If you are 21 years or older and eligible for both Medicare and Medicaid, you are considered dual-eligible. Additionally, if you face significant health or financial challenges and need extra support to achieve your health goals, you may qualify for dual coverage.
A Medicare-Medicaid Coordinated Plan manages Medicare and most Medicaid benefits, along with some additional services.
Medicare is the primary payer for dual-eligible individuals.
Medicaid covers costs Medicare doesn’t, such as deductibles and coinsurance.
Medicaid may also provide coverage for nursing home care, in-home assistance, and other supportive services not included in Medicare.
With coordinated care, Medicare and Medicaid benefits are managed through a single plan, ensuring your healthcare decisions are tailored to your specific needs.