Dual Special Needs Plans

Dual Special Needs Plans

Medicare Advantage has special types of plans for people with certain needs. These are called Special Needs Plans. There are multiple types of Special Needs Plans (SNP) for people with those needs. One population a SNP targets is dual-eligible people. Those are people who are eligible for both Medicare and Medicaid. Read more below to learn about SNPs in general and how a Dual Eligible Special Needs Plan, D-SNP, may work for you. 

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SNP Overview

In general, SNPs were made for three different populations: people who are institutionalized, people who are eligible for both Medicaid and Medicare, and people who have severe or disabling chronic conditions as defined by the Centers for Medicare and Medicaid Services (CMS). SNPs come in many forms, like a Health Maintenance Organization (HMO) or Preferred Provider Organization (PPO). 

Qualifying for a D-SNP

In order to qualify for a D-SNP, you need to be eligible for both Medicare and Medicaid. To be eligible for Medicare, you have to belong to one of the following: people 65 and over, younger people with End Stage Renal Disease, and younger people with disabilities. To qualify for Medicaid, you have to check your state’s criteria. Medicaid eligibility is based on income and is for low-income people. If you are eligible for both Medicare and Medicaid, you’re eligible for a D-SNP. 

Advantages of a D-SNP

One of the main advantages of a D-SNP is decreasing your costs. It also allows your doctors to coordinate your care much better, creating a better environment to help you achieve your goals. These plans also generally offer more bonuses than other Medicare Advantage Plans.

Based in the greater Wichita, Kansas area, we can help you achieve your health and financial goals. Call us at Medicare With Jake to get started with Medicare today!