Medicare 101

Medicare vs Medicaid

Medicare and Medicaid are different programs. Medicare is federal health insurance mainly for people 65+ and some younger people with disabilities or specific conditions. Medicaid is a joint federal-state program; eligibility categories, income and resource rules, and covered services vary by state. Some people qualify for both and may get help with Medicare costs or drug costs, depending on their Medicaid coverage.

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Dual eligibility

If you have Medicare and Medicaid, you may be eligible to enroll in a D-SNP if you meet that plan’s Medicaid-related criteria and live in its service area. Premiums, cost-sharing, and extra benefits vary by plan and Medicaid category; some plans offer limited food or OTC benefits. Your state Medicaid agency determines Medicaid eligibility. We can help review plans we represent and their stated requirements, but cannot determine Medicaid eligibility.

Questions, answered

Can I have Medicare and Medicaid at the same time?

Yes. If you have Medicare and Medicaid, you may qualify for a D-SNP if you meet the plan's eligibility rules and live in its service area. Costs and any extra benefits vary by plan and Medicaid category; confirm details with the plan and your state Medicaid agency.

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