Medicare and Medicaid Dual SNP (D- SNP)
Dual Eligible Special Needs Plans (D-SNPs)
Dual Eligible Special Needs Plans (D-SNPs) are a type of Medicare Advantage Plan (Part C) specifically designed for individuals who qualify for both Medicare and Medicaid. These plans provide integrated healthcare coverage and financial support, ensuring enrollees receive the comprehensive benefits they are entitled to through both programs.
Key Features of D-SNPs:
- Dual Eligibility: D-SNPs are for individuals who are entitled to both:
- Medicare (Title XVIII)
- Medicaid (Title XIX) assistance from a state plan
- Cost Assistance: States may cover certain Medicare costs, depending on state regulations and the individual’s Medicaid eligibility. This helps reduce out-of-pocket expenses for enrollees.
Comprehensive Coverage:
- Medicare Benefits: D-SNPs provide the same coverage as Original Medicare, including:
- Medicare Part A (Hospital Coverage)
- Medicare Part B (Medical Coverage)
- Medicaid Benefits: D-SNPs coordinate with Medicaid to cover additional healthcare services and long-term care, depending on the individual’s Medicaid eligibility.