Dual Eligible Special Needs Plan (D-SNP)

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What are Dual Eligible Special Needs Plans?

Dual Special Needs Plans (D-SNPS) are intended to provide extra benefits for people who have both Medicaid and Medicare - thus the name, "dual-eligible". The benefits of this plan go further than Medicaid or Original Medicare. With this plan you can get many extra benefits with no additional cost.

How Dual Eligible Special Needs Plans work

Dual Eligible Special Needs Plans are intended to reduce your out-of-pocket cost as much as possible - which may include the most or even all of your medical bills. First, Medicare is intended to cover your costs, and then Medicaid will pay what is left over. When you combine the two, your healthcare costs are significantly reduced.

How to know if you're eligible for a D-SNP

If you have both the federal government program Medicare and the state-run program Medicaid you are eligible for a Dual Eligible Special Needs Plan. This plan is also intended for people who may need extra help, whether it be due to income, age, health conditions, or disabilities. Not all states offer D-SNP plans, if you meet the Medicare and Medicaid requirement, and live in one of the following states, you may want to explore further steps to reduce health care costs: Alabama, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Michigan, Mississippi, Missouri, Nebraska, North Carolina, Nevada, New Jersey, New York, Ohio, Pennsylvania, Texas, Virginia, and West Virginia.

BENEFITS OF DUAL ELIGIBLE SPECIAL NEEDS PLANS

What do Dual Eligible Special Needs Plans cover?

If you qualify for a dual eligible special needs plan, there are a number of additional benefits in addition to Medicare and Medicaid to significantly reduce your healthcare costs. D-SNPs are included as part of Medicare Advantage Plans, meaning they offer many of the same benefits. This includes: