A D-SNP (dual eligible Special Needs Plan) under Medicare Advantage is designed for beneficiaries who:
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Answer & full 3-part explanation (select an option above, or peek)
Why A is correct
A D-SNP is a Special Needs Plan designed for dual-eligible beneficiaries — people who qualify for both Medicare and Medicaid. The D-SNP coordinates Medicare and Medicaid benefits into a single plan, which may include a share-of-cost component and wrap-around coverage for services such as dental, vision, and transportation. Dual eligibility, not facility residence, is the defining characteristic of the D-SNP model. Because dual-eligible beneficiaries are among the most medically complex, D-SNPs typically provide care coordination and may offer extra benefits such as dental, vision, hearing, and transportation that Original Medicare does not cover.
Why the other options are wrong
- B) Medigap supplements Original Medicare and is a separate product; it is not a D-SNP enrollment path.
- C) Dual-eligible beneficiaries meet the Medicaid income and asset limits; the D-SNP exists precisely because they face program limitations.
- D) Facility residence alone does not make a beneficiary dual eligible; the person must qualify for both Medicare and Medicaid.
Memory hook
D-SNP = the bridge for double coverage. Medicare plus Medicaid meet under one coordinated roof.