Full and Partial Dual Eligibility​​ 

Rov qab mus rau Cov Lus Qhia rau Cov Neeg Laus​​ 

Cov tib neeg tsim nyog tau txais ob qho tib si rau Medicare thiab Medi-Cal yog hu ua "ob txoj cai" lossis "Medi-Medis."  Cov pej xeem ntawm ob qhov tsim nyog hauv California suav nrog pawg tseem ceeb hauv qab no.​​  

Full Duals​​ 

“Full dual” yog cov tswv cuab uas tau cuv npe hauv Medicare Tshooj A, B, thiab D, thiab Medi-Cal. Yuav luag tag nrho ntawm 1.7 lab tus tswvcuab dual tsim nyog hauv California tau cuv npe ua ob leeg.  Txij li cov tswvcuab no tau cuv npe hauv Medicare Tshooj A thiab B, lawv tuaj yeem tso npe rau hauv Medicare Advantage cov kev npaj (xws li Dual Eligible Special Needs Plans, lossis D-SNPs).  Tag nrho dual muaj cai tau txais cov txiaj ntsig Medi-Cal tag nrho, suav nrog kev them nyiaj rau Medicare cov nqi sib faib xws li Medicare cov nqi them thiab cov nqi them. Tsis tas li ntawd, Medi-Cal suav nrog cov txiaj ntsig uas tsis tau muab los ntawm Medicare, xws li cov kev pabcuam mus sij hawm ntev thiab kev txhawb nqa, kho hniav thiab qhov muag.  Tag nrho dual tau tso npe rau hauv Medi-Cal cov kev pab them nqi kho mob.  Cov kws kho mob yuav tsis sau nqi tag nrho rau Medicare Parts A thiab B sib faib nqi.​​ 

Medicare Ib Feem-Benefit Duals​​ 

Tsoom Fwv Teb Chaws Lub Chaw rau Medicare & Medicaid Services (CMS) txhais cov txiaj ntsig ib nrab lossis "ib nrab dual" raws li cov tswv cuab tau tso npe rau hauv ib qho ntawm ob peb Medicare Savings Programs (MSPs), nrog Part A thiab/lossis Part B kev pab them nqi, tab sis tsis tau rau npe hauv Medi-Cal.  Kev tso npe MSP rau pab pawg no txhais tau hais tias DHCS them rau lawv qhov Part A thiab/lossis Part B cov nqi sib faib, tab sis lawv tsis tau rau npe hauv Medi-Cal thiab tsis tau txais cov txiaj ntsig Medi-Cal tag nrho.  Ib feem ntawm cov txiaj ntsig dual nrog Part A thiab B kev pab them nqi, tab sis tsis yog Medi-Cal kev pab them nqi, muaj cai rau npe rau hauv Medicare Advantage cov kev npaj tab sis tsis yog D-SNPs.  Cov tswv cuab no tsis tau tso npe rau hauv Medi-Cal cov kev pab them nqi kho mob. Ib nrab dual tuaj yeem ua hauv QMB, SLMB, thiab QI, tab sis tsis yog QMB +, SLMB +, lossis tag nrho cov txiaj ntsig dual. Hauv Kalifonias muaj ob peb qhov txiaj ntsig ib nrab, vim tias feem ntau cov nyiaj tau los txwv rau MSPs hauv California zoo ib yam li Medi-Cal cov nyiaj tau los txwv, thiab feem ntau cov tib neeg uas tso npe rau hauv MSPs kuj xaiv rau npe rau hauv Medi-Cal thiab tau txais txiaj ntsig tag nrho.  Cov kws kho mob yuav tsis sau nqi ib feem ntawm qhov txiaj ntsig dual rau Medicare Tshooj A thiab B sib faib nqi. Cov tib neeg tuaj yeem thov rau qhov lawv xav tau (xws li Medi-Cal + Medicare Saving Program (MSP) lossis tsuas yog MSP).
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Part B nkaus xwb​​ 

Part B tsuas yog suav nrog cov tswvcuab hauv Medicare Part B nkaus xwb (tab sis tsis yog Part A) thiab Medi-Cal.  Tshooj A Txoj Cai Yuav-Nyob rau hauv txoj cai tau hloov pauv feem ntau ntawm cov tswv cuab no mus rau tag nrho ob npaug txij li lub Ib Hlis 1, 2025.  Qhov seem B tsuas yog cov tswv cuab suav nrog cov uas tsis tsim nyog QMB.  Cov tswv cuab nrog Medicare Part B nkaus xwb thiab Medi-Cal tau tso npe rau hauv Medi-Cal cov kev pab them nqi kho mob.  Cov kws kho mob yuav tsis sau nqi Part B tsuas yog cov tswv cuab nrog Medi-Cal rau Medicare Part B cov nqi sib faib.
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Nco tseg: Yog tias tag nrho dual poob Medi-Cal (xws li, vim nyiaj tau los nce lossis cov ntaub ntawv ploj lawm), lawv tsis tuaj yeem ua ib feem ob, tshwj tsis yog lawv tau thov kev ntsuas rau MSP nkaus xwb. Lub nroog ua qhov kev txiav txim rov qab txhua xyoo rau Medi-Cal thiab Medicare. Tsis muaj ib qho xwm txheej twg uas tus tswv cuab yuav poob Medi-Cal Kev Tsim Nyog thiab khaws MSP yam tsis muaj kev thov tshwj xeeb.​​ 

Medicare Tshooj Ib Daim Ntawv Pom Zoo Yuav​​ 

Raws li lub Ib Hlis Ntuj Tim 1, 2025, Lub Xeev California koom nrog hauv daim ntawv cog lus yuav nrog CMS, uas Medi-Cal cia li them Medicare Part A cov nqi them, nyiaj npib, thiab txiav tawm rau Medi-Cal cov tswv cuab uas:​​ 

A​​ dd​​ itional Informational Resources​​ 

Medicare Savings Programs hauv California​​ 

Integrated Care rau Dual Eligible Benficiaries​​