How to Qualify for a Medicare Dual-Eligible Special Needs Plan (D-SNP)

These plans with extra benefits are for people who qualify for both Medicare and Medicaid.

A D-SNP Medicare plan is a type of Medicare Advantage (MA) plan made for those eligible for both Medicare and Medicaid. These dual special needs plans combine standard Medicare benefits with your state Medicaid program, adding extra support—often at no cost. If your income is limited, you may qualify. Enrollment is open year-round.

Step 1: Qualify for Medicare

• Be 65+, or under 65 with a qualifying disability (SSDI for 24+ months, ALS, ESRD).
• Must be enrolled in Part A and Part B.

Step 2: Qualify for Medicaid

• Eligibility usually depends on income and assets (not your home).
• If you qualify, you may fall into: QMB, SLMB, QI, or FBDE.
• These programs can pay Part A and B premiums, copays, deductibles, and offer extra services.

How to Confirm Eligibility

• Apply for Medicaid through your state.
• Visit Medicare.gov or talk to a licensed agent.
• Be ready to prove both Medicare and Medicaid coverage.

Why This Matters

If you qualify for a dual eligible special needs plan, you could access lower costs and extra support through a D-SNP Medicare option. These Medicare D-SNP plans are sometimes called a dual special needs plan Medicare approach because they combine your Medicare and Medicaid benefits in one. Even if you already have Medicare, adding Medicaid might open the door to Medicare dual plans like a D-SNP, giving you more coverage without extra cost.

We’re Here to Help

Call us today at 1-855-890-2583 to see if you qualify for a Medicare D-SNP plan today!