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Dual Eligible Special Needs Plans (D-SNPs) enroll individuals who are entitled to both Medicare and medical assistance from a state plan under Medicaid. States cover some Medicare costs, depending on the state and the individual’s eligibility.
The Medicaid eligibility categories encompass all categories of Medicaid eligibility including:
At the time of plan creation, each D-SNP must identify whether or not if offers Medicare zero-dollar cost sharing. In HPMS, D-SNPs will have the option of one of the following two indicators:
These two indicators will be used in multiple areas within HPMS and are essential to the proper display of benefits in Medicare Plan Finder.
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