Posts Tagged ‘ Medi-Cal ’

California’s Criteria for Dual-Eligibles

California’s Criteria for Dual-Eligibles

Well before the PPACA was enacted, certain individuals over age 65 or collecting federal disability payments may be eligible to participate in both Medicare and Medicaid (termed “Medi-Cal” in California). Such an individual is termed a “dual eligible.” The advantages to dual-eligibility include greater financial assistance and access to services which may not be available...

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Are You a “Dual Eligible”? If so, your prescription drug benefits are enhanced.

Are You a “Dual Eligible”? If so, your prescription drug benefits are enhanced.

If you live in, say,  New York and are on Medicaid, then you become Medicare eligible, do you use Medicaid’s prescription plan, Medicare’s prescription plan, or both? Short answer: Both. But – once eligible for Medicare, Part D is the primary payor for dual eligibles for prescription medication and Medicaid is always the insurer...

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Medi-Cal: California’s Medicaid Program

In California, Medicaid is termed “Medi-Cal.” It is governed by federal and state governance as well as the governance of 58 counties, and is a patchwork of various programs and services subject to complex federal, state and county criteria eligibility. The applicant must supply proof of California residency. A social security number or pending application...

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