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What Are D-SNPs?

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What Are D-SNPs and Who Are Qualified to Get It?

- What Are D-SNPs?

- Who Qualifies for D-SNPs?

Dual eligible special needs plans (D-SNPs) are Medicare Advantage plans designed to meet the specific needs of a dually eligible beneficiary. It goes beyond the scope of coverage of either the Original Medicare Insurance or Medicaid plans, offering policyholders extra benefits at no extra cost.

A few of the “extra benefits” that beneficiaries may enjoy include the following:

  • Care coordination
  • $0 monthly premiums
  • Over-the-counter quarterly benefits
  • Dental, vision, and hearing benefits
  • Transportation benefits
  • Gym memberships
  • Telehealth services

Who Qualifies for D-SNPs?

Anyone of any age is eligible for D-SNPs, so long as they qualify for both Medicare and Medicaid in their state.

Medicare requires the policyholder to be at least 65 years old or older or have a qualifying disability to be covered by their services. On the other hand, Medicaid requires that an individual’s income and asset level should fall below certain state-determined thresholds to qualify for any coverage.

If you want to find out your eligibility for D-SNPs, working with experienced Medicare Consultants in Pennsylvania can help speed up the process.

At Medicare Professional Advisors, we provide our clients with expert advice and solutions that help them navigate the complex terrain of the Medicare industry. When you work with us, you can rest assured that you’ll be fully informed of your options and choices, so you can make the best decision possible.

Contact us today, and we’ll assign you to one of our expert Health Insurance Broker in Allentown, Pennsylvania.

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Medicare Parts


Medicare Part A

Part A of Medicare covers hospitalisation. Inpatient treatment, limited time in a licenced nursing facility, limited home health care services, and hospital care are all covered under Part A.


Medicare Part B

Non-hospital medical costs such as doctor's appointments, blood tests, x-rays, diabetes testing and supplies, and outpatient hospital treatment are covered by Part B benefits. For this component of the original health insurance, you pay a monthly fee.


Medicare Part C

In a health insurance plan, Medicare Advantage or Medicare Part C normally covers all forms of health insurance coverage. Private insurance businesses that have been contracted by the CMS to provide a medicare plan as an alternative to the original health insurance plan provide it.


Medicare Part D

Medicare Part D is a prescription medication coverage option. Part D health insurance is available as a stand-alone plan from private insurance firms, with monthly rates varying from one to the next. Depending on the plan you're registered in, you'll split the cost of your prescription medicines.

we’re here to all your questions

We’ve helped over 9 million senior people compare their best Medicare coverage options.

You get the same coverage as Original Medicare plus additional benefits from the Medicare Advantage insurance provider when you enroll in a Medicare Advantage plan.

There are many of savings to be had, but here are a handful you might not be taking advantage of right now:

  • Your Social Security benefit will be reduced by $144 each month.
    $2,500 to spend on dental procedures such as crowns, implants, and dentures.
  • $1,000 to spend on vitamins and aspirin at your neighbourhood drugstore
  • Hearing aids and batteries cost $2,000
  • $300 will be used on eyeglasses and tests.

It’s not simple to learn the ins and outs of Medicare. While Medicare.gov has a wealth of information, there is no real how-to when it comes to determining what is best for you and your lifestyle.

This is where we can help! We put our 20+ years of industry experience to work for you, giving you the peace of mind that you’re getting what you’re entitled to without the hassle.

  • Initial Enrollment Period – Most persons can enrol in Medicare Part A, Part B, Part C, and/or Part D for the first time within a seven-month period: three months before, three months during, and three months after they reach 65.
  • Special Enrollment Period (SEP) – Certain life circumstances, including as moving or losing current coverage, may qualify you for coverage. You usually have two months to enrol, depending on your circumstances.
  • Medicare Part C & D Annual Enrollment Period (AEP) – Every year, from October 15 to December 7, Existing Medicare beneficiaries can take advantage of this time to review and adjust their Medicare Advantage (Part C) and Medicare prescription medication plans (Part D). You cannot utilise AEP to enrol for the first time in Part A and/or Part B. The following year’s coverage begins on January 1st.
  • Medicare General Enrollment Period – Every year, from January 1 to March 31, While the majority of individuals will receive Part B coverage when they join in Medicare, this period is allocated for those who did not enrol in Part B when they initially became eligible. Coverage begins on July 1st of the following year.
  • Medicare Advantage Open Enrollment Period (OEP) – Every year, from January 1 to March 31, You can change to a different Medicare Advantage plan with or without medication coverage during this period, or move to Original Medicare and join a separate Medicare Prescription Drug plan. You cannot, however, go from Original Medicare to a Medicare Advantage plan, join a prescription drug plan while on Original Medicare, or change from one prescription drug plan to another prescription drug plan while on Original Medicare.