Medicare and Medi-Cal will make payments directly to the providers. Present both your Medicare card and your Medi-Cal Benefits Identification Card (BIC) to your doctors and other providers when receiving services, so that they can bill Medicare and Medi-Cal directly. If you are in a county where you can choose both fee-for-service Medicare and Medi-Cal, make sure your doctor or hospital accepts Medi-Cal as well as Medicare. For more information on MA plans, see our Medicare Advantage section.įor Medi-Cal benefits, in some counties, you must join a Medi-Cal managed care plan, but in other counties, you may use fee-for-service Medi-Cal. While others on Medicare can join this type of MA plan, the premiums, copayments, and co-insurance are waived for those on Medicare and Medi-Cal. If you’re enrolled in a D-SNP, you do not have copays, coinsurance or premiums associated with other types of MA plans.Īnother type of MA plan designed for people with both Medicare and Medi-Cal is a “look-alike” or “mirror” D-SNP. If you choose an MA plan, the MA plan that works best for people with both Medicare and Medi-Cal is the Special Needs Plan (SNP) for dual eligibles or D-SNP. If you have both Medicare and Medi-Cal, how you receive your benefits depends on the county you live in.įor Medicare benefits, you may choose fee-for-service Original Medicare in all counties, or a Medicare Advantage (MA) plan, if available in your county.
Calibre meaning full#
If you qualify for full Medi-Cal (Medi-Cal without a share of cost (SOC)), Medi-Cal will also cover your Medicare Part A and B deductibles and copayments, and pay your monthly Medicare Part B premium. If you have both Medicare and Medi-Cal, Medicare is the primary payer (meaning Medicare will pay first for Medicare-covered benefits) and Medi-Cal is the secondary payer. Medi-Cal will only cover these costs and services if you use providers that accept Medi-Cal.