
2 people$21,150$29,864$31,725$42,300$52,875$57,563$84,600
3 people$26,650$37,702$39,975$53,300$66,625$72,672$106,600
4 people$32,150$45,540$48,225$64,300$80,375$87,780$128,600
5 people$37,650$53,379$56,475$75,300$94,125$102,889$150,600
6 people$43,150$61,217$64,725$86,300$107,875$117,998$172,600
7 people$48,650$69,056$72,975$97,300$121,625$133,107$194,600
8 people$54,150$76,894$81,225$108,300$135,375$148,216$216,600

Each additional person adds about $5,500 to the 100% FPL figure. Orange = Medi-Cal eligibility range (adults). Figures reflect the official 2026 Covered California program chart.

What Each Program Covers (by Income)

0–138% FPL

Medi-Cal (Adults)

Free or very low-cost coverage for adults earning up to 138% of FPL. California's Medicaid program — no monthly premium for most enrollees.

Up to 266% FPL

Medi-Cal (Children)

Kids under 19 can qualify for Medi-Cal at higher household incomes than adults — up to 266% of FPL.

100–150% FPL

Silver 94

The richest enhanced Silver plan. The plan covers about 94% of your average costs — very low deductibles and copays for those who qualify.

>150–200% FPL

Silver 87

A strong enhanced Silver tier covering roughly 87% of average costs — still a major upgrade over a standard Silver plan.

>200–250% FPL

Silver 73

A modest cost-sharing boost over standard Silver. Note: the COVID-era version that was available regardless of income ended December 31, 2025.

100–400% FPL

Federal Premium Tax Credit

Lowers your monthly premium on a sliding scale. The lower your income within this range, the larger your credit.

100–165% FPL

California State Subsidy

An additional California-specific subsidy layered on top of the federal credit for lower-income enrollees.

138–213% / 213–322%

Pregnancy Programs

MAGI Medi-Cal (138–213% FPL) and the Medi-Cal Access Program / MCAP (213–322% FPL) provide comprehensive pregnancy coverage.

The one detail almost everyone gets wrong

Covered California and Medi-Cal do not use the same Federal Poverty Level year. Covered California uses the previous year's FPL to determine subsidy and Silver-plan eligibility, while Medi-Cal uses the current year's FPL (as calculated by the Department of Health Care Services). That's why the 138% figure can look slightly different depending on which program you're checking.

This trips up a lot of people right at the Medi-Cal / Covered California border — and getting your income estimate right is where we save people the most headaches (and money). If you're near a threshold, it's worth a two-minute conversation.

How Much of Your Income Goes Toward Premiums (2026)

For those who qualify for a premium tax credit, your expected contribution is based on your household FPL percentage (using the second-lowest-cost Silver plan as the benchmark):

Household FPLExpected % of Income for Premium
Under 150% FPL0% of household income
Above 150–165% FPL3.19% – 3.91%
Above 165% under 200% FPL4.91% – 6.60%
200% under 250% FPL6.60% – 8.44%
250% under 300% FPL8.44% – 9.96%
300–400% FPL9.96%

Above 400% FPL, the enhanced federal caps that applied through 2025 are no longer in effect for 2026 — which makes an accurate income estimate more important than ever. Run a quote to see your actual numbers.

What Income Counts?

Covered California uses your Modified Adjusted Gross Income (MAGI) — essentially your adjusted gross income from your tax return, plus a few add-backs like tax-exempt interest, non-taxable Social Security benefits, and foreign earned income. For most people the starting point is the AGI on their Form 1040.

Because subsidies are reconciled at tax time, estimating your income accurately matters. Underestimate and you may owe money back; overestimate and you leave help on the table. If your income varies or you're self-employed, this is exactly the kind of thing we sort out with people every day.

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Frequently Asked Questions
▸ What is the income limit for Covered California in 2026?
For 2026, a single person generally qualifies for a federal premium tax credit up to 400% of the Federal Poverty Level, which is about $62,600 in annual income. A household of four reaches that cap around $128,600. Below roughly 138% FPL, adults typically qualify for Medi-Cal instead. Your exact eligibility depends on household size and income — see the chart above or run a free quote.
▸ What is the income limit for Medi-Cal in California for 2026?
Adults generally qualify for Medi-Cal with a household income up to 138% of the Federal Poverty Level — about $22,025 for one person or $45,540 for a family of four in 2026. Children can qualify at higher incomes, up to 266% of FPL. Note that Medi-Cal uses the current-year FPL while Covered California uses the prior year's, so the exact figures can differ slightly by program.
▸ What are the Silver 94, 87, and 73 income levels?
These are the enhanced Silver (Cost-Sharing Reduction) plans, tied to income: Silver 94 for roughly 100–150% FPL, Silver 87 for over 150–200% FPL, and Silver 73 for over 200–250% FPL. Silver 94 and 87 offer significantly lower deductibles and copays. Silver 73 is a more modest boost — the COVID-era version that was available regardless of income ended December 31, 2025.
▸ What income do I use to apply — and what if it changes?
Covered California uses your Modified Adjusted Gross Income (MAGI), which starts from the AGI on your tax return. Because subsidies are reconciled at tax time, an accurate estimate matters — underestimating can mean paying money back. If your income changes during the year, report it so your financial help can be adjusted. This is one of the most common places people make mistakes, and we're happy to help you get it right.
▸ What happens if my income is above 400% FPL in 2026?
The enhanced federal rules that capped premiums at 8.5% of income for higher earners applied through 2025 and are not in effect the same way for 2026. That means some households above 400% FPL may see no federal premium tax credit. Because the numbers can shift significantly right around that threshold, it's worth reviewing your options carefully — a licensed agent can help you compare and, in some cases, plan around it.
The information above is general guidance about California health insurance and may change as rates, plans, and rules are updated each year. It is not a substitute for personalized advice or an official eligibility determination. For current, personalized guidance, please contact us, email help@calhealth.net, or call 800-320-6269. Serving California since 1994.
Covered California Guide — Explore More
How Covered California Works Income Limits & Subsidies Metal Tiers Explained Medi-Cal vs Covered California Open Enrollment Special Enrollment Periods How to Apply