Federal Poverty Level Chart | FPL Qualification Chart for Covered California (2024)

Welcome to Covered California Enrollment Center Fresno. Here, we aim to simplify the process of finding the right health plan for you and your family. With our detailed Federal Poverty Level (FPL) chart, you can easily identify if you qualify for financial help with Covered California plans.

Understanding the Federal Poverty Level Chart (FPL)

The Federal Poverty Level (FPL) is a measure used by the government to determine eligibility for various assistance programs, including Covered California health insurance. By comparing your household income to the FPL, you can determine what kind of financial assistance, if any, you may qualify for.

Federal Tax Credits and Subsidies are Available for household incomes above 138% FPL. Typically Households at or below 138% FPL will be enrolled in Medi-Cal. 

For more detailed information on Covered California income limits and guidlines click here. 

Note: Most consumers with incomes up to 138% of the Federal Poverty Level (FPL) will be eligible for Medi-Cal. If ineligible for Medi-Cal, consumers may qualify for a Covered California health plan with financial assistance, including: federal premium tax credit, Silver (94, 87, 73) plans, and plans offering Zero Cost Sharing and limited Cost Sharing AIAN Plans.

Silver 94, 87, 73 plans have no deductibles, and lower co-pays and out-of-pocket maximum costs.

Individuals or families with incomes at or exceeding 400% of the Federal Poverty Level could potentially benefit from a federal tax credit that caps their health insurance premium at a maximum of 8.5% of their income. This calculation is based on the pricing of the second-lowest-cost Silver Plan in their area.  Learn more about the 8.5 cap on premiums for high earners.

Introduction to FPL: Understanding the Federal Poverty Level

The Federal Poverty Level (FPL) is a crucial concept that plays a significant role in determining eligibility for various government assistance programs. In this section, we will provide a concise overview of what the FPL is, its historical context, and the methodology behind its calculation. We’ll also explain why it’s essential for our website visitors to grasp the significance of the FPL.

Historical Context: The Evolution of FPL

The Federal Poverty Level, or FPL, has a rich historical background that dates back to the mid-1960s. It was originally developed as a part of President Lyndon B. Johnson’s “War on Poverty” initiatives. The primary objective was to establish a standardized measure of poverty that could be used to assess the economic well-being of individuals and families across the United States.

Over the years, the FPL has undergone several revisions and updates to adapt to changing economic conditions and societal needs. These revisions have aimed to ensure that the FPL remains a relevant and accurate tool for assessing eligibility for various government assistance programs.

Some of the significant changes and updates to the FPL include adjustments for inflation, changes in the cost of living, and modifications in the criteria used to determine poverty. These updates have been crucial in ensuring that the FPL continues to serve as a fair and accurate benchmark for measuring poverty and determining eligibility for assistance programs.

How FPL Is Calculated: The Methodology

The methodology used to calculate the Federal Poverty Level is based on income thresholds that take into account household size and geographical location. The process begins with the determination of the poverty threshold for a single individual. This threshold is then adjusted for different household sizes by multiplying it by a factor that increases as the household size grows. This factor accounts for the increased financial needs of larger households.

Geographical location is also a critical factor in FPL calculations. The cost of living can vary significantly from one region to another. Therefore, the FPL is adjusted based on the cost of living in a particular area. In some cases, states may choose to adopt their own poverty guidelines, which can differ slightly from the federal guidelines to better reflect local economic conditions.

Understanding how the FPL is calculated is essential because it directly impacts eligibility for vital government assistance programs. Individuals and families whose incomes fall below the FPL are often eligible for programs such as Medicaid, the Children’s Health Insurance Program (CHIP), Supplemental Nutrition Assistance Program (SNAP), and subsidies for health insurance through programs like Covered California. Knowing where one’s income stands in relation to the FPL is the first step in accessing these crucial services and support.

In conclusion, the Federal Poverty Level is not just a set of numbers; it’s a powerful tool that shapes access to essential government assistance programs. By understanding its historical context, calculation methodology, and significance, our website visitors can make informed decisions regarding their eligibility and access to vital resources that can improve their quality of life. We are committed to providing you with accurate and up-to-date information on the FPL and related topics to empower you to navigate the world of government assistance effectively.