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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.
Average annual per-capita spending for "dual-eligibles" is $20,000, [157] compared to $10,900 for the Medicare population as a whole. [91] The dual-eligible population comprises roughly 20 percent of Medicare's enrollees but accounts for 36 percent of its costs. [158]
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.
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 ...
According to a 2020 data analysis brief, 37.9% of dual-eligible beneficiaries met Medicare requirements based on a disability in 2019. Eligibility for Medicare Anyone 65 years of age or older can ...
In addition, a growing number of people are signing up for Medicare Advantage plans created specifically for those who are dual-eligible. According to KFF, 5.2 million dual-eligible individuals ...