Medical Expense✓ Verified · outline & fact-checked · Sep 2026Difficulty 2/5
A Dual-Eligible Special Needs Plan (D-SNP) 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 Dual-Eligible Special Needs Plan (D-SNP) is a Medicare Advantage SNP serving individuals eligible for both Medicare and Medicaid. D-SNP benefits are designed to coordinate with it — including situations where the member owes a Medicaid share of cost for services. Like all Medicare Advantage plans, a D-SNP must cover all Original Medicare benefits and may offer extra benefits. Other SNP types serve institutionalized individuals (I-SNP) or those with chronic conditions (C-SNP).
Why the other options are wrong
- B) A D-SNP requires dual Medicare-Medicaid eligibility; being under 65 without other coverage is not the qualifying condition. Dual eligibility for both programs at once is the defining test for a D-SNP.
- C) Medicare is a U.S. program; residency abroad does not create D-SNP eligibility. Medicare is a U.S.-based program, and living abroad does not create any eligibility for a D-SNP at all.
- D) A D-SNP is a Medicare Advantage plan; Medigap does not coordinate with Medicare Advantage, and the two are not held together. Medigap and Medicare Advantage do not combine at all.
Memory hook
D-SNP = the Medicare + Medicaid plan: one plan for the dual-eligible, tuned to the state's cost-sharing rules.