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Some individuals are eligible for Medicare cost assistance, but not full Medicaid benefits. This is often described as “partial-benefit dual eligibility” or “partial duals.” An individual in this category would often be on a Medicare Savings Program, which might cover Part A or B premiums, and some deductibles or copays. Eligibility for those programs is based on income and assets.
If you are on a Medicare Savings Program, you may still be eligible for a Medicare Advantage Dual-Eligible Special Needs Plan (D-SNP). These plans, 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:
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