Medi-Cal “Matching Plan Policy” for Dual Eligible Beneficiaries
Some people qualify for both Medicare and Medi-Cal and are “dual eligible” beneficiaries. Like all Medicare beneficiaries, dual eligible beneficiaries can choose whether to receive care through Original Medicare, or enroll in a Medicare Advantage (MA) plan, sometimes called “Part C” or “MA Plans.” In California there are several types of Medicare Advantage. Local HICAP organizations can provide assistance.
메디칼 혜택의 경우, 대부분의 이중 자격 수혜자는 메디칼 매니지 케어 플랜에 등록되어 있습니다. 메디칼 매니지 케어 플랜에 등록해도 메디케어 혜택이나 의료 서비스 이용에는 영향을 미치지 않습니다.
Medi-Medi Plans coordinate all benefits and services across both programs, including all Medicare and Medi-Cal covered services.
Medi-Cal 매칭 요금제 정책
Since January 1, 2023, DHCS implemented the Medi-Cal Matching Plan Policy in select counties to address the challenges for beneficiaries of coordinating across different health plans for Medicare and Medi-Cal benefits. As of January 1, 2026, DHCS expanded the Medi-Cal matching plan policy to all counties in 2026. It was introduced to help beneficiaries coordinate across different health plans for Medicare and Medi-Cal benefits.
Under this policy, a beneficiary’s Medicare plan choice is the lead, and the Medi-Cal plan follows. This means that for dual eligible beneficiaries that choose to enroll in a MA plan in those counties, their Medi-Cal plan must align with their MA plan choice, if there is a Medi-Cal plan affiliated with their MA plan. The Medi-Cal matching plan policy does not change or impact a beneficiary’s MA plan choice. The beneficiary notice is here: Dual-Eligible-Matching-Plan-Confirmation-Disenrollment-Letter.
Note: For additional information on the 2023 policy, view the Medi-Cal Matching Plan Policy Scenarios slides. These slides provide visuals on four common scenarios that generally apply to dual eligible beneficiaries.
메디칼 매칭 플랜 정책에 대해 궁금한 점이 있는 수혜자는 메디칼 매니지 케어 건강 관리 옵션에 문의하시기 바랍니다: 홈 > Medi-Cal 매니지 케어 건강 관리 옵션
추가 연락처 정보는 Medi-Cal 의료 서비스 옵션 웹사이트에서 확인할 수 있습니다.