Medicare and Medi-Cal

Medicare and Medi-Cal (California’s Medicaid program) are different. Some people have both. This page is education. It is not a determination that you qualify for Medi-Cal, Extra Help, or any product.

Two programs, two jobs

Medicare is federal health insurance mainly for people 65 or older and certain people with disabilities. Medi-Cal is California’s Medicaid program and is based mainly on income, resources, and other state rules. They are not interchangeable, and having one does not automatically mean you have the other.

When someone has both

People with Medicare and Medi-Cal are often called dual eligible. Depending on the level of Medi-Cal, they may get help with Medicare costs or, in some counties, access to Dual Special Needs Plans (D-SNPs). Benefits vary by plan and ZIP code. We do not list or recommend those products here.

Extra Help is separate

Extra Help (the Part D Low-Income Subsidy) may lower prescription costs for people who meet federal limits. Some people are enrolled automatically; others apply through Social Security (SSA.gov). This website cannot tell you that you qualify.

Where to apply and check

Medi-Cal is handled through California’s official programs, not this website. Extra Help is through Social Security. For a complete list of Medicare products in your ZIP, use Medicare.gov, 1-800-MEDICARE (TTY 711), or California HICAP at 1-800-434-0222.

My Medicare Checkup

Answer a few questions about your ZIP code, what matters about cost and doctors, and where you get care. The summary shows the questions those answers raise. Confirm each one with the office, the plan, or Medicare.gov. A listing in a directory, or the name of a plan, does not show whether a doctor is in the network, whether a prescription is covered, or what you would pay this year.

Start My Medicare Checkup

You will get a summary of the questions to verify. You can also talk it through with Alan.

Screener

Medi-Cal screener (65+ / disabled)

California 2026 Aged & Disabled FPL sketch for people with Medicare. Not a determination — apply through the county.

Read: Can I pay less for Medicare?

This sketch is for Californians who are 65 or older, or who meet Social Security’s disability rules — the usual path for people who already have Medicare. It is not MAGI Medi-Cal for adults under 65. The county decides. This website cannot say that you qualify.

  • Aged & Disabled FPL (no share of cost): 138% FPL — $1,836.00 / $2,490.00 a month (April 2026 DHCS chart)
  • Resource limit: $130,000.00 individual / $195,000.00 couple (reinstated January 1, 2026)
  • Over the A&D FPL income limit, Medi-Cal with a share of cost may still be possible. This tool does not calculate a share-of-cost dollar amount.

Enter income and resources to see which 2026 path this sketch is closest to. Leave a field blank to treat it as $0.

How to apply. Use BenefitsCal or your county social services office. Read DHCS Medi-Cal. In Los Angeles County, call Aging & Disabilities at 800-510-2020 or California HICAP at 1-800-434-0222 (TTY 711). For Part B premium help only, use the Medicare Savings Programs screener.

Screener

Medicare Savings Programs screener

California 2026 QMB, SLMB, and QI sketch. Not a determination — apply through Medi-Cal.

Read: Can I pay less for Medicare?

Medicare Savings Programs are Medi-Cal programs that may pay your Part B premium — and, for QMB, certain Medicare deductibles and copays. This sketch uses California DHCS 2026 figures. The county decides. This website cannot say that you qualify.

  • QMB — may pay Part A and Part B premiums, deductibles, and copays (limit $1,330.00 / $1,804.00 a month)
  • SLMB — may pay the Part B premium (limit $1,596.00 / $2,165.00)
  • QI — may pay the Part B premium; limited slots; generally not combined with full Medi-Cal (limit $1,796.00 / $2,436.00)

Enter income and resources to see which program this 2026 sketch is closest to. Leave a field blank to treat it as $0.

How to apply. Use BenefitsCal, your county social services office, or DHCS Medicare Savings Programs. In Los Angeles County, call Aging & Disabilities at 800-510-2020 or California HICAP at 1-800-434-0222 (TTY 711).

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