|
|
|
Contact DSHS (Dept. Social and Health Health Services)
Washington -
|
|
Special Needs Plans
There are many types of plans depending upon your level of qualification. What is a D SNP? Dual Eligible Special Needs Plans - or D SNP's for short - are a special type of Medicare Advantage plan that provides health benefits for people who are “dual eligible,” meaning they qualify for both Medicare and Medicaid. States determine which D SNP's can be offered and the benefits provided. More Info |
|
|
Generally speaking, D SNP’s may include:
Vertical Divider
|
A DSNP plan will include coverage for hospital services (Medicare Part A), medical health care needs (Medicare Part B), and prescription drugs (Medicare Part D) through a single plan. With a DSNP there may also be social services
|
|
|
Dual Eligible
The term dual-eligible beneficiaries refers to those qualifying for both Medicare and Medicaid benefits. Dual Eligible are often in poorer health and require more care compared with other Medicare and Medicaid beneficiaries. They often qualify for D-SNP coverage. There are two categories of Dual Eligible, those who have full dual benefits and those who have partial dual benefits.
The term dual-eligible beneficiaries refers to those qualifying for both Medicare and Medicaid benefits. Dual Eligible are often in poorer health and require more care compared with other Medicare and Medicaid beneficiaries. They often qualify for D-SNP coverage. There are two categories of Dual Eligible, those who have full dual benefits and those who have partial dual benefits.
- FBDE Full Benefit Dual Eligible – Persons with this status have their Medicare/Medicaid premiums, deductibles, and coinsurance paid by the state administering the Medicare Savings Program. They have a $0 cost share.
- QDWI Qualified Disabled & Working Individual – This is a level of Medicaid qualification. Individuals are eligible for Medicaid payments of the Medicare Part A premiums only. They are not otherwise eligible for Medicaid. This is one of the 4 statuses that are referred to as Medicare Savings Plans or MSP. See MSP.
- QI Qualifying Individual – This is a level of Medicaid qualification. Medicaid pays their Medicare Part B premiums only. They are not otherwise eligible for Medicaid benefits. This is one of the 4 statuses that are referred to as Medicare Savings Plans or MSP. See MSP.
- QMB (only) Qualified Medicare Beneficiary – This is a level of Medicaid qualification. Medicaid pays their Medicare Part A and B premiums, deductibles, coinsurance, and copayment amounts only. They receive Medicaid coverage of Medicare cost-share but are not otherwise eligible for full Medicaid benefits. This is one of the 4 statuses that are referred to as Medicare Savings Plans or MSP. See MSP.
- QMB+ (Plus) Qualified Medicare Beneficiary Plus – This is a level of Medicaid qualification. Medicaid pays their Medicare Part A and B premiums, deductibles, coinsurance, and copayment amounts. They receive Medicaid coverage of Medicare cost-share and are eligible for full Medicaid benefits.
- SLMB (only) Specified Low-Income Medicare Beneficiary – Medicaid pays their Medicare Part B premiums only. They are not eligible for other Medicaid benefits. This is one of the 4 statuses that are referred to as Medicare Savings Plans or MSP. See MSP.
- SLMB+ (Plus) Specified Low-Income Medicare Beneficiary Plus – Medicaid pays their Medicare Part B premium and provides full Medicaid benefits.
Thank You for your information... Next Step, Book Your Appointment...
