New Jersey residents who have both Medicare and Medicaid, known as "dual eligibles," can enroll in a Dual Eligible Special Needs Plan (D-SNP, pronounced "dee-snip"). A D-SNP is a special kind of Medicare managed care plan that coordinates all covered Medicare and Medicaid managed care benefits in one health plan.
If you or a trusted family member or doctor heard about D-SNP health plans and would like to know more about them, please use this web page as a guide to get started. A free Guide about Special Needs Plans is available from Medicare, too. Click here to go to Medicare's SNP Guide.
Dual Special Needs Plan Features:
- A team of doctors, specialists, and care managers working together for you
- No co-payments, premiums or deductibles
- One health plan to coordinate all your Medicare and Medicaid managed care benefits
- All the same member rights available to Medicare and Medicaid recipients
- Extra Medicare benefits not available under other Medicare or Medicaid plans
- D-SNPs may require referrals before you make an appointment to see specialists
Coverage
Most D-SNP covered services are covered by Medicare, and a few are covered exclusively by Medicaid, including dental, vision, hearing aids and fittings, certain private duty nursing services, medical day care, personal care assistance, and long-term nursing facility stays.
Generally, when Medicaid covers health care services beyond the limits of Medicare, then Medicaid will pay for what Medicare does not.
Click here for Frequently Asked Questions (FAQs) about changes to Dual Eligible Special Needs Plans for 2017
