Covered California Certified Enroller Practice Exam

Can consumers who receive Medicare also qualify for Medi-Cal?

1. Yes, regardless of income

2. No, they cannot

3. Depends on income and assets

4. Only if they are disabled

The correct answer is: Depends on income and assets

Consumers who receive Medicare can qualify for Medi-Cal, but this depends on their income and assets. Medi-Cal is California's Medicaid program that provides health coverage to low-income individuals, and it operates within certain financial limits. When a person is eligible for Medicare, it doesn't automatically disqualify them from receiving Medi-Cal benefits. Instead, it often serves as a secondary insurance for those who meet Medi-Cal's financial criteria. For those with limited income and assets, Medi-Cal can help cover additional costs that Medicare does not, such as premiums, copayments, and services not covered by Medicare. Thus, the relationship between Medicare and Medi-Cal is significant for individuals with dual eligibility, as it can enhance their overall healthcare coverage, provided they meet the necessary income and asset thresholds. This flexibility in eligibility based on financial need is what makes this option appropriate.