Dual Eligible Special Needs Plans (D-SNPs) In New York

Dual eligible means that you qualify both for Original Medicare^‡ as well as Medicaid. The New York state Medicaid program decides who qualifies for Medicaid, and what types of Medicaid benefits you can receive.

Original Medicare^‡ is coverage managed by the federal government for people 65 or older, younger people with certain disabilities, and people with End-Stage Renal disease. Medicaid is a state program that provides medical and/or supplementary benefits based on your income level.

Our D-SNPs come with $0 premiums, copays, and deductibles³. If you receive full Medicaid benefits, nearly all of your out-of-pocket costs should be covered by New York state’s Medicaid program.

No, not at all. A D-SNP lets you keep all your Medicaid benefits and coordinates them with your Medicare coverage. That way you can access all your benefits more easily. With an Anthem D-SNP, you'll get valuable benefits and the support you need.

But it's important to keep in mind that you need to renew your Medicaid coverage every year to stay enrolled in a D-SNP. Medicaid benefits are reviewed by the New York state Medicaid agency to make sure you're still eligible. You will get a notification from your state’s agency when it's time to complete your renewal. Make sure to return it right away because if your Medicaid coverage isn't renewed, you may lose eligibility for a D-SNP as you need both Medicaid and Medicare. Call us if you have any questions about your eligibility or plan options.