Dual-Eligible Special Needs Plans

Dual Eligible Special Needs Plans (D-SNPs) are for those who are qualified to receive both Medicare and medical assistance from a state plan under Medicaid. 

With a D-SNP, you will keep your Medicaid and Medicare benefits while getting additional coverage at no extra cost.

What additional benefits do Dual Eligible Special Needs Plans provide?

D-SNPs are a type of Medicare Advantage plan. It provides your Medicare Part A and B benefits along with some additional benefits including: 

  • Adult day-care services
  • Dental
  • Fitness club memberships
  • Hearing
  • Over-the-counter medications
  • Prescription drug coverage
  • Services and supports for those with chronic conditions
  • Transportation to doctor visits
  • Vision
  • Wellness Programs

Enrollment and plan changes for Dual-Eligible Special Needs Plans

You can make changes to your D-SNP throughout the year. 

Medicare Advantage Open Enrollment Period is from January 1 to March 31.

During this time, you can switch to another Advantage plan (only once per year).

If it better suits you, you can also return to Original Medicare and select a Medicare Part D plan to fulfill your prescription drug needs.

You’ll also be able to make changes during the annual election period from October 15 through December 7.

Eligibility for D-SNPs

Since the Medicaid program varies from state to state and is run by your state government, the rules of eligibility for Medicaid will depend on where you live. 

However, if you have low income or get financial help such as supplemental security income (SSI), you may qualify for Medicaid. 

If you are eligible for Medicaid or already have it, then it’s just a matter of enrolling in Medicare Parts A and B. 

Once you are receiving benefits from both Medicaid and Medicare, you are then eligible for a D-SNP.