Of all California Medicare (Medi-Cal) beneficiaries, 13% have income just above the Medi-Cal income limit (139% to 220% of the Federal poverty limit [FPL]), meaning that they are not eligible for Medi-Cal long-term services and supports (LTSS). The report, by ATI Advisory for the California Department of Health Care Services (DHCS), a total of 48% of these lower income Medi-Cal beneficiaries are age 75 years and older, compared to 38% of beneficiaries with higher income. 

LTSS is covered by Medi-Cal, but not by Medicare. Without Medi-Cal coverage, beneficiaries may pay out-of-pocket . . .

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