Dual Eligible Special Needs Plans

Dual Eligible Special Needs Plans (D-SNPs) enroll individuals who are entitled to 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, meaning it provides your Medicare Part A and B benefits along with some additional benefits including: 

  • Dental
  • Fitness memberships
  • Hearing
  • Nutrition programs
  • Over-the-counter drugs
  • Services for those with chronic conditions
  • Transportation to healthcare appointments
  • Vision
  • Wellness programs
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You can make plan changes throughout the year

As an added bonus, you can make changes to your D-SNP throughout the year. Not just during the annual election period.

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.

How to know if you’re eligible

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. 

So, if you have — or find out you can get — Medicaid, are enrolled in Medicare Parts A and B, and live in the service area of the plan you are interested in, you are eligible for a D-SNP.