Our County by the Numbers
From the Top Down
So I don't miss anything, let me ask, what is your gross monthly income?
Do you or your spouse need help at home to stay out of a nursing facility?
I thought Medi-Cal was free, but it is not for me.
100

295,701

What is the Medicare eligible population in Santa Clara County?

100

Federal Program that offers no-cost and low-cost health coverage to eligible people?

What is Medicaid?

100

100% of the Federal Poverty Limit

What is the income limit for the Qualified Medicare Beneficiary Program? Might also have Supplemental Security Income (SSI) with SSI-linked Medi-Cal.

100

PACE

Program for All-Inclusive Care for the Elderly

100

SOC

What is Share-of-Cost

A monthly dollar amount based on an individual or couple's income. Calculated differently for Medically Needy and LTC Medi-Cal recipients. 

200

68,587

What is the dual-eligible population in Santa Clara County? (as of 12/2025)

200

Federal Administrator of Medicaid

What is the Centers for Medicare & Medicaid Services?

200

120% of FPL

What is the income limit for the Specified Low Income Beneficiary Program (SLMB)? Most likely has Full Scope Medi-Cal through the ABD FPL Medi-Cal Program also.

200

IHSS

In Home Supportive Services - provides in-home assistance to people who are blind, live with a disability, or are 65 and older. 

200

$600 and $934

What is the Maintenance Need Level for an individual and a couple used in the SOC calculation?

300

153,410

What is the number of Medicare Advantage enrollees in Santa Clara County (2/2026)? 

300

California's Medi-Cal Administrator

Department of Health Care Services (DHCS) in Sacramento

300

138% of FPL

What is the income limit for the Aged Blind or Disabled Federal Poverty Level Program (ABD FPL)?

What is the income limit for expanded or MAGI Medi-Cal for 19–64-year-olds not yet eligible for Medicare?

300

MSSP

Multi-Purpose Senior Services Program

300

Net Non-Exempt Income minus the Maintenance Need Level

What is the SOC Calculation?

400

5,395

5,936

11,557

What is the number of enrollees in:

Kaiser D-SNP "Dual Complete North P2"

Anthem D-SNP "Full Dual Advantage Aligned"

Santa Clara D-SNP "Dual Connect"?

400

1867 Senter Rd, San Jose, CA 95112

Where is the Santa Clara County Social Services Agency Office and Application Assistance Center

400

150% of FPL

What is the income limit for Extra Help?

400

CBAS

Community-Based Adult Services

A daytime health program for older adults and adults with disabilities

400

Net Non-Exempt Income Calculation

What is Gross Income minus exempt income minus deductions?

Or 

What is the SOC plus the Maintenance Need Allowance?

500

14,129

What is the number of SSI recipients

500

Anthem, Santa Clara Family Health Plan, Kaiser, On Lok, WelBeHealth, NEMS

What are the Medi-Cal Managed Care Organizations/ Plans in Santa Clara County with Medi-Cal contracts. Three have D-SNPS, three are PACE.

500

155% FPL of FPL

What is the income a Medicare individual can have in 2026 to qualify for ABD FPL Medi-Cal when including the Part B disregard of $202.90 and the $20 any income deduction?

500

HCBS

Home and Community Based Services - "Waivers" that allow states to tailor their Medicaid programs for individuals who would otherwise require care in a nursing facility or hospital. Delivered at home or in a community setting. 

500

Insurance Premiums from Dental, Vision, Hearing, Part D, Part C, and Medigap Plans. 

What are deductions that lower gross income?