Can one get a Medi-Gap plan if they have Medi-Cal (Medicaid)?

 

Guaranteed Acceptance into a Medi Gap plan

Aged & Disabled Medi-Cal

MAGI Income Medi-Cal

Medi-Cal & Other Coverage

our page on DUAL COVERAGE. for all types of different combinations of plans.

Medicare Publication # 02179.

 

There are seven different categories of dual eligible beneficiaries to be considered:

  • QMB (only) (Qualified Medicare Beneficiary) – Medicaid pays Medicare Part A and Part B premiums; cost sharing for Part A & Part B benefits.
  • QMB Plus – Medicaid pays Medicare Part A & Part B premiums; cost sharing for Part A & Part B benefits; Full Medicaid benefits.
  • SLMB (only) (Specified Low-Income Medicare Beneficiary) – Medicaid pays Medicare Part B premium.
  • SLMB Plus – Medicaid pays Medicare Part B premium; Full Medicaid benefits.
  • QI (Qualifying Individual) – Medicaid pays Medicare Part B premium.
  • Other FBDE (Full Benefit Dual Eligible) – Medicaid pays Medicare Part B premium; Full Medicaid benefits.
  • QDWI (Qualified Disabled & Working Individual) – Medicaid pays Part A premium.

More detail on our Medicare Savings Program Page

Medicare-Medicaid Plan (MMP) Marketing Information & Resources  

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