Understanding DSNP Plans

In this video, we'll go over some of the basics of dual eligibility.
Medicare Savings Programs: www.medicare.gov/basics/costs...
#medicare #medicareagent #medicareadvantage #medicareinsiders #2023 #DSNP #medicaid
For more information or to get contracted, please reach out to [e-mail] or call us at 800-783-5642.
Stay in touch with us through social media!!
Facebook Group: / 437133937813670
Facebook Account: / mccbrokerage
Check out our website to learn more about what we offer at www.mccbrokerage.com

[@robinwoodbury2563]

Thanks very much for this helpful overview.

[@kortneyvibelius825]

Great tip to work events at grocery stores toward the beginning of the month & food banks at the end!

[@junissa4321]

Great explanation of DSNP plans! Thank you

[@patricewhite9959]

Thank you Meena for the continued updates

[@chrisostrowski3987]

Well done, great info ,a lot to know.

[@billjones4986]

Medicare and Medicaid here.In my state I don’t have to have a advantage plan!Any doctor I want.😊.

[@LarryjB53]

Medical supplies(urological and incontinence supplies) are severely cut back by d-snp plans especially in California.

[@chocolatebutterfly9295]

This video is so helpful and informative. Please keep these videos coming. So if a beneficiary just changed their plan in January and if they needed to changed it again in April and then July they could for a total of 3 times that year?

[@melissaspanola7804]

Thank you Meena, very usefull information

[@chocolatebutterfly9295]

Also does it means if someone gets an SSI check that they will automatically get FBDE?

[@Zen_and]

Most likely, yes. It depends on the state, though.
8 states have chosen the 209(b) option related to the Social Security Act amendments in 1972. This option allows them to implement their own eligibility criteria for Medicaid rather than using the SSI criteria. Virginia, for example, has a more restrictive set of criteria for real property than SSI when counting resources. As a result, folks on SSI in Virginia have to apply for Medicaid and be determined to be eligible for Medicaid. IF these individuals in SSI in Virginia are determined to be eligible for Medicaid, then they will be fully eligible.
The other 7 states that implement their own eligibility criteria are: Connecticut, Hawaii, Illinois, Minnesota, Missouri, New Hampshire, North Dakota.
When it comes to income requirements for Medicaid, most, if not all, states use the SSI criteria. So if they still receive SSI, then they will qualify for full medicaid coverage.

[@erminbay]

Hi, i am 67y old man who has only Medicare Plan A. Since I lived outside of US untill recently did not apply for Plan B. Since my SS benefit is very low am I eligible for Mecidaid? Also do I need to apply and enroll in Plan B first then apply for Medicade.
Thanks

[@Zen_and]

Hey there, depending on what state you live in, the requirements can be slightly different for Medicaid. I think you would need to apply for both Part B and Part D in order to be potentially eligible for Medicaid.
There are two types of Medicaid coverage you would potentially eligible for. First, there is full coverage, which would be though Medicaid for the Aged, Blind, or Disabled (also known as ABD Medicaid). You would get full medical coverage through Medicaid. Depending on the state, they might require you to sign up with an insurance company plan (MCO). Second, there is partial Medicaid coverage, also known as Medicare Savings Programs (MSPs). These provide coverage of premiums for Part A and B, as well as co-insurances, deductibles, co-pays. There are usually three levels of MSPs: QMB, SLMB, and QI. QMB covers Part A and B premiums, deductibles, co-insurances, and co-pays. SLMB and QI only cover Part B premiums. Medicaid essentially pays Medicare for these costs.
You may also be eligible for LIS/Extra Help for Part D. Part D premiums are covered but you would still have co-pays on prescription drugs, although they likely wouldn't be more than $12/drug in 2024. If you are eligible for an MSP, you are eligible for LIS/Extra Help. The only case in which you would need to apply for LIS/Extra Help is if you are on both Original Medicare and Medicaid, or if your Medicare Advantage plan doesn't cover Part D.
Keep in mind that you need to meet the income and resource/asset level requirements for Medicaid, whether it's ABD Medicaid or MSPs. These requirements can be different from state to state. ABD Medicaid often has a resource limit of $2000 for an individual or $3000 for a couple. MSPs have a resource requirement of almost $9,500 for an individual and $14,500 for a couple, but Massachusetts has recently done away with this resource requirement for MSPs. Also, there are significant exclusions for real and personal property regarding resource/assets requirements for both full coverage Medicaid and partial coverage (MSPs) (e.g. a home, one car, personal effects, home goods, etc.)
If you have further questions, I'm happy to help.