What Does Dual Eligible Mean?



People who are dual-eligible qualify for Medicare and Medicaid benefits at the same time. Dual-eligibles may be categorized as full-benefit or partial-benefit. Those with full benefits may receive the entire range of Medicaid benefits; those with partial benefits do not receive Medicaid-covered services, but Medicaid covers their Medicare premiums or cost-sharing.


Dual-eligible individuals can qualify for special Medicare plans. These plans are called Dual Special Needs Plans or D-SNP. It is an all-in-one plan that combines your Medicare Part A and Part B benefits, your Medicare Part D prescription drug coverage, your Medicaid benefits and additional health benefits such as vision, dental or fitness at a low or zero premium cost.