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L.A. Care Medical Dual Formulary w.lacier.org LA1308E 02/15×EN Last Updated: 2/1/2018L. A. Care Medical Dual Formulary INTRODUCTIONForeword The L.A. Care Medical Dual formulary is a preferred list
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How to fill out medi-cal dual

01
To fill out Medi-Cal Dual, follow these steps:
02
Visit the official website of your state's Medi-Cal program.
03
Download the Medi-Cal application form or apply online if available.
04
Fill out the application with accurate personal information.
05
Provide proof of identity, residency, and income.
06
If applicable, provide proof of disability or medical condition.
07
Submit the completed application along with all required documents.
08
Await a response from the Medi-Cal program regarding your eligibility.
09
If approved, you will receive your Medi-Cal Dual coverage and benefits.

Who needs medi-cal dual?

01
Medi-Cal Dual is typically needed by individuals who:
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- Are eligible for both Medicare (federal health insurance program for those aged 65 or older or with certain disabilities) and Medicaid (state-based health insurance program for low-income individuals).
03
- Require comprehensive healthcare coverage and assistance with medical costs.
04
- Have limited income and resources.
05
- Are residing in the state where they are applying for Medi-Cal Dual.
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- Meet the specific eligibility criteria set by the state's Medi-Cal program.
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Medi-Cal Dual is a program that combines both Medi-Cal and Medicare benefits for individuals who are eligible for both programs.
Individuals who are eligible for both Medi-Cal and Medicare benefits are required to file for Medi-Cal Dual.
To fill out Medi-Cal Dual, individuals can contact their local county Medi-Cal office or apply online through the Covered California website.
The purpose of Medi-Cal Dual is to provide comprehensive health coverage for individuals who are eligible for both Medi-Cal and Medicare benefits.
Information such as income, assets, household size, and medical expenses must be reported on the Medi-Cal Dual application.
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