Medicare
Dual-eligible special needs plans (D-SNPs): who they are for
A dual-eligible special needs plan is a Medicare Advantage plan built for people who have both Medicare and Medicaid. It coordinates the two programs and may include extra benefits, but it still has a network.
What it may offer
- One plan that works with both Medicare and Medicaid.
- Drug coverage included.
- Care coordination and sometimes extra benefits such as transportation or over-the-counter items.
- Little or no cost-sharing for people with full Medicaid, depending on the plan.
What to check
Confirm your doctors are in the network and that your state's Medicaid benefits work with the plan. Dual-eligible people can usually change plans more often than others, so you are not locked into a choice for the whole year.
Have this ready when you call
- Your Medicare and Medicaid cards
- Your doctors and medicines
- Your Medicaid plan details
Common questions
Do I have to join one?
No. You can stay in Original Medicare and keep Medicaid. A D-SNP is one option.
How do I know if I am dual eligible?
If you receive both Medicare and a Medicaid benefit, you may qualify. Your state Medicaid agency can confirm.
Related answers
Rather talk it through?
Call 855-367-1095 and a licensed agent will go through your situation with you. There is no charge to ask, and no obligation to enroll.
- Licensed insurance help
- No guaranteed eligibility, pricing, or availability
- Educational starting point
GetFastRates.com is not connected with or endorsed by the U.S. government or the federal Medicare program. Calling connects you with licensed insurance help. Plan availability, costs, benefits, and enrollment rules can vary by state, carrier, and individual situation.