Dual Eligible Special Needs Plans (D-SNPs) In California

Medicare Advantage D-SNPs are for people eligible for both Medicare and Medicaid. These plans offer coordinated care and extra coverage not available with Original Medicare.

Extra Care, Resources, And Support With Dual Special Needs Plans

 

Are you eligible for both Medicare and Medicaid? If so, you might qualify for a Dual Eligible Special Needs Plan (D-SNP). These plans offer extra coverage you won’t receive with Original Medicare, like dental, vision, and prescription drug benefits, and coverage for over-the-counter health items.

Am I Eligible For A D-SNP? 

 

You’re eligible for a D-SNP if you receive both Medicare and Medicaid benefits. You can learn more about Medicare and Medicaid if you’re not sure which program you qualify for.

 

If you qualify for both programs and we offer a D-SNP where you live, it could be worth exploring the extra coverage.

Benefits In Dual Eligible Medicare Plans

 

Our D-SNPs give you dental, vision, hearing, and prescription drug coverage. Make sure to check your area for specific coverage, as it can vary from state to state.

Preventive care

Routine physicals and health screenings 

Dental, vision and hearing

Routine teeth cleaning, eye exams and health screenings

Transportation

Rides to health-related appointments

24/7 NurseLine

24-hour health support from a registered nurse

Personal emergency response system (PERS)

Contact a caregiver or emergency services at the touch of a button

Over-the-counter (OTC) benefit

Coverage for OTC health products

Compare SNPs With Other Medicare Advantage Plans

 

If you’re not eligible for a D-SNP, we offer other types of SNPs, including Chronic Condition Special Needs Plans (C-SNPs). Our Medicare Advantage plans also offer similar benefits. You just need to be enrolled in Original Medicare to apply.

 

 

How To Enroll In A Dual Eligible Special Needs Plan

 

If you qualify for Medicaid and are enrolled in Medicare, you may be able to enroll in a Dual Special Needs Plan. You can enroll or switch dual plans once per Special Enrollment Period (SEP) or during the Medicare Annual Enrollment Period (AEP). After you’re enrolled in a dual health plan, you don’t have to renew.

 

Find the D-SNP plan that is right for you.

   

Frequently Asked Questions About Dual Eligible Special Needs Plans

  • Medicare provides health coverage to those older than 65 and to some younger individuals with certain disabilities, at any income level
  • Medicaid provides health coverage for people with low incomes

Many D-SNPs have a $0 monthly premium, depending on where you live. You still need to pay your Medicare Part B premium. Costs for deductibles, copays, and other cost-sharing for services vary with the plan.

 

If you have Medicaid coverage that provides Medicare cost-sharing protections, you won’t have to pay Medicare deductibles and copays while seeing doctors in your Dual Eligible Special Needs Plan’s network.

Dual eligible means that you are eligible for both Medicare and Medicaid coverage. These plans provide extra coverage you don’t receive with Original Medicare, like dental, vision, and prescription drug benefits, and coverage for over-the-counter health items.

Attend A Free Medicare Event

Sign up for a free Medicare event to learn how Anthem Medicare plans help cover costs that Original Medicare doesn’t. You can attend a virtual Medicare webinar. Or, if you prefer, come to a live seminar in your area where a Medicare licensed agent will be present to answer your questions.

Find An Event

Anthem Blue Cross is an HMO & LPPO plan with a Medicare contract. For Dual-Eligible Special Needs Plans: Anthem Blue Cross is an HMO SNP plan with a Medicare contract and a contract with the California Medicaid program. Anthem Blue Cross Life and Health Insurance Company is an LPPO plan with a Medicare contract. Enrollment in Anthem Blue Cross depends on contract renewal.