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Am I Eligible?

To enroll in Molina Dual Options plan (available through the State of California Cal MediConnect), you must:

  • Live in Los Angeles, Riverside, San Bernardino or San Diego counties
  • Be age 21 and older
  • Have full benefits, meaning you have full Medi-Cal coverage and are enrolled in Medicare Parts A and B (or Medicare Advantage Plan) and eligible for Part D
  • If you have a Medi-Cal share of cost, you must meet it each month by being in a Medi-Cal funded nursing facility or receiving In-Home Supportive Services (IHSS) or Multipurpose Senior Service Program (MSSP) with a monthly share of cost below a set limit

 

Even if you meet the criteria above, you cannot enroll in Molina Dual Options if:

  • You are younger than 21
  • You receive Nursing Facility, Acute Hospital or Assisted Living waiver services
  • You do not meet your Medi-Cal share of cost
  • You live in a veterans' home
  • You have retirement, veteran's or other private or public health insurance
  • You have a developmental disability and are receiving services through:
    • Department of Developmental Services (DSS) 1915(c) waiver
    • Regional center
    • State developmental center
    • Intermediate care facility for the developmentally disabled (ICF-DD)
  • You reside in any of these rural zip codes in Los Angeles, Riverside or San Bernardino counties
    • Los Angeles County - 90704
    • Riverside County - 92225, 92226, 92239, 92280
    • San Bernardino County - 92242, 92267, 92280, 92319, 92323, 92332, 92363, 92364, 92366, 93562, 92280, 93528, 93554, and 93592
  • You have End Stage Renal Disease (ESRD) (except in certain cases)