The purpose of Medi-Cal planning is to prevent the need to exhaust all of your savings in order to qualify. In , a federal law was passed that imposes a period of ineligibility for anyone who transferred their assets within five years before applying for Medi-Cal.
The five-year look back period starts when you submit your application. For that reason, the timing of your financial transactions is important and early Medi-Cal planning in California is key. The penalty period is only applicable to those who need long-term care in an institutional setting, or who are receiving home health care.
If you need acute care, such as hospital or physician services, you will remain eligible to receive benefits for those services, regardless of recent property transfers. Download our FREE estate planning worksheet today! If you have questions regarding estate planning, trust contests, or any other trust administration issues, please contact the Schomer Law Group either online or by calling us in Los Angeles at , and in Orange County at Is Medi Cal Medicaid?
Medicaid is run by the state Because Medicaid is run by the state and local governments, as opposed to the federal government like Medicare , the requirements and available benefits will differ from one state to the next.
What is Medicare? Basic differences between Medicare and Medi-Cal Medicare is different from Medi-Cal in that benefits are provided by private companies through contracts with Medicare. Who is eligible for Medicare?
Do you have a plan for the future? Why is Medi-Cal Planning in California important? Part C Medicare Advantage — plans that cover all benefits and services under Parts A and B and usually covers prescription drug benefits. Plans may also include extra benefits and services not covered by Medicare such as basic vision and hearing. Part D Prescription Drug Coverage — covers prescription drug costs.
Medicare beneficiaries can choose how to receive their Medicare benefits and services:. Most of these plans also include prescription drug coverage.
What is Medi-Cal? Some people qualify for both Medicare and Medi-Cal. You have Medi-Cal if you have either of these cards:. Older Medi-Cal Card, still accepted. If you have Medicare and full Medi-Cal coverage, most of your health care costs are covered.
People with Medi-Cal may get coverage for services that Medicare may not or may partially cover, like basic vision and hearing, dental, non-emergency transportation, incontinence supplies, personal care, and home-and community-based services. Your income and resource levels must meet the state eligibility requirements.
People with Medi-Cal and a Share of Cost refers to individuals with income too high to meet the Medi-Cal income limit requirement. Share of cost SOC works similar to a monthly insurance deductible. You will get billed for medical related services until you meet your share of cost. Purchase private health insurance that charges a premium, like prescription drug, dental, or vision plans.
Medicare is an insurance program. Medical bills are paid from trust funds which those covered have paid into. It serves people over 65 primarily, whatever their income; and serves younger disabled people and dialysis patients. Patients pay part of costs through deductibles for hospital and other costs. Small monthly premiums are required for non-hospital coverage.
Medicare is a federal program. Medicaid is an assistance program. It serves low-income people of every age. Patients usually pay no part of costs for covered medical expenses.
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