Medicare: Full vs. Partial Dual Eligibility

Full dual eligibility means that you are eligible for all of the benefits of both Medicare and Medicaid. Including:

• Medicare Part A (hospital insurance)
• Medicare Part B (medical insurance)
• Medicare Part D (prescription drug coverage)
• Medicaid

Partial dual eligibility means that you are only eligible for some of the benefits that both Medicare and Medicaid provide. Meaning that you are only eligible for Medicare Part A and Medicaid, or that you are only eligible for Medicare Part B and Medicaid.

 Differences between full and partial dual eligibility?

The main difference between full and partial dual eligibility is the amount of financial assistance you receive. With full dual eligibility, you will receive full financial assistance for all of your Medicare and Medicaid costs. With partial dual eligibility, you may only receive partial financial assistance for some of your costs.

 Am I eligible for dual eligibility?

To find out if you are eligible for dual eligibility, you should contact your state Medicaid office. They can help you determine your eligibility and enrollment options.

There are many benefits to dual eligibility. These include:

• Reduced out-of-pocket costs: Duals typically have lower out-of-pocket costs than people who are only eligible for one program.
• Improved access to care: Duals have a wider range of medical services than people who are only eligible for Medicare or Medicaid.
• Increased coordination of care: Duals care is coordinated by a single case manager, which can help to improve the quality of care.

Here are some additional things to keep in mind about dual eligibility:

• The eligibility requirements for dual eligibility can vary from state to state.
• The enrollment process for dual eligibility can also vary from state to state.
• There are many resources available to help duals get the most out of their benefits.

If you have any questions about dual eligibility, reach out to one of our experts.