中醫計劃
Return to Integrated Care for Dual Eligible Beneficiaries
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A 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 both programs, including all Medicare and Medi-Cal covered services. Download the factsheet about Medi-Medi Plans.
從 2026 年開始，Medi-Medi 計劃將在加利福尼亞州大多數縣開放報名。 請參閱 2026 年新入學的縣地圖。
中醫計劃包括：
- 所有聯邦醫療保險 A、B 和 D 部分福利。此外，Medi-Cal 的好處。
- 一個護理團隊協調護理。
- 一項協調服務提供的健康計劃，包括醫療用品、交通以及Long-Term Services and Supports 。
- 一套福利和提供商網絡，包括醫生，醫院，診所，實驗室，藥房和醫療設備供應商。
- 除了加州醫療補助健康保健計劃所涵蓋的範圍之外，您還可能享有牙科、聽力或視力保險等額外福利。
重要更新
- 2026 Expansion Counties: Medi-Medi Plans will be newly available in 29 additional counties in 2026. That means dual eligible members in 41 counties can choose a Medi-Medi Plan in 2026. Additional information and a visual representation of the Medi-Medi Plan 2026 Expansion is available in the Medi-Medi Plan Expansion Fact Sheet.
- 預設註冊試點：DHCS 已為聖地亞哥和聖馬特奧的一組特定 Medi-Medi 計劃推出了默認註冊試驗計劃，供全權益的雙合資格人士使用。進一步瞭解預設註冊試點。
- D-SNP 考慮期：在通知會員已失去 Medi-Cal 資格後，加利福尼亞州的聯邦醫療保險優惠 D-SNP 必須維持其會員註冊至少三個月的審核期。D-SNP 認定期信息可在 D-SNP 聯邦醫療保險審查網頁上找到。
加入聯邦醫療保險 加州醫療補助健康保健計劃
有三種方法可以加入 Medi-Medi 計劃：
- 如果已加入加州醫療補助健康保健計劃，請直接致電該計劃並詢問其 Medi-Medi 計劃選項
- 致電聯邦醫療保險 (800) 聯邦醫療保險
- 請致電 Health Care Options：1-800-430-4263（TTY 1-800-430-7077）。
受益人如有以下情況，可加入 Medi-Medi 計劃：
- 同時擁有聯邦醫療保險 A 部分和 B，以及加州醫療補助健康保健計劃
- 年滿 21 歲
醫療醫療計劃可在哪些地方提供：
Medi-Medi 計劃於 2025 年在 12 個縣開放報名：弗雷斯諾，國王，洛杉磯，馬德拉，奧蘭治，河濱，薩克拉門托，聖貝納迪諾，聖地亞哥，聖馬特奧，聖克拉拉和圖拉雷。
從 2026 年開始，Medi-Medi 計劃將在加利福尼亞州以下縣開放報名：阿拉米達，阿爾卑斯，阿馬多爾，阿馬多拉斯，康特拉斯，伊尼奧，科恩，馬里波薩，默塞德，莫諾，蒙特雷，聖貝尼托，舊金山，聖華金，聖路易斯奧比斯波，聖巴巴拉，聖克魯斯，斯坦尼斯勞斯，圖盧姆尼，還有馬林，納帕，普萊瑟，索拉諾，索諾瑪，約洛，尤巴至少一個計劃。
其他資源
供應商的信息
- Medicare Medi-Cal Plans: Information for Providers
Fact Sheet - 符合聯邦醫療保險和加州醫療補助健康保健計劃雙重資格的患者的牙科福利：牙科醫療服務提供者信息
- 加州醫療補助健康保健計劃 Rx 公告和藥房、處方者和提供者新聞
- Durable Medical Equipment Provider
Fact Sheet
持份者的資訊
- 中醫計劃：持份者資訊 YouTube 影片
- Agents and Broker Webinar: 2023 Medicare Changes for People with Medicare and Medi-Cal: Seven California Counties
- California’s Medi-Medi Plan Expansion in 2026 Webinar
受益人和照顧者的信息
- Medicare Medi-Cal Plans
Fact Sheet– English - Medicare Medi-Cal Plans
Fact Sheet– Spanish - Medicare Medi-Cal Plans
Fact Sheet– HMN- Hmong - Medicare Medi-Cal Plans
Fact Sheet– VIE- Vietnamese - Medicare Medi-Cal Plans
Fact Sheet– TCH-Traditional Chinese/Cantonese - Medicare Medi-Cal Plans
Fact Sheet– RUS- Russian - Medicare Medi-Cal Plans
Fact Sheet– KHM- Khmer/Cambodian - Medicare Medi-Cal Plans
Fact Sheet– Arabic - Medicare Medi-Cal Plans
Fact Sheet– Farsi - Balance Billing
Fact Sheet - Durable Medical Equipment Member
Fact Sheet - 關於退出 Medi-Medi 計劃的會員：2024 年度變更通知書的求職信
中醫計劃的綜合會員資料
- California’s 2026 Integrated Member Materials can be found here: CY 2026 California AIP D-SNP Model Materials (ZIP). Alternatively, please visit the CMS webpage to download the California CY 2026 California AIP D-SNP Model Materials.
- California’s 2025 Integrated Member Materials can be found here: CY 2025 California AIP D-SNP Model Materials (ZIP). Alternatively, please visit the CMS webpage to download the California CY 2025 California AIP D-SNP Model Materials.
其他綜合計劃模型
PACE
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 全整合雙合資格特殊需要計劃（FIDE SNP）
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
參與
全州
要了解有關 Medi-Medi 計劃的更多信息，利益相關者可以參加每兩個月一次的 CalAIM 託管Long-Term Services and Supports以及雙重整合工作組，該工作組向公眾開放。 該工作小組是一個協作中心，利益相關者可以在其中向Department of Health Care Services (DHCS) ) 提供回饋，並參與與 D-SNP 過渡的政策、營運和策略相關的討論。
如有關工作小組的問題，請通過 info@calduals.org 與我們聯繫。
問題和評論
Contact DHCS with any questions or comments about Medicare Medi-Cal Plans at info@calduals.org.