Arkansas Dual Complete® Special Needs Plans (2024)

FAQs

How do dual Special Needs plans work? ›

Dual Eligible Special Needs Plans (D-SNPs) enroll individuals who are entitled to both Medicare (title XVIII) and medical assistance from a state plan under Medicaid (title XIX). States cover some Medicare costs, depending on the state and the individual's eligibility.

UHC Dual Complete Special Needs Plans (SNP) offer benefits for people with both Medicare and Medicaid. These SNP plans provide benefits beyond Original Medicare, such as transportation to medical appointments and routine vision exams.

D-SNPs are required to provide greater coordination of Medicare and Medicaid benefits than other Medicare Advantage plans to improve coordination across programs and patient outcomes. D-SNPs typically provide benefits not otherwise available in traditional Medicare and generally do not charge a premium.

Dual eligible SNPs (D–SNPs), for beneficiaries dually eligible for Medicare and Medicaid benefits, had margins of 10.7 percent. …. The 2020 profit margin among nonprofit D–SNPs was 6.4 percent.” “All categories of SNPs had positive margins in 2019.

Dual-eligible beneficiaries are individuals who receive both Medicare and Medicaid benefits. The two programs cover many of the same services, but Medicare pays first for the Medicare-covered services that are also covered by Medicaid.

UnitedHealthcare Dual Complete plans

Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. Enrollment in the plan depends on the plan's contract renewal with Medicare.

And you can have both employer health coverage and Medicare. Depending on your situation, one will act as your primary coverage and one as secondary.

Final answer: A consumer who qualifies for both Medicare and Medicaid would benefit the most by enrolling in a D-SNP UHC.

On January 1, 2024, our plan name will change from UnitedHealthcare Dual Complete® (PPO D- SNP) to UHC Dual Complete ME-S001 (PPO D-SNP). We will mail you a new UnitedHealthcare member ID card.

What is dual coverage? ›

If you have two jobs that both provide dental benefits or if you are covered by a second dental plan in addition to your own, you have what is called dual coverage. Dual coverage doesn't mean that your benefits are doubled. What it does mean is that you will likely enjoy lower out-of-pocket costs for your dental care.

What happens if a D-SNP member loses their Medicaid eligibility? When a D-SNP member no longer qualifies for Medicaid, they go into a grace period. Depending on the health plan, this grace period could be 30 days or up to 6 months. Members can still get care and services through their health plan.

It is only necessary to sequence a short fragment to detect an SNP; therefore, this kind of marker is useful for degraded DNA. One disadvantage is that array platforms that run many SNPs at a time usually demand larger amounts of DNA than is possible to obtain from a minute or degraded sample.

All SNPs must provide Medicare drug coverage (Part D).

D-SNPs are for people who have both Medicare and Medicaid. A dual plan works together with your Medicaid plan. You keep all your Medicaid benefits. Plus, you could get many extra benefits and features for as little as $0 per month.