A dual special needs plan (DSNP) is a type of Medicare Advantage plan that is specifically designed to provide coverage for individuals who are eligible for both Medicare and Medicaid.
DSNP plans are also known as "Medicare-Medicaid plans" and they are offered by private insurance companies that contract with both Medicare and Medicaid. These plans provide a coordinated approach to healthcare, combining the benefits of both programs.
DSNP plans typically include all the benefits of original Medicare, such as hospital and medical coverage, as well as additional benefits like prescription drug coverage, vision, hearing and dental care. They also provide additional benefits that are not typically covered by original Medicare, such as non-emergency transportation, personal care services, food, and over-the-counter (OTC) supplemental benefits, and other benefits to address common social determinants of health.
DSNP plans are designed to help individuals with limited income and resources, and those who have specific healthcare needs. These plans are available to people who qualify for both Medicare and Medicaid, which includes people with disabilities, low-income seniors, and people who are institutionalized.