Question

What makes a client Dual-Eligible? What advantages come with having a D-SNP? (Give two advantages.)

A) Being eligible for both Medicare and Medicaid; lower premiums, prescription drug coverage
B) Having dual citizenship; access to international healthcare, language support
C) Having two different insurance policies; increased coverage limits, shorter waiting times
D) Being eligible for both Social Security and Medicare; early retirement benefits, travel discounts

Answer 1

A client is dual-eligible when they are qualified for both Medicare and Medicaid and can get benefits like lower premiums and prescription drug coverage by enrolling in D-SNPs.

Step-by-step explanation:

A client is considered dual-eligible when they are eligible for both Medicare and Medicaid. This situation typically applies to individuals who are over the age of 65, have disabilities, or have low incomes. Dual-eligible individuals can enroll in Dual Special Needs Plans (D-SNPs), which offer several advantages. Two significant advantages include lower premiums and comprehensive prescription drug coverage. Lower premiums are a financial benefit, as they reduce the amount the beneficiary has to pay out-of-pocket for health coverage. Furthermore, including prescription drug coverage can be crucial for people who require multiple medications, as it can substantially decrease the costs associated with purchasing necessary drugs.