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It’s possible to have Medicare and Medicaid at the same time. That’s called being “dual eligible.” If you’re a dual-eligible beneficiary, what if you want to enroll in a Medicare Advantage plan alongside your Medicaid coverage? We’ll explore the answer below.
Medicare and Medicaid have the same “parent” agency: the Centers for Medicare & Medicaid Services.
As you might already know, Medicare is a government health insurance program. It’s mainly for people aged 65 or older, but some people qualify by disability before age 65. “Original Medicare” is made up of Medicare Part A (hospital insurance) and Part B (medical insurance).
Medicaid is also a government health insurance program, but those who qualify generally have low incomes or disabilities, and don’t have to be over 65 years old. Medicaid is administered by the states, but must follow certain federal rules.
Many people prefer Medicare Advantage plans as a way to get their Medicare coverage. Medicare Advantage (Medicare Part C) is a program that lets you get your Medicare Part A and Part B benefits through a private, Medicare-approved insurance company. Many plans have extra benefits, too, like prescription drug coverage and routine dental care.
You might be able to sign up for a Medicare Advantage plan when you’re on Medicaid. For example, there are some Medicare Advantage plans called Special Needs Plans (SNPs).
There are several types of SNPs. One of them is specifically tailored for dual-eligibles. It’s sometimes called a D-SNP. However, be aware that D-SNPs might not be available in your area.
If you want to sign up for a Medicare Advantage plan when you’re on Medicaid, you can:
Please note that your Medicare Part B premium still applies when you have a Medicare Advantage plan. If you’re dual-eligible, Medicaid might pay the Part B premium.
To find Medicare Advantage plans in your vicinity, you can start anytime by clicking the Browse Plans button on this page.
eHealth's Medicare website is operated by eHealthInsurance Services, Inc., a licensed health insurance agency doing business as eHealth. The purpose of this site is the solicitation of insurance. Contact may be made by an insurance agent/producer or insurance company. eHealth and Medicare supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program. We offer plans from a number of insurance companies.