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Dual Special Needs Plans

If you qualify for Medicare and Medicaid, you can opt into a Dual Eligible Special Needs Medicare plan. These plans provide special coverage for people who are enrolled in both Medicare and Medicaid. They help people with the highest needs to cover their out-of-pocket costs for health care services.
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If you fall into this category and are interested in acquiring dual eligible coverage, here’s what you need to know.

What is a Medicare Special Needs Plan?

Special Needs Plans, or SNPs, provide benefits and services to people that have specific health care needs or limited incomes. These plans are tailored to meet the specific needs of their members. Everything from benefits to provider choices, to covered drugs, are all chosen with great care to ensure the best outcomes for plan participants.

Dual Eligible Special Needs Plans

If you are above age 65 and have certain health conditions or limited finances, you may be qualified for both federal and state public health insurance. Nearly 12 million Americans fall into this category, so if you’re one of them, don’t wait to enroll in a Dual Eligible Special Needs Plan (D-SNP). These private health plans coordinate care and benefits across Medicare, a federal program, and Medicaid, a state-level program.

What Do D-SNPs Cover?

D-SNPs are designed to keep you healthy at a low cost. They have $0 monthly premiums and cover everything that other Medicare Advantage plans are required to cover. Here is a list of benefits offered by D-SNPs:
  • Care coordination services
  • Part D prescription drug coverage
  • Transportation to medical appointments
  • Telehealth services
  • Vision and hearing benefits
  • Fitness memberships
You can get additional benefits, but not all D-SNPs offer them. An example is dental coverage.

Find a D-SNP That Fits You

If you are qualified to receive both Medicare and Medicaid benefits, you shouldn’t wait to get a D-SNP. These plans can provide you with additional benefits that wouldn’t be available through other Medicare Advantage plans. To learn more about Special Needs Plans, contact Magellan Healthcare. We’ll help you get started with collecting quotes on qualifying coverage in your area.
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