FBDE full-benefit dual eligible  đủ điều kiện kép của kế hoạch MA

MA Plan Dual Eligible FBDEs       

Individuals that fall into other categories of Medicare Saving Programs may also be eligible for full Medicaid benefits. Such individuals, along with QMB plus individuals, are known as full-benefit dual eligible (FBDEs).

•Dual eligible beneficiaries may enroll in any type of MA plan except an MA MSA.

•Some MA plans, known as dual eligible Special Needs Plans (D-SNPs), are tailored to dual eligible individuals, depending on the category to which they belong.

•Issues that are important to dual eligible beneficiaries considering MA enrollment include:

• Whether the beneficiary is eligible for medical benefits covered under Medicaid, but not Medicare. Medicaid may provide additional items and services as covered benefits, but Medicaid will only pay for those items and services if they are furnished by Medicaid participating providers. (Note, however, that even providers NOT participating in Medicaid must hold beneficiaries harmless for the cost sharing for Medicare covered benefits.)
• Whether the beneficiary will need help to find providers who accept both Medicare and Medicaid to obtain any Medicaid benefits.