Medicare and Medi-Cal tcdadmin August 30, 2024
Dual Coverage: Medicare & Medi-Cal Benefits

Some people qualify for both Medicare and Medi-Cal and are called “dual eligible”. This is also referred as “Medi-Medi”.

Vivant Health Has
the Expertise to Help

Californians with Medicare and Medi-Cal, people who are dually eligible, face many options when exploring how to get the healthcare they need. This is a unique and diverse group who have low incomes, are high need, and account for a disproportionate share of spending in both programs.  Medi-Cal Managed Care offers more choices in how care is delivered for people who qualify for both of these programs.  Vivant Health has high-quality programs for dually eligible beneficiaries.   They have access to integrated care choices that are valuable to people with high needs.  With its close ties to the community and a long history of serving high-need populations, Vivant Health is uniquely positioned to help provide health home-related health services, which include helping patients meet their individual health goals.

What Is Integrated Care?

When people have two forms of health coverage, such as Medicare and Medi-Cal, there can be inefficiencies in how care is paid for and provided.  Integrated care means that an individual can access medical care and non-medical services by working through Vivant Health, which is responsible to provide and/or organize care. Vivant Health uses care coordination to connect the individual to a range of services and supports to meet his/her overall needs.  Vivant Health’s experienced social workers also provide assistance to patients who can benefit from programs that provide needed non-medical services. Overall, Vivant Health uses thoughtful care coordination through a range of community service programs to better manage care.

What is the coverage for
Medicare and Medi-Cal Benefits
for Dual-Eligible Beneficiaries?
  • Part A – Inpatient Hospital Insurance
  • Part B – Outpatient Medical Insurance
  • Part D – Drug Coverage
  • Keep Medi-Cal benefits, including Part B premiums, Co-pays, Adult day health care, Skilled nursing facility care and some dental.
  • Long-term services and support.
What Is Medi-Medi?

Medi-Medi is the short-hand term for having Medicare and Medi-Cal at the same time. Generally speaking, Medicare is based on either age (65 and over) or permanently disabled status. Medi-Cal is the California version of Medicaid, which is generally based on income and assets.

It’s possible for people to be eligible for both at the same time. Hence the term Medi-Medi.

The two plans will generally coordinate benefits or out-of-pocket costs together for people who are eligible.

Are Medicare and Medi-Cal the Same?

This is a common question, and the quick answer is NO!

Medicare is a federal program to provide health coverage to individuals under age 65 who are permanently disabled or blind individuals age 65 and over who are eligible.

Medi-Cal is California’s version of Medicaid, which provides coverage and assistance to individuals who qualify based on income and assets, as well as individuals with SSI (permanently disabled or blind).

They are two separate plans. But when used together, they can be coordinated well for those individuals who qualify for both.

That’s where the Medi-Medi, or dual-eligible, program through Vivant Health comes into play.

If you’re eligible for Medi-Cal and Medicare, they will work together to reduce your out-of-pocket costs and better coordinate your healthcare services.

Medicare Advantage Plans (Part C)

Medicare Advantage plans are approved by Medicare to provide you with coverage for Medicare Part A and Part B. Most plans combine medical and prescription drug coverage. Extra benefits for dental care, hearing aids, and vision may also be offered.

 

Here is what your coverage will include: 

Medicare Part A (Hospital Insurance)
  • Inpatient hospital stays 
  • Skilled nursing facility stays

  • Hospice Care

Medicare Part B (Medical Insurance)
  • Primary and specialty care visits

  • Outpatient mental health visits

  • Lab and X-ray

  • Preventative services and wellness screenings

  • Durable Medical Equipment (DME)

  • Ambulance coverage

  • Part B Drugs

Medicare Advantage Plans

Medicare Advantage plans provide Part A (Hospital Insurance) and Part B (Medical Insurance) benefits to individuals who qualify for both parts of Medicare. These plans are contracted with Medicare and offered by private insurance companies that combine parts A & B and often include Part D (Drug Coverage) as well as additional benefits not covered by Medicare. These additional benefits may include:

  • Drug coverage

  • Vision allowance

  • Dental coverage

  • Transportation

  • Fitness benefit

  • Over the Counter

  • Predictable out of pocket costs

Ensuring Access to Quality Care

Vivant Health participates in several Medicare Advantage health plans. In order to access the physicians and health services offered, it is important to select Vivant Health at the same time a Medicare Advantage health plan option is being selected. 

 

Your health is our priority, and we’re with you every step of the way. 

Year-Round Enrollment

Some people may be eligible to make changes to their health plan coverage during the year.
For additional information on Medicare in general, please call 1-800-MEDICARE (TTY users call 1-877-486-2048), 24 hours a day, 7 days a week, or visit medicare.gov