Unveiling the Secret Behind Dual Medicaid and Medicare Coverage – You Need to See This!

What is the difference between Medicare and Medicaid?

Medicare: Is an insurance program for people over 65. You can be eligible for Medicare if you are disabled and under 65. Medicare is managed by the federal government.

Medicaid: Is a health insurance program for people with low income. Any individual can qualify for Medicaid. Medicaid is managed by the state government and is funded by both.

Are you Dual Eligible?

Some people qualify for both Medicaid and Medicare. If you are eligible for both Medicaid and Medicare, then you are dual eligible. There are Medicare Advantage plans that are specifically designed for dual eligible individuals, called Dual Eligible Special Needs Plans or D-SNP.

Dual Special Needs Plans typically offer many extra benefits and features beyond Original Medicare. These plans typically include help to coordinate care and benefits, over-the-counter items, dental, vision, hearing and transportation.

Most people who are eligible can get a Dual Plan for a $0 premium. Additionally, most plans do not have any copayments.

D-SNP Medicare Advantage plans aren’t available in all areas, and the benefits offered by plans can vary. Call Senior HealthCare Solutions today to speak with a licensed insurance agent who can help you compare the Medicare and Medicaid Dual Eligibility options that are available where you live.

Not sure if you are eligible?
We are here for you! CALL 1-866-633-4427

Free Medicaid Resource:

Compare Dual Eligible Medicare Advantage Plans:

Read About the Medicare Flex Card for Seniors:

0:00 Introduction
0:10 Who is Medicare with Melissa
0:34 What is Medicaid?
0:51 What is Medicare?
1:10 Can you be eligible for Medicaid and Medicare?
1:26 What is Dual Eligible?
1:56 What does Medicaid cover?
2:36 Medicare Advantage + Medicaid
3:17 Key Takeaways (Write This Down)!

[DavidJohnson-tvnn]

So are all dual eligible people forced into some crappy Advantage plan or coordinated care (CCO) plan? I'm specifically asking about Oregon. I want help paying my Medicare premium, but want to keep original Medicare.

[Laughlin]

Hi Melissa. Thank you for making this video. I subscribed and hope you can get to 1, 000. I just reached 1, 000 and that's why I need to talk to you. I'm dual eligible and need help understanding income and asset limitations before I make a big mistake.

[jettzigirl]

I have a medicare advantage SNP dual eligible plan and it is horrible. Nothing ever gets accomplished. Constantly getting bills that i have to figure out why this wasnt paid or why my portion was not submitted to my secondary which is Medi-ca! In california. Most of the providers in the snp network do not accept Medi-Cal. So why are they in my snp network if they dont even accept my california medicaid?

The HMO doctors dont even look at you no matter what you are there for and just refer you to a specialist. Then you find out that a referral isnt good enough now you need an approva! From snp. Back to square one. Call the pcp and tell them to request the authorization which they say should take a week. A month goes by still no approval. Call the SNP they say they never got the request. Call the doctor they say they sent it but will resend it. Rinse and repeat. Its a nightmare! You can't get any care. Meanwhile you are sick or having pain and it simply goes untreated. Its a racket.

Then theres the dreaded colonoscopy that they keep hounding everyone to get. Yeah, good luck with that. Two years in a row, two separate insurance companies did the exact same thing. You schedule the colonoscopy like months ahead because thats how backed up it is, and shortly before, and i mean shortly like a week or so before your scheduled procedure, it gets cancelled because for some reason the insurance company suddenly pulls back the authorization and wants you to reschedule at a different facility or with a different doctor. WHAT???? I waited 3 months for the procedure that they supposedly approved only to be denied at the last minute. Now you gotta start over and do it all again. Two years in a row, two different insurance companies so its pretty obvious its basically standard procedure for them to just avoid having to provide something the government says the have to pay for. Going through this now for the third time. Its never gonna get done.

Even something as simple as xrays. Their provider network was not showing a facility within 100 miles where i could get them done. Ultimately went to a standard facility my pcp referred me to and my insurance is refusing to pay the bill even though i had called them 3 times and could not get an answer on where to go.

Advantage plans are horrible. They spend the whole year passing you around and passing the buck and never really do anything to help you or provide the care you are paying for. They are taking government money to provide a plan that specializes in not allowing or paying for anything. Its a total scam.

I have learned my lesson and I am done with Medicare Advantage.

[judyjohnson]

What are the Medicaid laws for Alabama, for a 69yr.old on ssI, medicare and medicare?

[christineparker]

What are the protocols or rules for Chicago for Medicare and Medicaid?

[tpkirle]

Hey Melissa I'm very confused I'm 56 and I'm on Medicaid but going on Medicare 2-1-24 I was diagnosed with MS and Diabetes I satrated receiving my SSDI in April on 2023 I'm just confused they stopped my SNAP food program and now want me to start paying $105 a month for Medicaid and I start with Medicare 2-1-2024 I live in Ohio please help need advice

[tonystorcke]

What if there is no diual plan available ?

[BEYOUTOTHEFUL]

JUDY I NEED YOUR HELP
I CAME FRO COLORADO AND JUST GOT APPROVED FOR MONTANA MEDICAID. GOT AN EMAIL TELLING ME I HAD TO PICK A DOCTOR AND GET A Medicaid Passport to Health Program. I CAME HERE BECAUSE I BELIEVE IN FREEDOM OF CHOICE AND DO NOT WANT TO BE BULLIED INTO ANYTHING. DO YOU KNOW ANYTHING ABOUT THIS BECAUSE I SURE DONT.
THANK YOU ANGELA IN MONTANA

[erminbay]

Hi, i am 67y old man who has Medicare Plan A. Since I lived outside of US untill recently did not apply for Plan B. Since my SS benefit is very low am I eligible for Mecidaid? Also do I need to apply and enroll in Plan B first then apply for Medicade.
Thanks