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CALIFORNIA DUAL ELIGIBLE BENEFICIARY ENROLLMENT IN MEDICARE ADVANTAGE PROGRAMS, AS OF APRIL 2023This report provides data on the Medicare Advantage (MA) enrollment among beneficiaries dually eligible for Medicare and MediCal, based on data at the California Department of Health Care Services. The types of MA plans included in this report are: Regular MA Plans: These plans serve both dual eligible and Medicare only members and are not required to have written agreements

How to fill out california dual eligible beneficiary

How to fill out california dual eligible beneficiary

1. Obtain a copy of the California Dual Eligible Beneficiary application form.
2. Review the form and ensure you have all necessary documents, such as proof of income, identification, and residency.
3. Complete the personal information section, including your name, address, date of birth, and Social Security number.
4. Provide details about your income, including any SSI/SSP, Social Security, and other sources of income.
5. Fill out the health insurance section, indicating any current Medicare or Medi-Cal coverage you may have.
6. Sign and date the application form to certify that the information provided is accurate.
7. Submit the completed application to the designated county or state agency for processing.
8. Follow up with the agency to confirm receipt of your application and inquire about the next steps.

Who needs california dual eligible beneficiary?

1. Individuals who are aged 65 or older.
2. People under 65 who have a qualifying disability.
3. Individuals who are eligible for both Medicare and Medi-Cal.
4. Low-income individuals who require assistance with healthcare costs.

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What is california dual eligible beneficiary?

A California dual eligible beneficiary is an individual who qualifies for both Medicare and Medi-Cal (California's Medicaid program), allowing them to receive a broader range of health care services.

Who is required to file california dual eligible beneficiary?

Individuals who meet the criteria for dual eligibility, meaning they are enrolled in both Medicare and Medi-Cal, are required to file as California dual eligible beneficiaries.

How to fill out california dual eligible beneficiary?

To fill out the California dual eligible beneficiary form, individuals should provide personal information such as name, address, Social Security number, and details regarding their Medicare and Medi-Cal coverage.

What is the purpose of california dual eligible beneficiary?

The purpose of the California dual eligible beneficiary program is to ensure that individuals who qualify for both Medicare and Medi-Cal receive comprehensive healthcare coverage and access to necessary services.

What information must be reported on california dual eligible beneficiary?

Information that must be reported includes beneficiary identification details, enrollment information for Medicare and Medi-Cal, income, household size, and other relevant financial details.