Discover the Benefits of a Dual Special Needs Plan (D-SNP)
If you qualify for both Medicare and Medicaid, you may be eligible for a Dual Special Needs Plan (D-SNP). These specialized Medicare Advantage plans are designed to provide extra support for people who have both health coverage types and may need help managing their care and benefits.
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What is a Dual Special Needs Plan (D-SNP)?
A D-SNP is a type of Medicare Advantage plan that combines your Medicare and Medicaid coverage into one convenient plan. It’s tailored to meet the unique needs of people with both Medicare and Medicaid, helping coordinate your care and potentially offering extra benefits beyond Original Medicare.
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With a D-SNP, you still receive all your Medicare Part A (hospital) and Part B (medical) benefits, and many plans include Medicare Part D (prescription drug) coverage. Your Medicaid benefits will continue as well, and the D-SNP helps coordinate between both programs.
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Who Qualifies for a D-SNP?
You may qualify for a D-SNP if:
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You have Medicare Part A and Part B, and
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You receive full Medicaid benefits or qualify for one of the Medicare Savings Programs (such as QMB, SLMB, or QI).
Eligibility can vary by state and plan, so it's important to confirm with a licensed insurance agent or your state Medicaid office.
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Extra Benefits You May Qualify For
Many D-SNPs offer additional benefits at no extra cost beyond your regular Medicaid and Medicare coverage. These benefits vary by plan and location but may include:
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Assistance with food costs (such as grocery cards or food delivery services)
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Transportation to and from medical appointments
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Over-the-counter (OTC) items like vitamins, cold medicine, and first aid supplies
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Dental, vision, and hearing coverage
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Care coordination and personalized support from a care manager
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Note: These benefits are not guaranteed and may not be available in all plans. Availability depends on the plan you choose and your specific eligibility.
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Why Consider a D-SNP?
A D-SNP helps simplify your healthcare. You’ll have one plan and one card, and often a dedicated care team that understands how Medicare and Medicaid work together. It’s a way to get more from your healthcare coverage without paying more.
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Next Steps
Want to learn more? A licensed insurance agent can help you:
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Check your eligibility
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Understand what benefits you may qualify for
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Find a D-SNP available in your area
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Disclaimers:
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This is not a complete description of benefits. Contact the plan for more information.
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Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, provider network, premium, and/or copayments/coinsurance may change on January 1 of each year.
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You must continue to pay your Medicare Part B premium, unless otherwise paid for by Medicaid or another third party.
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Not all D-SNPs offer all extra benefits. Availability may vary by plan and service area.
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For accommodations of persons with special needs at meetings, call 816-583-0040.
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General disclaimers
This website is operated by MediLife & Health, LLC. Nothing contained herein constitutes nor is intended to constitute an offer, inducement, promise, or contract of any kind, or a recommendation to purchase insurance from any particular insurance company at any particular level of benefits or plan design. MediLife & Health, LLC is not an insurance company. In offering this website, MediLife & Health, LLC is required to comply with all applicable federal laws, including the standards established under 45 CFR 155.220(c) and (d) and standards established under 45 CFR 155.260 to protect the privacy and security of personally identifiable information. MediLife & Health, LLC intends that the general and insurance specific information contained on this web site be accurate and reliable, however, MediLife & Health, LLC makes no warrantees or representations as to the completeness, accuracy or timeliness of the web site materials. The company will not be liable for any damages of any kind from or relating to the use of, or reliance upon, results obtained by users from the web site and related services.
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The benefits mentioned are Special Supplemental Benefits for the Chronically Ill (SSBCI). You may qualify for SSBCI if you have a high risk for hospitalization and require intensive care coordination to manage chronic conditions such as Chronic Kidney Diseases, Chronic Lung Disorders, Cardiovascular Disorders, Chronic Heart Failure, or Diabetes. For a full list of chronic conditions or to learn more about other eligibility requirements needed to qualify for SSBCI benefits, please refer to Chapter 4 in the plan’s Evidence of Coverage.
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We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1–800–MEDICARE (TTY users should call 1-877-486-2048) 24 hours a day/7 days a week to get information on all of your options.
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