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Understanding Dual Eligibility for Medicare and Medicaid

Full-Benefit and Partial-Benefit Dual Eligibility

Dual eligible individuals can qualify for both Medicare and Medicaid. Full-benefit dual eligibility means you receive assistance from both programs, while partial-benefit dual eligibility means you get assistance from one program that fills in the gaps of the other.

Medicare as Your Primary Insurer

Medicare typically serves as the primary insurer for dual eligible individuals, covering many healthcare services.

Dual Eligible Special Needs Plans (D-SNPs)

For those who are dual eligible, considering a Dual Eligible Special Needs Plan (D-SNP) can offer additional benefits. However, remember to enroll in Medicare before joining a D-SNP plan.

Choosing Between Traditional Medicare or a D-SNP

When deciding between traditional Medicare and a D-SNP, consider your specific healthcare needs and coverage preferences to make an informed choice.

Coordinating Benefits

Understand the options available to you for coordinating benefits between Medicare and Medicaid to optimize your healthcare coverage.

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