Did You Know: Medicaid Coverage
Medicaid provides a wide range of health care services for eligible individuals, including low-income adults, children, pregnant women, elderly adults, and people with disabilities. The specific services covered can vary by state, but there are certain mandatory benefits that all states must provide, as well as optional benefits that states can choose to offer.
Mandatory benefits include:
- Inpatient and outpatient hospital services
- Physician services
- Laboratory and X-ray services
- Home health services
Optional benefits that states may choose to provide include:
- Prescription drugs
- Case management
- Physical therapy
- Occupational therapy
If someone is on Medicaid & Medicare they do not need to enroll into another Medicare plan. However, D-SNPs are offered to this demographic to provide additional coverages if that makes sense for the client’s needs. It’s also extremely important to verify doctor network since D-SNPs typically work under a HMO network.
Here are some of the key additional benefits that a D-SNP might offer:
- Dental, Vision, and Hearing Services: These plans typically include coverage for dental care, vision exams and glasses, and hearing aids
- Transportation Services: D-SNPs may offer transportation to and from medical appointments, which can be a significant help for those with mobility issues
- Fitness Programs: Many plans include access to fitness programs or gym memberships to help maintain physical health
- Care Coordination: D-SNPs often provide care coordinators or personal assistance liaisons to help manage healthcare services and ensure that all aspects of a member's care are well-coordinated
- Prescription Drug Coverage: Enhanced coverage for prescription medications is often included, which can help manage the costs of necessary drugs
- Additional Support Services: Some plans may offer meal delivery services, over-the-counter allowances, and other support services to improve overall quality of life
These additional benefits are designed to make healthcare more accessible and affordable, while also addressing the broader needs of individuals who qualify for both Medicare and Medicaid.