Can you have Medicare and Medi-Cal insurance at the same time?

Asked by: Dr. Audra Koch  |  Last update: February 11, 2022
Score: 4.4/5 (54 votes)

Medi-Cal, the Medicaid program in California, provides health coverage to people with low-income and asset levels who meet certain eligibility requirements. ... People who qualify for both Medicare and full Medi-Cal are known as “dual eligibles” or “Medi-Medis.”

How does Medi-Cal work with Medicare Advantage plans?

Medi-Cal closes the gaps in Medicare coverage and provides additional benefits not covered by your Medicare. You see any Medicare Part A or B provider of your choice. ... Your Part D plan does not affect your ability to use your Medicare. Covers your Medicare Part A and B copayments.

What is the income limit for Medi-Cal 2021?

Adults are eligible for Medi-Cal if their monthly income is 138 percent or less of the FPL. For dependents under the age of 19, a household income of 266 percent or less makes them eligible for Medi-Cal. A single adult can earn up to $17,775 in 2021 and still qualify for Medi-Cal.

Can you have Medi-Cal and another insurance at the same time?

Medi Cal at the Same time? Yes, You can have Medi-Cal even though you have Other Health Coverage (OHC) through individual or group private health (or dental) insurance coverage.

Can I use my Medi-Cal in a different county?

You may apply for Medicaid in the state you move to. If you are moving to a new county in California, you also need to tell the county you live in or the county you are moving to. This is to make sure you keep getting Medi-Cal benefits. You should tell your local county office within 10 days of moving to a new county.

Can I have both Medicare and Medicaid at the same time?

33 related questions found

Can Medi-Cal check your bank account?

Furthermore, a Medicaid agency can ask for bank statements at any time, not just on an annual basis. ... Because of this look back period, the agency that governs the state's Medicaid program will ask for financial statements (checking, savings, IRA, etc.) for 60-months immediately preceeding to one's application date.

Does Social Security count as income for Medi-Cal?

Does Social Security Count as Income for Medicaid Eligibility? Most Social Security disability and retirement income does count as income for purposes of Medicaid eligibility.

Is Medi-Cal based on gross or net income?

The Modified Adjusted Gross Income (MAGI) Medi-Cal method uses Federal tax rules to decide if you qualify based on how you file your taxes and your countable income.

Does Medi-Cal verify income?

Medi-Cal eligibility is based primarily on your income and, sometimes, your "countable property". ... To learn more about this, visit the Medi-Cal Expansion Information page. To find out if you and your family may be eligible based on income, use the Covered California Income Guidelines chart.

Can you have Medicaid and Medi-Cal at the same time?

The short answer to whether some seniors may qualify for both Medicare and Medi-Cal (California's Medicaid program) is: yes.

What is the income limit for Medi-Cal 2022?

In 2022, the MMMNA in CA is $3,435 / month. If a non-applicant spouse has monthly income under this amount, income can be transferred from the applicant spouse to the non-applicant spouse to bring their monthly income up to this level.

What happens if my income increases while on Medi-Cal?

(See Updated Medi-Cal Estate Recovery Rules.) ... Just because your income increased, doesn't mean you were ineligible for Medi-Cal. It is permissible to have both Medi-Cal and commercial private health insurance plan like an individual and family plan. This applies to adults as well as children.

Does Medi-Cal include dental?

Medi-Cal offers comprehensive preventative and restorative dental benefits to both children and adults. You can find a Medi-Cal dentist on the ​ Medi-Cal Dental Provider Referral List, or by calling 1-800-322-6384.

What is the difference between Medi-Cal and Magi Medi-Cal?

The most common form of Medi-Cal is Modified Adjusted Gross Income (MAGI) Medi-Cal. It uses tax rules to see if you qualify. Non-MAGI Medi-Cal is Medi-Cal that uses other rules to count property, household income, and size to see if you qualify. ... Medi-Cal has several programs for people with disabilities.

Can Medi-Cal take my house?

I. Can the State Take My Home If I Go on Medi-Cal? ... Your home can, however, be subject to an estate claim after your death. For example, your home may be an exempt asset while you are alive, and not counted for Medi-Cal eligibility purposes.

What assets are exempt from Medi-Cal?

This includes clothing, heirlooms, weddings and engagement rings, and other jewelry with a net value of under $100. Household items. IRAs, KEOGHs, and other work-related pension plans. These funds are exempt if the family member whose name it is in does not want Medi-Cal.

What assets are exempt from Medicare?

Exempt assets include one's primary home, given the Medicaid applicant, or their spouse, lives in it. Some states allow an applicant's intent to return home to qualify it as an exempt asset. There is also a home equity interest limit for exemption purposes if a non-applicant spouse does not live in the home.

How much is Medi-Cal per month?

How much are the premiums? The premiums for Medi-Cal for Families are $13 for each child and no more than $39 per family per month. What can I do if I disagree with paying a monthly premium? Monthly premiums must be paid for the child(ren) to remain eligible for this Medi-Cal program.

Does Kaiser accept Medi-Cal?

Kaiser Permanente participates in Medi-Cal in many counties. This means that, if you are a current Kaiser Permanente member and your situation changes, you may be able to keep your same doctor and continue your care with Kaiser Permanente if you qualify for Medi-Cal.

How long does it take to transfer Medi-Cal to another county?

4) Transferring Medi-Cal from one county to another can take up to 60 days.

Do you have to pay back Medi-Cal in California?

The Medi-Cal program must seek repayment from the estates of certain deceased Medi-Cal members. Repayment only applies to benefits received by these members on or after their 55th birthday and who own assets at the time of death. If a deceased member owns nothing when they die, nothing will be owed.

What happens if I don't report my income change to Medi-Cal?

What Happens if I Don't Report My Income Change to Covered California? So you enrolled in a Covered California health plan. ... This means that if you were receiving all of your APTC throughout the year based on a lower income, then you actually received too much assistance, and you will have to pay it back.

Does Medi-Cal automatically renew?

Medi-Cal members must renew their coverage each year to keep their health care benefits. For most members, coverage is renewed automatically. Sometimes the county will send you a renewal form that you must review and return, along with any additional required information.

How do I qualify for Medi-Cal in California?

You can also get Medi-Cal if you are:
  1. 65 or older.
  2. Blind.
  3. Disabled.
  4. Under 21.
  5. Pregnant.
  6. In a skilled nursing or intermediate care home.
  7. On refugee status for a limited time, depending how long you have been in the United States.
  8. A parent or caretaker relative of an age eligible child.