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

If you have both Medicare and Medicaid, you can enroll in an Anthem Dual Special Needs Plan, or D-SNP. It's a Medicare Advantage (Part C) plan that supports the whole health of our Indiana members, all in one simple plan.

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Am I Eligible For A D-SNP?

Medicare Advantage Dual Special Needs Plans are for people eligible for both Medicare and Medicaid. These plans offer coordinated care and additional coverage not available with Original Medicare.^‡ An Indiana D-SNP from Anthem can make life easier and help you stretch your budget.

Count On Valuable Benefits With An Anthem D-SNP In Indiana

With an Anthem D-SNP, you'll keep your Medicaid coverage and get additional Medicare Advantage benefits that really add up. Depending on your eligibility, Anthem offers full and partial D-SNPs based on your Medicaid status.* We also offer Fully Integrated Dual Eligible (FIDE) plans for those that have Indiana PathWays for Aging.

Benefits Prepaid Card

Over-the-counter health items, healthy foods,^1, 2 and utilities^1, 2

$0 - $25.90 Premiums

Monthly premiums range from $0 up to $25.90 based on your level of Medicaid eligibility

$0 Copays

$0 prescription drug copays means your money goes further

Dental and Vision Benefits

Routine exams, cleanings, and a yearly eyewear allowance

Hearing Benefits

Routine hearing exams and hearing aids

Transportation

Rides³ included to plan-covered services

Fitness Program

Stay in shape with free access to SilverSneakers^® fitness programs

Dedicated Support Team

Helps you understand your benefits and get the most out of your plan

Large Network

Large network of doctors and hospitals

*Plan availability, premiums, copays, deductibles, benefits, and benefit amounts may vary based on where you live, the plan you choose, and your eligibility.

Indiana PathWays For Aging And Fully Integrated Dual Eligible (FIDE) Plans

If you are enrolled in or eligible for both Medicare and the Indiana PathWays for Aging (PathWays) program, Anthem’s PathWays for Aging Dual Care (PathWays Dual Care) plan might be a good choice for you.

PathWays is a program for Hoosiers aged 60 and over who receive Medicaid (or Medicaid and Medicare) benefits offered by the Indiana Family and Social Services Administration.

With an Anthem PathWays plan, we’ll help you get the services and support you need to live as independently as possible. The program will not change or expand your Medicaid benefits. Each qualifying Hoosier will have a care and services coordinator. These coordinators will help you get all the benefits you qualify for.

The Anthem PathWays Dual Care plan is a Fully Integrated Dual Eligible (FIDE) plan, which means all your care for both Medicaid and Medicare benefits are seamlessly managed by Anthem.

The Anthem PathWays Dual Care Advantage NFLOC (HMO D-SNP) is for people that need a Nursing Facility Level of Care.

Learn more about Anthem and Indiana PathWays

Flex Card: Great Benefits On One Card

With a D-SNP, you can get an Anthem Benefits Prepaid Card with a monthly or quarterly allowance that you can use to pay for everyday items and expenses, such as:

Over-the-counter (OTC) health items

Healthy foods^1, 2

Assistive devices

Utilities^1, 2

Dental, vision, or hearing out-of-pocket costs

Your card is preloaded, so it's ready to use just like a prepaid credit or debit card.

Smart Tip: Check to see if your doctors are in our network, and your prescriptions are covered with our easy-to-use tool.

When Can I Enroll In A D-SNP?

If you have Medicare Part A and Part B, you can enroll in a Dual Special Needs Plan the month you become eligible for Medicaid.

If you are already enrolled in a D-SNP plan, you may be able to change plans monthly depending on your current plan and/or the plan you want to enroll in. And if you've had a life event such as moving, losing coverage or newly eligible for Medicare, you may qualify for a Special Enrollment Period. You can always change plans during the Annual Enrollment Period from October 15 to December 7 every year.

Shop Dual Special Needs Plans

Smart Tip: If you're not eligible for a D-SNP, Anthem offers other Medicare Advantage plans that might be right for you.

Frequently Asked Questions About D-SNPs

Full dual eligible means you receive full Medicaid benefits from your state’s program. Your Medicare Part A and B premiums and nearly all of your out-of-pocket costs may be paid based on your state’s program.

Partial dual eligible means you qualify for Medicaid but based on your income, you don’t receive full medical benefits. Depending on your state, you may have to pay some out-of-pocket costs for premiums and medical care.

No, not at all. A D-SNP lets you keep all your Medicaid benefits and coordinates them with your Medicare coverage. That way you can access all your benefits more easily. With an Anthem D-SNP, you'll get valuable benefits and the support you need.

It's important to keep in mind that you need to renew your Medicaid coverage every year to stay enrolled in a D-SNP. Medicaid benefits are reviewed by the state agency to make sure you're still eligible. You will get a notification from your state agency when it's time to complete your renewal. Make sure to return it right away because if your Medicaid coverage isn't renewed, you may lose eligibility for a D-SNP as you need both Medicaid and Medicare. Call us if you have any questions about your eligibility or plan options.

Read Our Medicare Articles

Compare the differences between Medicare and Medicaid plans. You can also take a deeper dive and learn about Medicare Advantage enrollment, benefits, and more.

Broaden Your Knowledge

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^‡Original Medicare: Part A (Hospital Insurance) and Part B (Medical Insurance).

¹Members may receive a monthly or quarterly allowance in the form of a benefits prepaid card to pay for a wide range of approved healthy foods and utilities. Unused amounts will expire at the end of the month or quarter. Benefits vary by plan.

²The benefits mentioned are Special Supplemental Benefits for the Chronically Ill (SSBCI). You may qualify for SSBCI if you have a high risk for hospitalization and require intensive care coordination to manage chronic conditions such as Chronic Kidney Diseases, Chronic Lung Disorders, Cardiovascular Disorders, Chronic Heart Failure, or Diabetes. For a full list of chronic conditions or to learn more about other eligibility requirements needed to qualify for SSBCI benefits, please refer to Chapter 4 in the plan's Evidence of Coverage.

³Transportation services are issued as one-way trips and provided on an annual basis. Benefits vary by plan.

The Benefits Mastercard^® Prepaid Card is issued by The Bancorp Bank, N.A., Member FDIC, pursuant to license by Mastercard International Incorporated. Mastercard is a registered trademark, and the circles design is a trademark of Mastercard International Incorporated. This is a benefits card that can only be used at certain Mastercard merchants participating in this program and will be authorized for qualified purchases as set forth in your Terms and Conditions. Valid only in the U.S. No cash access. Other languages are available upon request.

The SilverSneakers fitness program is provided by Tivity Health, an independent company. Please talk to your doctor before starting an exercise program. SilverSneakers, the SilverSneakers shoe logo type and SilverSneakers Flex are registered trademarks of Tivity Health, Inc. © 2025 Tivity Health, Inc. All rights reserved.

Plan availability, premiums, copays, deductibles, benefits, and benefit amounts may vary based on where you live, the plan you choose, and your eligibility.

Anthem Blue Cross and Blue Shield, a Medicare Advantage Organization with a Medicare Contract offers HMO, PPO, D-SNP, C-SNP, and/or I-SNP plans. Anthem Blue Cross and Blue Shield D-SNP plans contract with state Medicaid programs. Anthem Blue Cross and Blue Shield Retiree Solutions, a Medicare Organization with a Medicare Contract in New York offers PPO plans. Enrollment in Anthem Blue Cross and Blue Shield and Anthem Blue Cross and Blue Shield Retiree Solutions plans depend on contract renewal.