What are Dual Eligible Special Needs Plans (D-SNPs)?


D-SNPs are Medicare Advantage plans specifically designed for individuals who qualify for both Medicare and Medicaid, often known as "dual eligibles" or "duals."

Medicare


Medicare is a federal health insurance program primarily catering to people aged 65 and older, along with certain younger individuals with disabilities. It consists of several parts, including:

Part Description
Part A Hospital Insurance
Part B Medical Insurance
Part C Medicare Advantage
Part D Prescription Drug Coverage

Medicaid


Medicaid, on the other hand, is a joint federal and state program aimed at providing health coverage to low-income individuals and families. It covers a broad range of services, including hospital visits, doctor's appointments, long-term care, and more.

Features


D-SNPs are distinguished by their focus on integrated care, combining medical, behavioral, and long-term services and supports. Here are some key features of D-SNPs:

Comprehensive Coverage

Care Coordination