A Dual Eligible Special Needs Plan (D-SNP) is a type of Medicare Advantage plan for people who are entitled to Medicare and receive qualifying assistance from a state Medicaid program.
Eligibility varies
Medicaid eligibility categories, benefits, and cost sharing vary by state and individual eligibility level. Not every person with Medicare and some form of Medicaid assistance qualifies for every D-SNP. The plan must verify eligibility.
What to compare
- Whether the plan accepts your specific Medicare and Medicaid eligibility category
- Your doctors, hospitals, specialists, prescriptions, and pharmacies
- How Medicare and Medicaid services are coordinated
- Cost sharing, extra benefits, care management, transportation, and authorization rules
Extra benefits and zero-dollar cost sharing are not identical across all D-SNPs. Review the plan's current documents and your state Medicaid benefits before enrolling.