Dual Eligible Special Needs Plans

Our Dual Eligible Special Needs Plans (D-SNPs) help people get the most out of their coverage by coordinating benefits, care, and payments.

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There are many reasons why you may be eligible to enroll in a Medicare plan right now. See them here.

What are Dual Eligible Special Needs Plans?

Dual Eligible Special Needs Plans are designed for people with both Medicaid and Medicare plans. These plans cover all the same benefits of Medicare Part A and Part B but also with special benefits at no added cost.

Our most popular plan in [County name, ST]

Dual Eligible Special Needs Plans make managing benefits easier. Here, you’ll find all the details for plans available near you. 

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Dual Eligible Special Needs Plans make managing benefits easier. Here, you’ll find all the details for plans available near you.
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Dual Eligible Special Needs Plans make managing benefits easier. Here, you’ll find all the details for plans available near you.

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Frequently Asked Questions

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To be eligible for a D-SNP, you must meet be a U.S. citizen or legal resident for 5 years. You must meet one or more of the following:

  • Aged 65 or older 
  • Diagnosed with Lou Gehrig’s Disease or End-Stage Renal Disease
  • Receive Social Security disability or a disability pension from the Railroad Retirement Board for at least two consecutive years
  • Qualify for original Medicare (Parts A & B)

You can join any Medicare D-SNP you qualify for during the Medicare Annual Enrollment Period (AEP) between Oct. 15  and Dec. 7.

 

If you’re turning 65 and newly eligible for Medicare, you can join any Medicare SNP you qualify for during your Initial Enrollment Period. That starts 3 months before you turn 65, includes the month you turn 65, and ends 3 months after you turn 65.

Every member’s plan is different, so additional costs vary.

 

  • Most members continue to pay the monthly Medicare Part B medical premium. 
  • Monthly plan premiums vary based on plan choice and location and may be as low as $0.

 

Other costs may include copays, deductibles and coinsurance.

Yes! You can call a licensed Humana sales agent from the comfort of your home.

1-855-596-4751 (TTY:711)

Monday - Friday, 8 a.m. - 8 p.m.

Plans not available in all areas. Costs, coverage, and benefits vary by location. 

  

Humana is a Medicare Advantage HMO, PPO and PFFS organization and a stand-alone prescription drug plan with a Medicare contract. Humana is also a Coordinated Care plan with a Medicare contract and a contract with the state Medicaid program. Enrollment in any Humana plan depends on contract renewal.  

 

Humana Inc. and its subsidiaries (collectively, “Humana”) comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or expression, transgender status, marital status, military or veteran status, or religion. Humana does not exclude people or treat them differently because of race, color, national origin, age, disability, sex, sexual orientation, gender identity or expression, transgender status, marital status, military or veteran status, or religion. We also provide free language interpreter services. See our full accessibility rights information and language options. 

 

Florida residents: FL Dual-Eligible Special Needs Plans are sponsored by Humana Medical Plan, Inc. and the State of Florida, Agency For Health Care Administration.  

  

Tennessee residents: NOTICE: TennCare is not responsible for payment for these benefits, except for appropriate cost sharing amounts. TennCare is not responsible for guaranteeing the availability or quality of these benefits. Any reference to more, extra, or additional Medicare benefits, is applicable to Medicare only and does not indicate increased Medicaid benefits.  

  

Ohio residents: For the Humana Cleveland Clinic Preferred HMO and D-SNP plans, other ancillary providers such as labs and durable medical equipment suppliers, and pharmacies are available in our network.  

   

Other Pharmacies/Physicians/Providers are available in our network.   

    

Limitations on virtual visit healthcare and prescription services delivered via remote access technology and communications vary by state. Virtual visit services are not a substitute for emergency care and are not intended to replace your primary care provider or other providers in your network. This material is provided for informational use only and should not be construed as medical advice or used in place of consulting a licensed medical professional.  

  

Out-of-network/non-contracted providers are under no obligation to treat Humana members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.   

 

Allowance amounts cannot be combined with other benefit allowances. Limitations and restrictions may apply. 

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Last Update: 10/3/2024