Is L.A. Care Medicaid or Medicare?
Asked by: Amelie Erdman | Last update: June 4, 2025Score: 4.4/5 (70 votes)
Is L.A. Care Medi-Cal or Medicare?
It's a Medicare Advantage health plan, which provides specialized care and wrap-around services for dual eligible beneficiaries (eligible for both Medicare and Medi-Cal). L.A. Care Medicare Plus is here to deliver coordinated and seamless healthcare that supports your health and independence.
Is Medicaid the same as L.A. Care?
L.A. Care is the health plan for Medi-Cal members in Los Angeles County. The California Department of Health Care Services (DHCS) works with L.A. Care to provide your Medi-Cal health care.
What type of insurance plan is L.A. Care?
L.A. Care offers a Medi-Cal plan built with our community in mind.
Is there a difference between Medicare and Medicaid?
Medicare is federal health insurance for anyone age 65 and older, and some people under 65 with certain disabilities or conditions. Medicaid is a joint federal and state program that gives health coverage to some people with limited income and resources.
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Do I need Medicaid if I have Medicare?
Yes, it's possible to have both Medicare and Medicaid if you qualify. People who have both Medicare and full Medicaid coverage are “dually eligible.” Medicare pays first when you're dually eligible and you get Medicare- covered services. Medicaid pays last, after Medicare and any other health insurance you have.
Does everyone have to pay $170 a month for Medicare?
Most people pay no premiums for Part A. For Medicare Part B in 2025, most beneficiaries will pay $185 per month. Certain factors may require you to pay more or less than the standard Medicare Part B premium in 2025.
Is L.A. Care only for low-income?
The Local Initiative Health Authority for Los Angeles County (L.A. Care) is a public agency that provides health insurance for low-income individuals in Los Angeles County through four health coverage programs including Medi-Cal.
How good is a L.A. Care Health Plan?
L.A. Care Health Plan is the highest-rated Medi-Cal managed care plan in Los Angeles County, as shown by the National Committee for Quality Assurance's (NCQA) Medicaid Health Insurance Plan Ratings 2019–2020.
What network is L.A. Care Covered?
The Medi-Cal provider network is the group of doctors, hospitals and other providers that work with L.A. Care to provide Medi-Cal covered services to Medi-Cal members. L.A. Care is a managed care health plan. You must get most of your covered services through L.A. Care in-network providers.
What does L.A. Care stand for?
Committed to the promotion of accessible, affordable and high quality health care, L.A. Care Health Plan (Local Initiative Health Authority of Los Angeles County) is an independent local public agency created by the State of California to provide health coverage to low-income Los Angeles County residents.
Does L.A. Care cover gym memberships?
SilverSneakers® is a no-cost fitness benefit for L.A. Care Medicare Plus members. This exciting program gives you a free basic gym membership at more than 15,000 fitness center locations across the country.
What is Medicaid called in California?
Medi-Cal is California's Medicaid program.
Is Blue Cross part of L.A. Care?
Medi-Cal Managed Care (Medi-Cal)
are independent licensees of the Blue Cross Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc. Blue Cross of California is contracted with L.A. Care Health Plan to provide Medi-Cal Managed Care services in Los Angeles County.
What are the benefits of L.A. Care member services?
- Primary Care Doctor, Wellness, and Specialist visits.
- Hospital and Emergency Services.
- Urgent Care and Retail Clinics.
- Disease Management Programs.
- Family Planning Services.
- Lab Services and X-rays.
- Immunizations.
- Pediatric Services.
Does L.A. Care cover hospital visits?
L.A. Care covers medically necessary inpatient hospital care when you are admitted to the hospital.
What type of plan is L.A. Care?
L.A. Care is a health plan for people who have Medi-Cal in Los Angeles County. L.A. Care works with the State of California to help you get the health care you need.
What is the most expensive health insurance in California?
The most expensive health insurance in California is a platinum plan for an elderly adult, with an average monthly rate of $1982.
Is L.A. Care part of Medicaid?
In California, Medicaid is called Medi-Cal. You qualify for L.A. Care because you qualify for Medi-Cal and live in Los Angeles County.
Is social security considered income for Medi-Cal?
Income-based Medi-Cal counts most types of earned and unearned income you have. However, some income is not counted, including Supplemental Security Income (SSI) benefits and some contributions to retirement accounts.
What is the difference between Medi-Cal and L.A. Care?
L.A. Care offers a Medi-Cal plan built with our community in mind. Medi-Cal is a public health care program for those with limited income. This free or low-cost public health insurance program pays for medical services for eligible California residents.
What is the best Medi-Cal health plan in California?
Kaiser Permanente is also the only Medicare health plan in California to receive a 5-star rating, according to the Centers for Medicare & Medicaid Services' 2023 Medicare Star Ratings.
How much money can you have in the bank if you're on Medicare?
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.
Is Medicare free after 65?
People age 65 or older, who are citizens or permanent residents of the United States, are eligible for Medicare Part A. You're eligible for Part A at no cost at age 65 if 1 of the following applies: You receive or are eligible to receive benefits from Social Security or the Railroad Retirement Board (RRB).