Dual Special Needs Plans provide nuanced care for a complex population. How well do you know DSNP? Test yourself! Take the DSNP knowledge quiz.
Medicare is a federal program that provides health coverage if you are 65+ or under 65 and have a disability, no matter your income. Medicaid is a federal-state partnership that is administered by states and is primarily for people with low incomes.
Medicare is a federal program that provides health coverage if you are 65+ or under 65 and have a disability, no matter your income. Medicaid is a federal-state partnership that is administered by states and is primarily for people with low incomes.
Individuals may qualify for BOTH Medicare and Medicaid, because of their age and/or their disability status and income. When someone qualifies for both programs, they are referred to as dually eligible.
Individuals may qualify for BOTH Medicare and Medicaid, because of their age and/or their disability status and income. When someone qualifies for both programs, they are referred to as dually eligible.
Medicare provides health care coverage for those 65 and over, as well as those under 65 with a disability, regardless of their income.
Medicare provides health care coverage for those 65 and over, as well as those under 65 with a disability, regardless of their income.
There are roughly 12 million individuals dually eligible for Medicare and Medicaid in the United States. These individuals typically have complex medical and social needs and require a coordinated set of health care and social services.
There are roughly 12 million individuals dually eligible for Medicare and Medicaid in the United States. These individuals typically have complex medical and social needs and require a coordinated set of health care and social services.
41% of dually eligible individuals have at least one mental health diagnosis, 49% receive Long-Term Services and Supports, and 60% manage multiple chronic conditions.
41% of dually eligible individuals have at least one mental health diagnosis, 49% receive Long-Term Services and Supports, and 60% manage multiple chronic conditions.
When it comes to paying for services, the Medicare program always pays first, and Medicaid picks up the cost share or covers certain services as primary payer that Medicare may not cover.
When it comes to paying for services, the Medicare program always pays first, and Medicaid picks up the cost share or covers certain services as primary payer that Medicare may not cover.
Under each program, individuals typically have the opportunity to receive their services through fee-for-service or managed care arrangements. In fee-for-service, individuals have a Medicare and/or Medicaid card and are able to go to any provider willing to accept Medicare and/or Medicaid. Customer support is limited, and there are no clinical programs or additional benefits.
Under each program, individuals typically have the opportunity to receive their services through fee-for-service or managed care arrangements. In fee-for-service, individuals have a Medicare and/or Medicaid card and are able to go to any provider willing to accept Medicare and/or Medicaid. Customer support is limited, and there are no clinical programs or additional benefits.
There is a specific Medicare Advantage plan that serves individuals who are dually eligible for Medicare and Medicaid, known as Dual Eligible Special Needs Plans, or DSNPs. These plans are tailored to the unique needs of the dual eligible population. DSNPs, which are available only through managed care, offer enhanced benefits and a streamlined experience for dual eligibles as they navigate multiple, complex programs.
There is a specific Medicare Advantage plan that serves individuals who are dually eligible for Medicare and Medicaid, known as Dual Eligible Special Needs Plans, or DSNPs. These plans are tailored to the unique needs of the dual eligible population. DSNPs, which are available only through managed care, offer enhanced benefits and a streamlined experience for dual eligibles as they navigate multiple, complex programs.
By signing up for a Managed Medicare or Managed Medicaid plan, individuals are able to access the same base benefits but get additional support, benefits and clinical programs offered through their health plan.
By signing up for a Managed Medicare or Managed Medicaid plan, individuals are able to access the same base benefits but get additional support, benefits and clinical programs offered through their health plan.
A DSNP offers individuals the same base benefits but get additional support, benefits and clinical programs offered through their health plan.
A DSNP offers individuals the same base benefits but get additional support, benefits and clinical programs offered through their health plan.
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