Full-Benefit Dual Eligibility

Individuals who are eligible for Medicaid and also enrolled in Medicare Parts A and B are sometimes referred to as “full duals.” Unlike individuals with partial-benefit dual eligibility, who only receive help with some Medicare costs, full duals receive all the Medicaid benefits in their state as well. These benefits vary by state, but may include additional coverage for long-term care. Full duals are also eligible for Medicare Advantage Dual Special Needs Plans (D-SNPs).

full-benefit-dual-eligibility

Medicare Advantage Plans for Full Duals

Medicare Advantage Dual-Eligible Special Needs Plans (D-SNPs), offered by private insurance companies, bundle Medicare benefits and are designed to specifically meet the needs of people who have both Medicare and Medicaid. This allows the insurance company to designate those funds more effectively and offer additional benefits that are more specific.

These plans may include additional benefits like:

  • Dental
  • Vision
  • Hearing
  • Telehealth doctor visits via your smartphone, computer, or tablet
  • Fitness benefits, such as SilverSneakers®
  • Prescription drug coverage (Part D)
  • Meal delivery
  • Transportation to and from doctor visits
  • Over-the-counter allowance for products such as vitamins, toothpaste, and allergy medicine
 

Find Medicare Advantage Dual-Eligible Special Needs Plans That May be Available in Your Area

Call 1-855-918-3272 / TTY 711

To speak to a licensed insurance agent

8 a.m. - 9 p.m. Eastern, Monday-Friday