Qualifying for both Medicare and Medicaid is called “dual eligibility.” A person who qualifies for both programs might be referred to as “dual eligible” or “dually eligible.” If you qualify for both Medicare and Medicaid, they work together to cover your health care. For example, ...
Obamacare:This is the nickname for the Affordable Care Act, President Obama’s health care reform bill that became law in 2010. The ACA expanded the Medicaid program and created subsidies so more people could afford health insurance. When people say “I have Obamacare,” what they actually me...
For dual-eligible individuals, Medicaid can also help pay for Medicare premiums and out-of-pocket costs like deductibles and copayments. This coordination between the two programs helps reduce the financial burden of healthcare for low-income seniors and individuals with disabilities who need comprehen...
In 2003 Medicare Part C became Medicare Advantage, which included provisions for Special Needs Plans (SNP's), which have significant implications for dual eligibles, persons eligible for both Medicare and Medicaid. The authors explore why SNP's are needed, their advantages to beneficiaries if ...
When you eventually enroll in Medicare Part B, you will pay the penalty plus your Medicare Part B premium each month. To know if your coverage is creditable or not, you should receive a letter from your insurance carrier each year to notify the Medicare-eligible members of your household ...
What is the newest weight loss drug?The newest weight loss drug approved by the FDA is Zepbound (tirzepatide), a dual GIP/GLP-1 (glucose-dependent insulinotropic polypeptide and glucagon-like peptide-1) agonist. Zepbound was approved on Nov. 8, 2023 and is given as a once-weekly subcuta...
Alternatively, if you have a BMI of 27 or greater PLUS a weight-related health complication such as high blood pressure, sleep apnea, or type 2 diabetes, you may be eligible as well, even though you don’t technically have obesity. ...
Cigna is also introducing its dual-eligible special needs plans to 68 new counties, which feature $0 cost-sharing requirements for all covered drugs. CVS Health/Aetna Aetna, a CVS Health company, hasextendedits Medicare Advantage coverage footprint and added new benefits for 2024...
When is open enrollment for a Dual Eligible Special Needs Plan? If you have both Medicaid and Medicare benefits, you could be eligible for a Dual Special Needs Plan, or D-SNP. Those who qualify for this type of Medicare Advantage plan can switch to a new plan at any point during the ...
Individuals eligible for Medicare Parts A and B are also eligible for Part C, also known asMedicare Advantage. You purchaseMedicare Advantage plansfrom private insurers or an agent rather than Medicare. These plans must offer coverage that is at least equivalent to Original Medicare(Parts A and B...