ຕຸລາ 15, 2025​​ 

ແຜນ Medi-Medi ແມ່ນແຜນສຸຂະພາບພິເສດສຳລັບຜູ້ທີ່ມີທັງ Medicare ແລະ Medi-Cal​​ 

SACRAMENTO — As Medicare open enrollment begins on October 15, the Department of Health Care Services (DHCS) is expanding access to Medi-Medi Plans––integrated health plans for people who have both Medicare and Medi-Cal—to 29 additional counties. This expansion brings the total to 41 counties that offer Medi-Medi Plans, nearly quadrupling access to these plans. This means Californians who are eligible for both Medicare and Medi-Cal will have the option to enroll in a Medi-Medi Plan to receive additional support to help manage chronic conditions, disabilities, or long-term care needs. Enrollment runs from October 15 to December 7, with coverage starting on January 1, 2026.​​ 

“California is building upon the success of Medi-Medi Plans that have already made a real difference in people’s lives,” said DHCS Director Michelle Baass. “By expanding access to these plans, we’re helping more Californians with complex health needs get the care they need—more easily, more consistently, and with greater support. This is about making health care work better for the people who rely on it most.”​​ 

ເຂດປົກຄອງໃໝ່ 29 ປະເທດຄື: Alameda, Alpine, Amador, Calaveras, Contra Costa, El Dorado, Imperial, Inyo, Kern, Marin, Mariposa, Merced, Mono, Monterey, Napa, Placer, San Benito, San Francisco, San Joaquin, San Luis Obispo, Santa Barbara, Santa Cruz, Staano, Solone Yolo, ແລະ Yuba.

29 ເມືອງນີ້ຈະເຂົ້າຮ່ວມ 12 ເມືອງທີ່ມີແຜນ Medi-Medi ໃນປະຈຸບັນຄື: Fresno, Kings, Los Angeles, Madera, Orange, Riverside, Sacramento, San Bernardino, San Diego, San Mateo, Santa Clara, ແລະ Tulare. ສຳລັບລາຍລະອຽດເພີ່ມເຕີມ, ເຂົ້າເບິ່ງໜ້າເວັບ ລາຍຊື່ແຜນ Medicare Medi-Cal , ແຜ່ນຂໍ້ມູນ ການເຂົ້າຮ່ວມແຜນ Medi-Medi , ແລະ ແຜ່ນຂໍ້ມູນການຂະຫຍາຍແຜນ Medi-Medi.​​ 

WHY THIS IS IMPORTANT: For the first time, Californians who qualify for both Medicare and Medi-Cal will have access to Medi-Medi Plans in 29 additional counties. Members with both Medicare and Medi-Cal often face serious health challenges, need help with daily activities, and deal with barriers like low income or limited transportation. They typically rely on many different services, but must navigate two separate systems to get care.​​ 

“ການຂະຫຍາຍນີ້ແມ່ນກ່ຽວກັບການເຮັດໃຫ້ການດູແລສຸຂະພາບດີຂຶ້ນສຳລັບຜູ້ທີ່ຕ້ອງການມັນຫຼາຍທີ່ສຸດ,” Lauren Solis, ຫົວໜ້າຫ້ອງການນະວັດຕະກໍາ ແລະ ການເຊື່ອມໂຍງ Medicare ຂອງ DHCS ກ່າວ.​​ 

Medi-Medi Plans combine Medicare and Medi-Cal benefits into one plan and provide specialized care coordination and wraparound Medi-Cal services. This model simplifies care with one card, one care team, and integrated services across medical, behavioral health, and long-term services and supports.​​ 

ປະຈຸບັນ, ມີປະມານ 330,000 ຄົນໄດ້ລົງທະບຽນໃນແຜນການເຫຼົ່ານີ້ໃນທົ່ວ 12 ເມືອງ. ດ້ວຍຜົນຂອງການຂະຫຍາຍຕົວນີ້, ຊາວຄາລິຟໍເນຍເພີ່ມເຕີມອີກ 461,000 ຄົນຈະມີທາງເລືອກທີ່ຈະລົງທະບຽນໃນແຜນ Medi-Medi. ໃນຂະນະດຽວກັນ, ເກືອບໜຶ່ງສ່ວນສີ່ຂອງສະມາຊິກ Medicare ໃນລັດຄາລິຟໍເນຍ - 1.7 ລ້ານຄົນ - ຍັງມີ Medi-Cal.​​ 

ABOUT MEDI-MEDI PLANS: Medi-Medi Plans are available to individuals who have both Medicare Part A and B, are enrolled in Medi-Cal, are 21 or older, and live in a participating county. Medi-Medi Plans coordinate all services across both Medicare and Medi-Cal, including:​​ 

• ການບໍລິການທີ່ຄຸ້ມຄອງໂດຍ Medicare, ເຊັ່ນ: ການໄປພົບແພດ, ການດູແລໂຮງໝໍ, ຢາຕາມໃບສັ່ງແພດ, ການກວດຫ້ອງທົດລອງ, ແລະ ການຖ່າຍຮູບເອັກຊະເຣ.​​ 
• ການບໍລິການ Medi-Cal ເຊັ່ນ: ການດູແລໄລຍະຍາວ ແລະ ການຂົນສົ່ງທາງການແພດ.​​ 
• ການບໍລິການຊ່ວຍເຫຼືອໃນບ້ານ ແລະການດູແລສຸຂະພາບທາງດ້ານພຶດຕິກຳແບບພິເສດຕາມເຂດປົກຄອງ.​​ 
• ການສະໜັບສະໜູນຈາກຊຸມຊົນ, ລວມທັງການດູແລສ່ວນຕົວ, ການບໍລິການແມ່ບ້ານ, ແລະ ການດັດແປງເຮືອນເມື່ອມີໃຫ້.​​ 

ສະມາຊິກຍັງໄດ້ຮັບຜົນປະໂຫຍດຈາກ:​​ 

• ບັດແຜນປະກັນສຸຂະພາບອັນດຽວ ແລະ ເບີໂທລະສັບໜຶ່ງເບີສຳລັບທຸກການບໍລິການ.​​ 
• ທີມງານດູແລທີ່ປະກອບມີ Medicare, Medi-Cal, ແລະຜູ້ໃຫ້ບໍລິການພິເສດ.​​ 
• ແຜນການດູແລສ່ວນບຸກຄົນ ແລະ ການປະເມີນຄວາມສ່ຽງດ້ານສຸຂະພາບແບບລວມສູນ.​​ 
• Continuity of care, allowing members to keep their current providers for up to 12 months, even if they are not in the plan’s network.​​ 

ສຳລັບຂໍ້ມູນເພີ່ມເຕີມ: ຊາວຄາລິຟໍເນຍທີ່ມີສິດໄດ້ຮັບສາມາດລົງທະບຽນໃນແຜນ Medi-Medi ໃນລະຫວ່າງການລົງທະບຽນເປີດຂອງ Medicare ແຕ່ວັນທີ 15 ຕຸລາ ຫາ ວັນທີ 7 ທັນວາ. ການຄຸ້ມຄອງຈະເລີ່ມຕົ້ນໃນວັນ 1 ມັງກອນ, 2026. ສຳລັບຂໍ້ມູນເພີ່ມເຕີມກ່ຽວກັບແຜນ Medi-Medi ແລະວິທີການລົງທະບຽນ, ເຂົ້າເບິ່ງໜ້າເວັບ ແຜນ Medi-Medi .​​ 

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ຫ້ອງການສື່ສານ​​ 
(916) 440-7660
DHCSPress@dhcs.ca.gov​​