Hla mus rau Cov Ntsiab Lus Tseem Ceeb​​ 

Medi-Medi Plans​​ 

Rov qab mus rau Kev Pabcuam Kev Sib Koom rau Cov Neeg Tau Txais Kev Pabcuam Dual
Mus rau D-SNP Dashboard
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Medi-Medi Plans​​ 

Medi-Medi Plan yog ib hom phiaj xwm Medicare Advantage. Nws yog rau cov neeg uas muaj ob qho tib si Medicare thiab Medi-Cal, thiab muab Medicare thiab Medi-Cal cov nyiaj pab rau hauv ib txoj kev npaj. Rau cov npe ntawm Medi-Medi Plans uas muaj nyob hauv California, mus saib hauv Medicare Medi-Cal Plan List lub vev xaib.
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Medi-Medi Plans tswj xyuas tag nrho cov txiaj ntsig thiab kev pab cuam thoob plaws ob qho tib si pr​​ ograms, suav nrog tag nrho cov kev pabcuam Medicare thiab Medi-Cal. Download tau daim ntawv qhia tseeb txog Medi-Medi Plans.​​ 

Pib xyoo 2026, Medi-Medi Plans yuav qhib rau kev tso npe kawm hauv ntau lub nroog hauv California.​​  Saib daim ntawv qhia lub nroog ntawm 2026 kev tso npe kawm tshiab.​​  


Medicar + Medi-Cal Plan​​ 


Medi-Medi Plans muaj xws li:​​ 

  • Tag nrho cov txiaj ntsig ntawm Medicare Part A, B, thiab D. Tsis tas li ntawd, cov nyiaj pab Medi-Cal.​​ 
  • Ib pab neeg saib xyuas kev sib koom tes.​​ 
  • Ib txoj kev npaj kho mob los tswj kev xa cov kev pab cuam, suav nrog cov khoom siv kho mob, kev thauj mus los, thiab kev pabcuam mus sij hawm ntev thiab kev txhawb nqa.​​ 
  • Ib txheej ntawm cov txiaj ntsig thiab ib lub network ntawm cov kws kho mob, suav nrog cov kws kho mob, tsev kho mob, chaw kho mob, chaw kuaj mob, khw muag tshuaj, thiab cov chaw muag khoom siv kho mob.​​ 
  • Tej zaum koj yuav tau txais txiaj ntsig ntxiv xws li kho hniav, hnov lus, lossis kev pom kev, ntxiv rau qhov Medi-Cal them.​​ 

Hloov tshiab tseem ceeb​​ 

  • 2026 Expansion Counties: Medi-Medi Plans yuav muaj tshiab nyob rau hauv 29 lub nroog ntxiv rau xyoo 2026. Qhov ntawd txhais tau hais tias ob tus tswvcuab tsim nyog hauv 41 lub nroog tuaj yeem xaiv Medi-Medi Plan hauv 2026. Cov ntaub ntawv ntxiv thiab cov duab sawv cev ntawm Medi-Medi Plan 2026 Expansion muaj nyob rau hauv Medi-Medi Plan Expansion Fact Sheet.
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  • Default Enrollment Pilot: DHCS tau tshaj tawm Tus Thawj Saib Xyuas Kev Nkag Mus Kawm Default rau ib pawg xaiv ntawm Medi-Medi Plans hauv San Diego thiab San Mateo kom tau txais txiaj ntsig zoo rau ob tus neeg tsim nyog. Kawm paub ntxiv txog Default Enrollment Pilot.​​ 
  • D-SNP Deeming Lub Sijhawm: Medicare Advantage D-SNPs hauv California yuav tsum tau tswj kev tso npe rau lawv cov tswvcuab tsawg kawg yog peb lub hlis ntawm kev pom zoo raws li kev ceeb toom tias ib tug tswvcuab tau poob kev tsim nyog Medi-Cal. D-SNP cov ntaub ntawv qhia txog lub sijhawm muaj nyob rau ntawm D-SNP Medicare Deeming lub vev xaib.​​ 

Koom nrog Medicare Medi-Cal Plan​​ 

Muaj peb txoj hauv kev los koom nrog Medi-Medi Plan:​​ 

  • Yog tias twb tau tso npe rau hauv Medi-Cal txoj kev npaj, hu rau lub phiaj xwm ncaj qha thiab nug txog lawv qhov kev xaiv Medi-Medi Plan​​ 
  • Hu rau Medicare ntawm (800) MEDICARE​​ 
  • Hu rau Health Care Options ntawm 1-800-430-4263 (TTY 1-800-430-7077).​​ 

Cov neeg tau txais txiaj ntsig tuaj yeem koom nrog Medi-Medi Plan yog tias lawv:​​ 

  • Muaj ob qho Medicare Part A thiab B, thiab Medi-Cal​​  
  • Muaj 21 xyoos lossis tshaj saud​​ 

Medi-Medi Plans nyob qhov twg:​​ 

Medi-Medi Plans qhib rau npe kawm hauv 12 lub nroog hauv 2025: Fresno, Kings, Los Angeles, Madera, Orange, Riverside, Sacramento, San Bernardino, San Diego, San Mateo, Santa Clara, thiab Tulare.​​  

Pib xyoo 2026, Medi-Medi Plans yuav qhib rau kev tso npe kawm hauv cov nroog hauv qab no hauv California: Alameda, Alpine, Amador, Calaveras, Contra Costa, El Dorado, Imperial, Inyo, Kern, Mariposa, Merced, Mono, Monterey, San Benito, San Francisco, San Joaquin, San Luisbaratu, Statlau, Ventura, thiab tseem tsawg kawg yog ib txoj kev npaj hauv Marin, Napa, Placer, Solano, Sonoma, Yolo, Yuba.​​ 

Cov peev txheej ntxiv​​ 

Cov ntaub ntawv rau cov neeg muab kev pab​​ 

Cov ntaub ntawv rau cov neeg muaj feem cuam tshuam​​ 

Cov ntaub ntawv rau cov neeg tau txais txiaj ntsig thiab cov neeg saib xyuas​​ 

Integrated Member Materials for Medi-Medi Plans​​ 

Lwm Cov Qauv Kev Npaj Ua Ntej​​ 

PACE​​ 

Qhov Kev Pabcuam Txhua-Inclusive Care rau Cov Neeg Laus (PACE): PACE suav nrog Medicare thiab Medi-Cal cov txiaj ntsig, suav nrog cov tshuaj noj. Nws yuav tswj xyuas kev noj qab haus huv, kev saib xyuas hauv tsev, kev thauj mus los, thiab kev kho hniav. Yog xav paub seb PACE puas muaj nyob rau hauv koj cheeb tsam, thiab mus rau npe, thov mus rau lub​​  CalPACE lub vev xaib​​ .​​  

SCAN Fully-Integrated Dual Tsim Nyog Cov Kev Xav Tau Tshwj Xeeb (FIDE SNPs)​​ 

SCAN Connections thiab SCAN Connections hauv tsev yog Medicare Advantage Special Needs Plans uas them rau Medicare thiab Medi-Cal cov txiaj ntsig, suav nrog cov tshuaj noj. Cov phiaj xwm yuav tswj hwm txhua yam kev kho mob, kev saib xyuas hauv tsev, kev thauj mus los, thiab cov txiaj ntsig cuam tshuam. Yog xav paub seb SCAN Connections ntawm Tsev puas muaj nyob rau hauv koj cheeb tsam, thiab mus rau npe, thov mus rau lub​​  Scan Health Plan lub vev xaib​​ 

Koom nrog​​ 

Xeev​​ 

Yog xav paub ntxiv txog Medi-Medi Plans, cov neeg koom nrog tuaj yeem koom nrog CalAIM Managed Long-Term Services thiab Supports thiab Duals Integration Workgroup, uas yog qhib rau pej xeem. Pawg neeg ua haujlwm yog lub chaw sib koom tes uas cov neeg koom nrog tuaj yeem tawm tswv yim rau Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) thiab koom nrog kev sib tham txog txoj cai, kev ua haujlwm, thiab lub tswv yim rau kev hloov pauv D-SNP.​​ 

Yog xav paub ntxiv txog pawg neeg ua haujlwm, thov hu rau peb ntawm info@calduals.org.​​ 

Lus nug thiab lus pom​​ 

Hu rau DHCS nrog rau cov lus nug lossis lus hais txog Medicare Medi-Cal Plans ntawm info@calduals.org. 
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Hnub hloov tshiab kawg: 9/2/2025 1:20 PM​​