How Do Dual-Eligible Individuals Get Their Medicare Coverage?

(By Maria T. Peña, Maiss Mohamed, Jeannie Fuglesten Biniek, Juliette Cubanski, and Tricia Neuman for Kaiser Family Foundation Published: Jul 31, 2023)

Medicare and Medicaid provide health coverage to 12.5 million individuals who are enrolled in both programs, known as “dual-eligible individuals.” Medicare is their primary source of health insurance coverage, and Medicaid, jointly funded by federal and state governments, provides supplemental coverage. Under the broad umbrella of Medicare coverage, dual-eligible individuals can be covered under a variety of different arrangements, including traditional Medicare, Medicare Advantage plans that are available to all Medicare beneficiaries, and plans that are designed specifically for this population (referred to here as “dual-eligible plans”). Continue reading here…

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