Can you have dual coverage with Medi-Cal?
Asked by: Mr. Enoch Rohan | Last update: January 22, 2026Score: 4.4/5 (22 votes)
Can you be double covered with Medi-Cal?
You can have Medi-Cal even though you have Other Health Coverage (OHC) through individual or group private health (or dental) insurance coverage. See the email we rec'd May 17th from Medi Cal to clarify some of these issues. Read the rest of the page on which plan pays first, etc. namely, the other plan.
Can I have Medi-Cal and other health insurance?
Even if you have other health coverage such as health insurance from your work, you may still qualify for Medi-Cal. If you qualify, Medi-Cal will cover allowable costs not paid by your primary insurance. Under federal law, Medi-Cal beneficiaries' private health insurance must be billed first before billing Medi-Cal.
Is Medi-Cal dual eligible?
While there are several ways to qualify for Medi-Cal, this section focuses only on Medi-Cal beneficiaries who also qualify for Medicare — individuals who are over a certain age and/or disabled. People who qualify for both Medicare and full Medi-Cal are known as “dual eligibles” or “Medi-Medis.”
Can you be on Medi-Cal and Covered California at the same time?
Covered California and Medi-Cal use the same application. This means that once you apply, you'll find out which program you qualify for. Some households qualify for both.
Can You Have Dual Coverage For Health Insurance
Can you have 2 Medi-Cal insurances at the same time?
Can I have 2 health insurance plans at the same time? Yes. A process called coordination of benefits determines which insurance plan will pay first. Your primary plan will pay for the health claim first, paying the costs up to the plan's coverage limits, and then your second plan will kick in.
What will disqualify you from Medi-Cal?
The Medi-Cal program determines eligibility for benefits on a “means” tested basis. If a Medi-Cal applicant's property/assets are over the Medi-Cal property limit, the applicant will not be eligible for Medi-Cal unless they lower their property/assets according to the program rules.
How do you become dual eligible?
- You are enrolled in Original Medicare (Part A, Part B, or both); and.
- Receive full Medicaid benefits; or.
- Get help with your Medicare out-of-pocket costs through a Medicare Savings Program (MSP)
What are the limitations of Medi-Cal?
eligibility for Medi-Cal. For new Medi-Cal applications only, current asset limits are $130,000 for one person and $65,000 for each additional household member, up to 10. Starting on January 1, 2024, Medi-Cal applications will no longer ask for asset information.
What is dual benefits?
Dual Eligible Special Needs Plans (D-SNPs) enroll individuals who are entitled to both Medicare (title XVIII) and medical assistance from a state plan under Medicaid (title XIX). States cover some Medicare costs, depending on the state and the individual's eligibility.
Can you have two health insurances with Medicaid?
The simple answer to the question of “can you have both Medicaid and private insurance?” is a resounding “YES”! Medicaid is given to low-income U.S citizens in need and will not be disputed due to already enrolled in a private health insurance program.
Does Kaiser accept Medi-Cal?
The California Medi-Cal program provides health care coverage for some of the most vulnerable populations in the state and Kaiser Permanente participates in the Medi-Cal program to provide high quality care to enrolled beneficiaries in most counties currently served by the health plan.
How much money can I make and keep Medi-Cal?
Most single individuals will qualify for Medi-Cal if there income is under $1,676 per month. Most couples will qualify if their income is under $2,267 per month. If you have disabilities, your income can be slightly higher. You can qualify for Medi-Cal even if you have assets.
What does secondary insurance mean?
Secondary insurance is health insurance that pays after primary insurance on a claim for medical or hospital care. It usually pays for some or all of the costs left after the primary insurer has paid (e.g., deductibles, copayments, coinsurances).
What does Medi-Cal not cover?
Restricted scope Medi-Cal covers limited services. It does not cover medicine or primary care. If you have pregnancy-related limited scope Medi-Cal, you will have the full scope of Medi-Cal benefits, if the service is medically necessary.
Can I have two high deductible health plans?
[You can be covered under two HDHPs, though. If your employer and your spouse's employer both offer HDHPs, you can opt for double coverage and still contribute to your HSA.]
Can I have another insurance with Medi-Cal?
(For Adults Age 19 and above, updated: June 2016) Myth 1: One can not have Medi-Cal and any other insurance at the same time. Fact: There are no restrictions on multiple coverage under Medi-Cal regulations.
What are the new rules for Medi-Cal 2024?
Basic Information. Beginning January 1, 2024, a new law in California will allow adults ages 26 through 49 to qualify for full-scope Medi-Cal, regardless of immigration status. All other Medi-Cal eligibility rules, including income limits, will still apply.
Does Medi-Cal check bank accounts?
➢ Do assets affect my eligibility? Starting on January 1, 2024, assets, such as bank accounts, cash, a second vehicle, and homes, will no longer be counted when determining Medi-Cal eligibility. Income and income from assets, such as income from property, will continue to be counted.
Can you have both Medicare and Medi-Cal?
Can a person have both Medicare and Medi-Cal? Yes. Sometimes that's callled “Medi-Medi”, or “dual eligible.” Medicare is billed first for services and Medi-Cal is billed last. Medical providers are famliar with “Medi-Medis."“
What is the criteria for dual enrollment?
High School Approval: Often, you'll need to get a green light from your high school, which might involve talking to your school counselor and securing a letter of recommendation. Placement Exams: Some dual enrollment programs might require you to take exams to see if you're ready for college-level work.
Why do some people have dual Medicare and Medicaid?
Medicare-Medicaid enrollees include people ages 65 and over who are in relatively good health but have limited financial resources and people who at one time, may have had more financial resources, but spent their income and wealth on health or long-term care costs.
What is the disadvantage of Medi-Cal?
The perception that Medi-Cal offered poorer coverage or less respectful treatment than other types of insurance. Concerns among noncitizen respondents that applying for Medi-Cal might affect their immigration status.
How do I check Medi-Cal eligibility?
Who is eligible? Qualify for Medi-Cal if your income is up to 138 percent of the Federal Poverty Level (FPL) for adults, and up to 266 percent FPL for children. Check Shop and Compare to see if you qualify. Learn more on the Department of Health Care Services website.
Can I work while on Medi-Cal?
Medi-Cal Coverage and Employment. A number of factors go into qualifying for Medi-Cal — but having a job isn't one of them. In fact, many people are employed and stay on Medi-Cal. Eligibility for the program is based on income and other variables.