What is Humana Medicare Advantage Dual-Eligible Special Needs Plan?
Humana Medicare Advantage Dual-Eligible Special Needs Plan is an insurance plan designed specifically for individuals who qualify for both Medicare and Medicaid. These individuals are commonly referred to as dual-eligible beneficiaries.
The Humana Medicare Advantage Dual-Eligible Special Needs Plan provides all the benefits of Original Medicare, such as hospital insurance (Part A) and medical insurance (Part B), but with the added benefit of additional coverage not provided by Original Medicare. This includes prescription drug coverage (Part D), vision, dental, and hearing benefits, as well as coverage for fitness program memberships and transportation to medical appointments.
As a dual-eligible beneficiary, an individual can enroll in the Humana Medicare Advantage Dual-Eligible Special Needs Plan during a special enrollment period. This plan can provide a level of coverage that goes beyond what Original Medicare or Medicaid can provide on their own.
This plan is specifically designed to help individuals with lower income and limited assets receive the care that they need. In addition, the Humana Medicare Advantage Dual-Eligible Special Needs Plan is designed to help these individuals manage their health conditions more effectively and promote overall wellness.
In essence, the Humana Medicare Advantage Dual-Eligible Special Needs Plan is a comprehensive health care plan that offers individuals on Medicare and Medicaid the opportunity to receive extensive and tailored care specifically designed to meet their unique healthcare needs. With this plan, dual-eligible beneficiaries can receive the care they need while saving on their out-of-pocket expenses for medical care and prescription medications.
Frequently Asked Questions about humana medicare advantage dual-eligible special needs plan
Dual Special Needs Plans (D-SNPs) are Medicare Advantage (MA) plans that provide specialized care to beneficiaries dually eligible for Medicare and Medi-Cal, and offer care coordination and wrap-around services.
Find out more about the Humana Gold Plus SNP-DE H1036-304 (HMO D-SNP) plan - including the health and drug services it covers - in this easy-to-use guide. Humana Gold Plus SNP-DE H1036-304 (HMO D-SNP) is a Coordinated Care plan HMO with a Medicare contract and a contract with the Florida Medicaid program.
Dual Special Needs Plans (D-SNP) are defined as which of the following: Medicare Advantage Plans uniquely designed for consumers enrolled in BOTH Medicare and Medicaid.
Medicare and Medicaid provide health coverage to 12.5 million individuals who are enrolled in both programs, known as “dual-eligible individuals.” Medicare is their primary source of health insurance coverage, and Medicaid, jointly funded by federal and state governments, provides supplemental coverage.
Examples of extra benefits a Dual Special Needs Plan may provide include: Credits to buy health products. Transportation assistance. Care coordination via a personal care coordinator.
A Dual Eligible Special Needs Plan (D-SNP) is one type of SNP. It's a managed care plan for people who qualify for both Medicare and state Medicaid assistance or Medicaid. A D-SNP combines multiple coverages and coordinates Medicare and Medicaid benefits to make them easily accessible to people who have both.
SNPs are either HMO or PPO plan types, and cover the same Medicare Part A and Part B benefits that all Medicare Advantage Plans cover. However, SNPs might also cover extra services for the special groups they serve.
Medicare Special Needs Plans (SNPs) are a type of Medicare Advantage Plan that serve individuals with chronic or disabling conditions. These plans require eligible patients to receive care and services from doctors or hospitals in their Medicare SNP networks. SNP networks vary in size and the populations they serve.
What are Dual Special Needs Plans (DSNP)? Medicare Advantage Plans uniquely designed for consumers enrolled in both Medicare and Medicaid.
Dual-Eligible Enrollment by State
| State | Category |
|---|
| CT | 50,000 to 99,999 |
| DC | Less than 50,000 |
| DE | Less than 50,000 |
| FL | 400,000 or more |
C-SNPs are SNPs that restrict enrollment to special needs individuals with specific severe or disabling chronic conditions, defined in 42 CFR 422.2.
Medicare Dual Advantage (HMO SNP) is a Medicare Advantage plan for people who qualify for both Medicaid and Medicare. This plan helps coordinate your healthcare needs with no monthly premiums or deductibles.
A dual plan works together with your Medicaid plan. You keep all your Medicaid benefits. Plus, you could get many extra benefits and features for as little as $0 per month. Dual Special Needs plans have a $0 premium for members with Extra Help (Low Income Subsidy).
There are three different types of SNPs:
- Chronic Condition SNP (C-SNP)
- Dual Eligible SNP (D-SNP)
- Institutional SNP (I-SNP)
Medicare Special Needs Plans (SNPs) are a type of Medicare Advantage Plan that serve individuals with chronic or disabling conditions. These plans require eligible patients to receive care and services from doctors or hospitals in their Medicare SNP networks. SNP networks vary in size and the populations they serve.
Special Needs Plans are intended to provide targeted care to beneficiaries with special needs. A "special needs individual" is eligible for Medicare Parts A and B, and: Any of the qualifications listed in answers A, B, or C. Chronic SNPs (CSNPs) must reconfirm a beneficiary's eligibility: At least annually.
