Medicare and Medicaid together
Medicare and Medicaid are separate programs. When someone qualifies for both, they are often called dual eligible. Dual Eligible Special Needs Plans (D-SNPs) are Medicare Advantage plans designed for that population.
Important notice
SubsidyCheck.com provides educational information and enrollment assistance. We do not determine eligibility. Final eligibility and enrollment decisions are made by CMS, state Medicaid agencies, and participating Medicare Advantage organizations.
Medicare basics
Medicare is a federal program that typically covers hospital (Part A) and medical (Part B) services, and may include prescription drug coverage (Part D) through a stand-alone plan or a Medicare Advantage plan.
D-SNP plans generally expect Medicare eligibility (often including Part A and Part B enrollment). Exact requirements are set by CMS and the plan.
Medicaid basics
Medicaid is administered by states under federal rules. Coverage categories, income tests, and application processes vary by state.
If you do not currently receive Medicaid, use our Medicaid guidance flow for educational preparation, then apply through your official state channels.
Related help programs
Medicare Savings Programs and Extra Help (Low-Income Subsidy) can reduce Medicare costs for people who qualify. These programs are separate from D-SNP enrollment but often relevant for dual eligible households.
Frequently asked questions
- What does “dual eligible” mean?
- It generally means a person has Medicare and also qualifies for Medicaid (or certain Medicaid-related assistance), subject to state and federal definitions.
- Do I need Medicaid before a D-SNP?
- D-SNP enrollment generally requires Medicare eligibility and qualifying Medicaid status. If you do not have Medicaid, you may need to apply through your state Medicaid agency first.
- Can SubsidyCheck approve my Medicaid application?
- No. Only your state Medicaid agency makes Medicaid eligibility decisions.