Do you have both Medicare and Medicaid?

You may be eligible for extra benefits and services with a Medicare Advantage (Part C) HMO D-SNP plan from Florida Blue.

What is a Dual Eligible Special Needs Plan (D-SNP)?

A Dual Eligible Special Needs Plan (D-SNP) is a specific Medicare Advantage (Part C) plan designed for individuals who are dually eligible for both Medicare and Medicaid. D-SNP provides a convenient way to manage healthcare coverage under one policy with extra benefits and more services than the standard coverage in Medicaid and Original Medicare (Parts A & B).

Understanding Medicare and Medicaid

  • Medicare is a national health insurance program managed by the federal government for people 65 and older, and people with a qualifying disability.
  • Medicaid is a health insurance program funded jointly by both the state and federal government for individuals, families and children with limited income and resources.
Woman putting coins in jar

Receive Extra Help with healthcare expenses

D-SNP members may be eligible for the Extra Help program to help people with limited income and resources pay premiums, deductibles, co-insurance and copays for:

Medicare Part D prescription drug costs through the Low-Income Subsidy program (LIS)

save up to $5,000 per year

Medicare Part B medical costs through the Medicare Savings Program (MSP)

save up to $148 per month, that’s $1,776 per year

Florida Blue has a team of dedicated specialists available to help you apply for Extra Help and other public assistance programs.

Extra benefits and features at no extra cost.

Our 2021 BlueMedicare Complete (HMO D-SNP)* plans may include:

$0 or low plan premiums
to keep your health insurance affordable

Dental $0 copay
no copays or deductibles for preventative services, like cleanings, X-rays and fillings –

Hearing $0 copay
no copay for routine hearing exam or hearing aid fitting – plus, up to $2,500 allowance per year for up to 2 hearing aids

Vision $0 copay
no copay for routine vision exam – plus, up to $400 allowance per year toward the purchase of eyeglass frames, lenses, or contact lenses

Over the Counter (OTC) $100 monthly allowance
$100 allowance per month on everyday health care items like toothpaste and aspirin– plus free shipping

Unlimited Transportation
unlimited rides at no extra cost to medical-related appointments, such as doctor visits, medical facilities, labs, physical/speech/occupational therapy, pharmacies and more
 

Meal Delivery
up to 10 total home meal delivery after hospital discharge (2 meals per day, for 5 days in a row) based on nutrition needs

At-Home Care
help with light housework, transportation, companionship and technology assistance (up to 60 hours per year)

SilverSneakers®
no extra cost for fitness membership access to over 18,000 gyms nationwide - plus online workouts from home

Durable Medical Equipment (DME)
no cost for Medicare-covered Durable Medical Equipment (DME)

Behavorial Health
$0 copay for inpatient or outpatient mental health services

Teladoc® Virtual Health Visits
$0 copay for primary care doctor or specialist visits

Healthy Blue Rewards
earn up to $190 per year for achieving healthy activities

*All benefits not available in all plans.

Florida Blue D-SNP coverage provides access to a personalized team working together to improving your health and well-being.

  • Registered Nurse Case Manager: Helps access all combined Medicare and Medicaid benefits. Receive assistance with specialized care needs, like completing a Health Risk Assessment, managing health conditions at home, medication management, support adjusting to life at home after a hospital stay, guidance on over-the-counter (OTC) products, and more.

  • Community Associate: Helps make appointments, referrals, schedule transportation rides, and order prescriptions, supplies and equipment.

  • Social Worker: Helps connect to community resources, like housing, food assistance, utility assistance, Medicaid long-term care applications and more.

  • Medicaid Eligibility Specialist: Helps access Medicaid benefits, verify eligibility qualifications and annual renewal, and apply for federal and state assistance programs, like Extra Help and food stamps. Receive assistance in verifying active eligibility for Medicaid benefits each month as required by the program.

  • Registered Nurse Case Manager: Helps access all combined Medicare and Medicaid benefits. Receive assistance with specialized care needs, like completing a Health Risk Assessment, managing health conditions at home, medication management, support adjusting to life at home after a hospital stay, guidance on over-the-counter (OTC) products, and more.

  • Community Associate: Helps make appointments, referrals, schedule transportation rides, and order prescriptions, supplies and equipment.

  • Social Worker: Helps connect to community resources, like housing, food assistance, utility assistance, Medicaid long-term care applications and more.

  • Medicaid Eligibility Specialist: Helps access Medicaid benefits, verify eligibility qualifications and annual renewal, and apply for federal and state assistance programs, like Extra Help and food stamps. Receive assistance in verifying active eligibility for Medicaid benefits each month as required by the program.

Senior man planning with a nurse

Need assistance applying for Medicaid and other public assistance programs like Extra Help?

Florida Blue is a local community partner agency providing individuals access to public assistance services through the ACCESS Florida system by the Florida Department of Children and Families (DCF).

Our team of Medicaid specialist are dedicated to helping individuals verify Medicaid eligibility and apply for public assistance programs. Eligible individuals can access cost savings programs like Extra Help, Low-Income Subsidy (LIS) and Medicare Savings Program, and more.

Call 1-833-823-5454

(TTY: 1-800-955-8770)

Enrolling in D-SNP coverage

If you’re eligible for Medicare and Medicaid you may have the flexibility to join, switch or drop your Medicare Advantage (Part C) or Prescription Drug (Part D) coverage during:

Annual Enrollment Period

  • October 15–December 7
  • changes take effect on January 1

 

Special Enrollment Period

  • One time during each period: January–March, April–June, July–September
  • Changes take effect on the first day of the following month. You’ll have to wait for the next period to make another change.

Shop for Medicare Advantage HMO D-SNP plans in your area

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FBM PROD 004 NF 102021
Last Updated: 10.01.2021
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