Dual-eligibility applies to a select group of individuals. This takes into account that people may need more than just Medicare, as helpful as it is. Some people may be in a situation where extra income is scarce. Those individuals may be an emergency away from crippling debt. But luckily, Medicare and Medicaid have created provisions so that every eligible individual can have access to healthcare. To be dual-eligible is to be eligible for both Medicare and Medicaid.
Eligibility for Medicare
Medicare eligibility can be attained in these ways:
- Be age 65 or older
- Receive Social Security or Disability benefits for at least 24 months
The general rule is that eligibility begins at 65. But that’s not the case for someone who has been receiving Social Security or Disability benefits. Age is irrelevant in this instance. All that matters is the time spent receiving the aforementioned benefits.
Eligibility for Medicaid
Medicaid eligibility is predicated on income. That income must be below a certain amount based on the Modified Adjusted Gross Income (MAGI) as determined by the individual’s state government. Age doesn’t have the same impact as it does on Medicare.
Dual-Eligibility Program
For individuals qualifying for both Medicare and Medicaid, there is an option offered under Medicare Advantage known as Dual-Eligible Special Needs Plans (D-SNPs). With this plan, Medicare pays what it can first, and then Medicaid will cover the remaining costs it can. This can be a significant source of financial relief for those who earn below a certain income.
Call Kannonball Insurance Solutions
The next step to finding the best health insurance begins with KBI Solutions. Call 254-918-5444 for a free consultation with an experienced agent — who will work hard to find you the best coverage at the best rate!
