By Marc Gilman
For additional information, please call: (800) 927-9326 or email:
What Are the Eligibility Requirements for a D-SNP?
Dual Eligible SNP (D-SNP) — You are eligible if you qualify for both Medicare and Medicaid. D-SNPs contract with your state Medicaid program to help coordinate your Medicare and Medicaid benefits, depending on your state and your specific eligibility.
Some D-SNPs, called “integrated D-SNPs,” combine both your Medicare benefits and most or all of your Medicaid benefits and services through a single plan. There are different types of integrated D-SNPs, but all of them must:
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Give you one member ID card that works for both your Medicare and Medicaid coverage.
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Offer a single health risk assessment that covers both programs.
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Provide you with a care coordinator or case manager to help manage your health care and develop a personal care plan — a customized plan that covers your medical and social needs, health goals, and coordination of care.
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Have one process for both appeals and complaints (grievances) related to either your Medicare or Medicaid coverage.
Plan Availability Varies By:
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Geographic location (state and county).
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Which SNP types or chronic conditions the plan covers.
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Enrollment periods and other requirements.
You can only stay enrolled in an SNP if you continue to meet the special eligibility rules for that SNP.
For additional information, please call: (800) 927-9326 or email:
