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For dual-eligible beneficiaries, Medicare is typically the primary payer, while Medicaid covers costs that Medicare may not fully cover, such as home-based services, personal care, and nursing ...
People in Virginia who have questions about Medicare can contact the Virginia Insurance Counseling & Assitance Program (VICAP) at 800-552-3402. Individuals can also contact Medicare directly 24/7 ...
Medicare and Medicaid: Dual eligibility. A person may be eligible for both Medicare and Medicaid, which makes them dually eligible. This article looks at the rules, qualifying criteria, and more.
In addition, dual-eligibles may choose a type of MA plan called a dual-eligible special needs plan (D-SNP), which is designed to target the needs of this population. For Medicaid benefits, beneficiaries generally enroll in their state's Medicaid FFS program or a Medicaid managed care plan administered by an MCO under contract with the state.
Medicare.gov logo. Medicare Advantage (Medicare Part C, MA) is a type of health plan offered by private companies which was established by the Balanced Budget Act (BBA) in 1997. This created a private insurance option that wraps around traditional Medicare. Medicare Advantage plans may fill some coverage gaps and offer alternative coverage ...
Eligibility requirements for Medicare and Medicaid. ... According to KFF, 5.2 million dual-eligible individuals were enrolled in Medicare Advantage Dual-Eligible Special Needs Plans ...
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