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​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​Medicare Medi-Cal Plans​

​Return to Integrated Care for Dual Eligible Beneficiaries​​

​Medicare Medi-Cal Plans​​​​​

A Medicare Medi-Cal Plan (Medi-Medi Plan) is a type of Medicare Advantage plan. It is for people who have both Medicare and Medi-Cal, and combines Medicare and Medi-Cal benefits into one plan.​​ For a list of Medi-Medi Plans that are available in California, visit the Medicare Medi-Cal Plan List webpage​.​

Medi-Medi Plans coordinate all benefits and services across b​oth programs, including all Medicare and Medi-Cal covered services. Download the factsheet​ about Medi-Medi Plans.


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​​Medicar + Medi-Cal Plan

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​Medi-Medi Plan​s include:

  • All Medicare Part A, B, and D benefits.
  • One care team to coordinate care.
  • One health plan to coordinate delivery of services, including medical supplies, transportation, and long-term services and supports.
  • One set of benefits and a network of providers, including doctors, hospitals, clinics, labs, pharmacies, and medical equipment suppliers.
  • ​You may have extra benefits like dental, hearing, or vision coverage, in addition to what Medi-Cal covers.

​Important Updates

DHCS is launching a Default Enrollment Pilot for a select group of Medicare Medi-Cal Plans (MMPs or Medi-Medi Plans) in mid-2024 for full benefit dual eligible individuals. Learn more about the Default Enrollment Pilot​. 

Medicare Advantage D-SNPs in California are required to maintain enrollment for their members for at least a three-month deeming period upon notification that a member has lost Medi-Cal eligibility. D-SNP deeming periods are available on the 2024 D-SNP Deeming Period Handout​​.​​

As of January 1, 2024, DHCS has expanded the availability of Medi-Medi Plans to five additional counties:​ Fresno, Kings, Madera, Sacramento, and Tulare.​​

​Joining a Medicare Medi-Cal Plan​

There are three ways to join a Medi-Medi Plan:

  • ​If already enrolled in a Medi-Cal plan, call the plan directly and ask about their Medi-Medi Plan option
  • Call Medicare at (800) MEDICARE
  • Call Health Care Options at (844) 580-7272 (TTY (800) 430-7077).​​

​Beneficiaries can join a Medi-Medi Plan ​​if they:

  • ​Have both Medicare Part A and B, and Medi-Cal 
  • Are 21 years or older
  • Live in one of these counties: Fresno, Kings, ​Los Angeles, Madera, Orange, Riverside, Sacramento, San Bernardino, San Diego, San Mateo, Santa Clara, or Tulare.​

Additional Resources

Information for Providers​

​Information for Agents and Brokers

​Information for Beneficiaries​​​ and Caregivers

​2024 Integrated Member Materials for Medi-Medi Plans

Other Integrated Plan Models

PA​CE

​Program of All-Inclusive Care for the Elderly (PACE): PACE covers Medicare and Medi-Cal benefits, including prescription drugs. It will coordinate healthcare, homecare, transportation, and dental care. To find out if PACE is available in your area, and to enroll, please go to the CalPACE website. ​

SCAN Fully-Integrated Dual Eligible Special Needs Plans (FIDE SNPs)

​SCAN Connections and SCAN Connections at Home are Medicare Advantage Special Needs Plans that covers Medicare and Medi-Cal benefits, including prescription drugs. The plans will coordinate all healthcare, homecare, transportation, and related benefits. To find out if SCAN Connections at Home is available in your area, and to enroll, please go to the Scan Health Plan website​

​​Get Involved

​Statewide

To learn more about Medi-Medi Plans, stakeholders can participate in the bi-monthly CalAIM Managed Long-Term Services and Supports and Duals Integration Workgroup, which is open to the public. The workgroup is a collaboration hub where stakeholders can offer feedback to the Department of Health Care Services (DHCS) and engage in discussions related to the policy, operations, and strategy for the D-SNP transition.​

For questions about the workgroup, please contact us at info@calduals.org.

​Locally

Stakeholders can also participate in the quarterly All-County Duals Communications Workgroup. The workgroup offers a neutral platform for stakeholders to discuss Medi-Medi Plans and the statewide D-SNP transition. They are currently offered to stakeholders who serve dual eligible beneficiaries in the counties that offer Medi-Medi Plans.​

If you are interested in joining the local workgroup, please email us at info@calduals.org for more information.

Questions and Comments

Contact DHCS with any questions or comments about Medicare Medi-Cal Plans at info@calduals.org​. ​​​​​​​​​​​​

Last modified date: 4/23/2024 8:04 AM