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Did You Know? You May be Eligible for Extra Medical Benefits

As a Medicare Advantage Plan member who selected THIPA as your medical service provider, you enjoy access to the South Bay’s leading doctors and specialists, plus cutting edge medical care at Torrance Memorial Medical Center. Now you may also be eligible for additional medical coverage if you qualify as a "Medi-Medi".

What is a Medi-Medi?

A "Medi-Medi" is a term that describes someone who qualifies for Medicare who also qualifies for Medi-Cal.

Who is Covered?

Medicare coverage is based on your age or disability, but Medi-Cal coverage is based on your income and asset levels. The Medi-Cal income level depends on your situation, whether you’re married or single, disabled or able-bodied. The asset level is up to $3000 for a couple or $2000 for a single person. Some assets are not considered such as your home, one vehicle or certain household goods and belongings.

What is Covered?

Medi-Cal has three programs that provide additional healthcare coverage for seniors with Medicare. Under these programs Medi-Cal provides varying levels of coverage for "medically necessary" health care such as physician visits, x-ray and lab tests, hospital and nursing-home care, home health care, certain prescription drugs excluded as a Medicare Part D benefit, medical equipment and devices, ambulance care and hospice care.

In each instance Medicare is the primary payer. In other words, your Medicare Advantage plan pays first and Medi-Cal is the secondary payer.

If you do qualify for Medi-Cal in addition to Medicare, you may also consider a Medicare Advantage Special Needs Plan or D-SNP. These plans have certain features that work very well for Medi-Medi seniors.

What to Do

If you believe you may qualify as a Medi-Medi, you can learn more about eligibility and the three Medi-Cal plans for seniors by logging onto You may also call Senior Member Services Toll Free 866-568-4472 and ask for Loretta Morrow.

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