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    What is a Dual Special Needs plan?

     

    A Dual Special Needs plan (D-SNP) is for people who have both Medicare and Medicaid coverage. It combines Medicare Part A and Part B benefits, plus prescription drug coverage and support to help coordinate benefits with Medicaid.

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    Why choose a D-SNP with UnitedHealthcare?

     

    We’re America’s most chosen brand for Dual Special Needs plans.1 A Dual Complete plan helps you get more of the extras you want, along with what you will receive from Medicaid. Benefits may include:

    • Monthly plan premiums as low as $02
    • $0 annual physical exams, $0 lab tests and $0 preventive care
    • $0 copypays for Tier 1 prescriptions
    • Monthly credit to help pay for OTC products, plus healthy food and utilities for qualifying members3
    • $0 copay on vision and hearing exams
    • Large network of Medicare Advantage providers, including doctors and specialists

    Some of the benefits of a Dual Special Needs plan may also be available from a state Medicaid program or a managed Medicaid plan.

    Who should choose a D-SNP?

    A D-SNP may be right for you if...

     

    • You have Medicare and Medicaid
    • You need help to coordinate your care
    • You want extra benefits along with what you receive from Medicaid

     

    It may not be right if...

     

    • You qualify for either Medicare or Medicaid but not both
    • You live outside an eligible plan coverage area
    • Another plan type, such as a Chronic Special Needs plan, better fits your needs

    Who should choose a D-SNP?

    A D-SNP may be right for you if...

     

    • You have Medicare and Medicaid
    • You need help to coordinate your care
    • You want extra benefits along with what you receive from Medicaid

     

    It may not be right if...

     

    • You qualify for either Medicare or Medicaid but not both
    • You live outside an eligible plan coverage area
    • Another plan type, such as a Chronic Special Needs plan, better fits your needs

    What other Special Needs plans are available?

     

    Chronic Special Needs plans (C-SNPs)

    Chronic Special Needs plans (C-SNPs) are designed to help people manage severe or disabling long-term health conditions. UnitedHealthcare offers C-SNPs for people with diabetes, chronic heart failure and/or cardiovascular disorders.

    Chronic Special Needs plans
    Institutional Special Needs plans (I-SNPs)

    Institutional Special Needs plans (I-SNPs) are for people who live in a long term care setting, such as a skilled nursing facility. Institutional Equivalent Special Needs plans (IE-SNPs) are for people who receive skilled nursing care at home or in assisted living.

    Institutional Special Needs plans

    All SNPs include prescription drug coverage. Plan availability will depend on where you live.

     

    What does a D-SNP cover?

     

    D-SNPs offer extra Medicare benefits that may include:

    Dental, vision and hearing coverage

    Personalized care coordination

    Telehealth virtual doctor visits

    Credits to buy health products

    Transportation assistance

    What is the difference between Medicare and Medicaid?

    Medicare

    Medicare is a federal health insurance program intended to serve people who are 65 or older, or have a qualifying disability or medical condition.

    Medicaid

    Medicaid is a joint federal and state government program that helps pay health care costs for people with limited income and resources. Medicaid plans vary from state to state.

    You may qualify for both Medicare and Medicaid based on your health and income level, and receive benefits from both. People who are dual eligible can often qualify for a D-SNP.

    How do I know if I'm eligible?

    To qualify for Medicare benefits you must:

    • Be a U.S. citizen or have been a legal resident for at least five years
    • Be 65 years old or have a qualifying disability if younger than 65
    • Have worked and paid Social Security taxes for at least 10 years (40 quarters)

    To qualify for Medicaid services you must:

    • Have an income level within your state’s income threshold
    • Live within the state where you apply
    • Have a Social Security number
    • Be a U.S. citizen or meet immigration requirements
    How much does a D-SNP cost?

    D-SNP costs depend on the plan you choose and on your level of Medicaid eligibility. Financial support from Medicaid helps cover out-of-pocket costs for expenses like premiums, copayments, coinsurance and deductibles.

     

    How do I enroll in a D-SNP?

    You can enroll in a UnitedHealthcare D-SNP by phone or with an agent. You can also enroll in some plans online. You need to have both Medicare and Medicaid to qualify.

    Is a UnitedHealthcare D-SNP available where I live?

     

    Probably. D-SNPs are available from private insurance companies in 46 states and the District of Columbia. They are not available in Alaska, Illinois, New Hampshire or Vermont. If a D-SNP is not available in your area, another Medicare Advantage plan may be a good fit.

     

    Explore Medicare Advantage plans 

    Who can enroll in a D-SNP plan?

    You can enroll in a D-SNP if you are enrolled in both Original Medicare (Part A and Part B) and Medicaid through your state. This dual eligibility determines the type of D-SNPs you may qualify for. There are two levels:

     

    Full dual eligibility: You receive both Medicare and full Medicaid benefits through your state and/or a managed care organization. Medicare covers most of your health care services while Medicaid helps pay for out-of-pocket costs like copays, coinsurance, deductibles and premiums.

     

    Partial dual eligibility: You receive support from a Medicare Savings Program (MSP) managed by your state’s Medicaid program, which helps cover certain Medicare costs but does not provide full Medicaid medical benefits.

     

    Not all D-SNPs accept individuals with partial dual eligibility. Some plans are only available to those with full dual eligibility. Check the eligibility requirements of any plan before enrolling.

     

    Learn more about D-SNP enrollment 

    4 out of 5 members recommend UnitedHealthcare Medicare Advantage coverage

    Member recommendations based on Human8, May 2025.

     

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    4 out of 5 members recommend UnitedHealthcare Medicare Advantage coverage

    Member recommendations based on Human8, May 2025.

     

    The UnitedHealthcare Right Plan Promise®

    It's our commitment to helping you find the right plan for you. Count on UnitedHealthcare for clear Medicare plan resources, easy-to-use tools and trusted guidance.

    Get started

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    Based on U.S. News & World Report 2025 and 2026 analysis of all Medicare Advantage plan ratings from CMS and enrollment data.

    Named a Best Insurance Company

    Medicare Advantage 2026 by U.S. News & World Report two years in a row

     

     

    Based on U.S. News & World Report 2025 and 2026 analysis of all Medicare Advantage plan ratings from CMS and enrollment data.

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      Footnotes

       

      Benefits, features and/or devices may vary by plan/area. Limitations, exclusions and/or network restrictions may apply. Provider network may vary by local market.

       

      1 Most chosen based on total D-SNP plan enrollment from CMS Enrollment Data, May 2025.

       

      2 Dual Special Needs plans have a $0 premium for members with Extra Help (Low Income Subsidy) from Medicare.

       

      3 OTC, food and utility benefits have expiration timeframes. Review your Evidence of Coverage (EOC) for more information. The healthy food and utilities benefit is a special supplemental benefit only available to chronically ill enrollees with a qualifying condition, such as diabetes, cardiovascular disorders, chronic heart failure, chronic high blood pressure and/or chronic high cholesterol, and who also meet all applicable plan coverage criteria. There may be other qualified chronic conditions not listed.

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