Dual Special Needs Plan: For People with Medicare & MedicaidPosted by Medicare Made Clear
Some people are eligible to have both Medicare and Medicaid. These people are considered “dual eligible,” and they also qualify to enroll in a special kind of Medicare Advantage plan known as a Dual Special Needs Plan (DSNP).
Watch the video below to learn about dual special needs plans, who can get one, what they cover and what makes them special.
What Is A Dual Special Needs Plan?
A dual special needs plan is a special kind of Medicare Advantage coordinated-care plan. It is an all-in-one plan that combines your Medicare Part A and Part B benefits, your Medicare Part D prescription drug coverage, your Medicaid benefits and additional health benefits such as vision, dental or fitness.
Who Can Get A Dual Special Needs Plan?
You can get a dual special needs plan if you meet the following qualifications:
- You are eligible Medicare and Medicaid and have both.
- You have Medicare Part A and Part B.
- You live in the plan’s area.
What Does A Dual Special Needs Plan Cover?
Just like any other Medicare Advantage plan, a dual special needs plan will include coverage for Medicare Part A and Part B. It will also include Part D prescription drug coverage and extra benefits not provided by either Medicare or Medicaid.
Examples of extra benefits a dual special needs plan may provide include:
- Credits to buy health products
- Transportation assistance
- Care coordination via a personal care coordinator
- Personal emergency response system (PERS)
- Tele-health options such as virtual medical visits with your doctor
- Worldwide emergency coverage
The extra benefits offered will vary by plan, provider and location.
A Special Note About Enrolling In DSNP Plans
If you qualify for Medicaid and are enrolled in Medicare, you may be able to enroll in a dual special needs plan during the first nine months of the year in a Special Enrollment Period, rather than the Medicare Annual Enrollment Period (AEP) in the fall