Dual Eligible Medicare Plans (D-SNP)

What Is It?

Being "dual eligible" means qualifying for both Medicare and Medicaid. A D-SNP is a Medicare Advantage Special Needs Plan designed for these individuals.

Some D-SNPs may include additional supplemental benefits. Benefits, eligibility requirements, and availability vary by plan and service area.

How Does It Work?

A D-SNP coordinates Medicare and Medicaid benefits, generally includes prescription drug coverage (Part D), and may offer care coordination and supplemental benefits depending on the plan.

Who Is It For?

For people who qualify for both Medicare (Parts A and B) and Medicaid. Medicaid eligibility levels can affect cost sharing. Not every dual-eligible individual receives the same benefits.

What Should You Consider?

• What "dual eligible" means.
• Medicare and Medicaid coordination.
• D-SNP eligibility.
• Medicare Parts A and B.
• Prescription drug coverage.
• Provider networks.
• Care coordination.
• Supplemental benefits that may be offered.
• Medicaid eligibility levels can affect cost sharing.
• Plan availability by service area.
• Specific dental, vision, hearing, grocery, OTC, transportation, utility, or other supplemental benefits are not guaranteed.