What is a medi medi plan?
Asked by: Myrtice Jacobs | Last update: November 23, 2025Score: 4.2/5 (10 votes)
Is medi medi the same as Medicare?
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.”
What type of coverage does a medi medi patient have?
People with Medi-Cal may get coverage for services that Medicare may not or may partially cover, like basic vision and hearing, dental, non-emergency transportation, incontinence supplies, personal care, and home-and community-based services.
How do you qualify for medi medi?
Adult Eligibility
Adults, including both parents and adults without children, with yearly earnings up to 138% of the Federal Poverty Level (FPL) qualify for Medi-Cal. The qualifying income criteria varies by family size. Below are examples of qualifying income limits for adults.
What is a Medi Medi beneficiary?
Some people qualify for both Medicare and Medi-Cal and are “dual eligible” or Medi Medi beneficiaries. When an individual has both Medicare Parts A and B, Medicare is the primary insurance and pays for most medical care.
Medi-Medi Plans: Information for Stakeholders
What is a Medi-Cal plan beneficiary?
In healthcare, a beneficiary can refer to individuals who receive health insurance through a private health plan, Medicare or Medicaid.
Does Medi-Cal count social security as income?
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.
Will I lose my Medicaid if I get Medicare?
People who have both Medicare and full Medicaid coverage are “dually eligible.” Medicare pays first when you're a dual eligible and you get Medicare-covered services. Medicaid pays last, after Medicare and any other health insurance you have.
What is the best health insurance for over 65?
Medicare. Medicare is a federally funded insurance program for eligible participants 65 or over. Medicare has two parts, Part A (Hospital Insurance) and Part B (Medical Insurance).
What are the 6 things Medicare doesn't cover?
- Eye exams (for prescription eyeglasses)
- Long-term care.
- Cosmetic surgery.
- Massage therapy.
- Routine physical exams.
- Hearing aids and exams for fitting them.
What is Mediplan?
A Medicare Medi-Cal Plan (Medi-Medi Plan) is a type of Medicare Advantage plan. It is for people who have both Medicare and Medi-Cal, and combines Medicare and Medi-Cal benefits into one plan. For a list of Medi-Medi Plans that are available in California, visit the Medicare Medi-Cal Plan List webpage.
What happens if you make too much money while on Medicaid?
If you're over the Medicaid income limit, some states let you spend down extra income or place it in a trust to help you qualify for Medicaid. If you receive long-term care but your spouse doesn't, Medicaid will allow your spouse to keep enough income to avoid living in poverty.
What does medi mean?
The Latin root word medi means “middle.” This Latin root is the word origin of a large number of English vocabulary words, including medieval, mediocre, and media.
Can I have Medicare and Medi-Cal at the same time?
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 type of care plan is required for medi medi clients?
Medi-Medi Plan patients are automatically enrolled in the aligned Medi-Cal plan operated by their Medicare plan. Medi-Medi Plan patients will have their Medi-Cal and Medicare benefits and care coordinated by one organization.
Is it better to be on Medicare or Medicaid?
While Medicare is the primary payer for medical needs, Medicaid can cover costs that Medicare coverage does not. When you visit a provider that takes both Medicare and Medicaid, Medicare pays first for the cost of your care. Medicaid pays second, covering copays and other costs not covered.
Will Medicaid take my Social Security check?
It is essential to know that Social Security benefits are not exempt from Medicaid. Payments you receive from Social Security are counted as income. Nevertheless, you are not automatically barred from obtaining Medicaid coverage just because you receive Social Security benefits.
How much money can you have in the bank and still qualify for Medi-Cal?
asset information? 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.
How often does Medicaid check your bank account?
Medicaid agencies can check your account balances for bank accounts at any financial institution you've used in the past five years. They will check when you submit an application and on an annual basis, but checks can occur at any time.
What would disqualify you from SSI?
You Aren't Disabled, or Old Enough
To qualify for benefits, you need to be 65 years of age or older, totally or partially blind, or have a medical condition that stops you from working and will last at least 12 months or result in death. If you do not meet these requirements, you will be disqualified.
What is a Medi-Cal plan?
Medi-Cal is California's version of the Federal Medicaid program. Medi-Cal offers no-cost and low-cost health coverage to eligible people who live in California. The Department of Health Care Services (DHCS) oversees the Medi-Cal program. Your local county office manages most Medi-Cal cases for DHCS.
What is it called when you get money when someone dies?
BENEFICIARY - A person named to receive property or other benefits.
Do you have to pay back Medi-Cal if you inherit money?
The Medi-Cal Estate Recovery program must seek repayment from the estates of certain Medi-Cal members after they die. Repayment only applies to benefits received by these members on or after their 55th birthday and who own assets at the time of death.