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These tables provide income eligibility
information - as of February 15, 2005 - for Medi-Cal, Healthy Families,
AIM, Kaiser Permanente Cares for Kids and California Kids.
Medi-Cal for Children
(Gross Monthly Countable Income)
| Number
of Persons in Family |
Pregnant
Women and Children to Age 1 |
Children
Age 1 to 5 |
Children
Age 6 to 18 |
| 1 |
$
0 - $1,595 |
$
0- $1,061 |
$
0 - $798 |
| 2* |
$
0 - $2,138 |
$
0 - $1,422 |
$
0 - $1,069 |
| 3 |
$
0 - $2,682 |
$
0 - $1,783 |
$
0 - $1,341 |
| 4 |
$
0 - $3,225 |
$
0 - $2,145 |
$
0 - $1,613 |
| 5 |
$
0 - $3,768 |
$
0 - $2,506 |
$
0 - $1,884 |
| 6 |
$
0 - $4,312 |
$
0 - $2,867 |
$
0 - $2,156 |
*A pregnant woman is considered a family
of two for purposes of this chart.
Healthy Families
(Gross Monthly Countable Income)
| Number
of Persons in Family |
Children
Birth to Age 1 |
Children
Age 1 to 5 |
Children
Age 6 to 18 |
| 1 |
$1,596
- $1,994 |
$1,062
- $1,994 |
$799
- $1,994 |
| 2* |
$2,139
- $2,673 |
$1,423
- $2,673 |
$1,070
- $2,673 |
| 3 |
$2,683
- $3,352 |
$1,784
- $3,352 |
$1,342
- $3,352 |
| 4 |
$3,226
- $4,031 |
$2,146
- $4,031 |
$1,614
- $4,031 |
| 5 |
$3,769
- $4,710 |
$2,507
- 4,710 |
$1,885
- $4,710 |
| 6 |
$4,313
- $5,390 |
$2,868 -
$5,390 |
$2,157
- $5,390 |
*A pregnant woman is considered a family of two for
purposes of this chart.
Access for Infants and Mothers
(AIM)
| Number
of Persons in Family |
Monthly Household Income
(after income deductions) |
Your
Total Cost for Pregnancy (through 60 days after delivery) |
| 2* |
$2,139
- $3,208 |
$385
- $577 |
| 3 |
$2,683
- $4.023 |
$483
- $724 |
| 4 |
$3,226
- $4,838 |
$581
- $871 |
| 5 |
$3,769
- $5,653 |
$678
- $1,017 |
| 6 |
$4,313
- $6,468 |
$776
- $1,164 |
| 7 |
$4,856
- $7,283 |
$874
- $1,311 |
| 8 |
$5,399
- $8,098 |
$972
- $1,458 |
*A pregnant woman is considered a family of two
for purposes of this chart.
Kaiser Permanente Cares for
Kids:
Child Health Plan—1
| Number
of Persons in Family |
Gross
Monthly Countable Income |
| 1 |
$1,995 -
$2,393 |
| 2 |
$2,674
- $3,208 |
| 3 |
$3,353
- $4,023 |
| 4 |
$4,032
- $4,838 |
| 5 |
$4,711
- $5,653 |
| 6 |
$5,391
- $6,468 |
CaliforniaKids
| Number
of Persons in Family |
Gross
Monthly Countable Income |
| 1 |
$
0 - $1,994 |
| 2 |
$
0 - $2,673 |
| 3 |
$
0 - $3,352 |
| 4 |
$
0 - $4,031 |
| 5 |
$
0 - $4,710 |
| 6 |
$
0 - $5,390 |
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