A D-SNP, or dual-eligible Special Needs Plan, is a Medicare Advantage plan designed for beneficiaries who:
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Answer & full 3-part explanation (select an option above, or peek)
Why A is correct
A dual-eligible Special Needs Plan (D-SNP) is a Medicare Advantage plan designed for people entitled to both Medicare and Medicaid. D-SNPs coordinate the two programs' benefits: Medicare pays first, and Medicaid may cover the beneficiary's cost sharing, including premiums, deductibles, and copayments, depending on the beneficiary's Medicaid share of cost. The plan may offer extra benefits tailored to dual-eligible members. D-SNPs are one of three SNP types, the others being chronic-condition and institutional SNPs, and the coordinated benefits help prevent gaps between Medicare and Medicaid while simplifying provider billing.
Why the other options are wrong
- B) An institutional SNP is designed for facility residents; a D-SNP is defined by dual eligibility, not by where the person lives.
- C) Employer-sponsored coverage is not part of the D-SNP definition, which requires Medicare and Medicaid entitlement.
- D) D-SNP members are dual-eligible, which generally includes people 65 and older or those with qualifying disabilities; being under 65 without a disability is not the criterion.
Memory hook
D-SNP = Double coverage: Medicare plus Medicaid. Two programs, one coordinated plan.