Dual Eligible
A dual eligible is a person enrolled in both Medicare and Medicaid. The two programs work together to lower out-of-pocket costs.
Also known as
Related terms
- LTSS
LTSS are services that help people with daily living tasks like bathing, dressing, or cooking, paid for by Medicaid in homes, communities, or nursing homes.
- Medicare Part A
The component of Original Medicare that covers inpatient hospital care, skilled nursing facility care (following a hospital stay), hospice care, and limited home health services.
- Medicare Part B
The component of Original Medicare that covers outpatient care, doctor visits, preventive services, ambulance services, and durable medical equipment.
- Medicare Savings Programs
Medicare Savings Programs are state-run programs that help pay Medicare premiums and sometimes deductibles and copays for people with limited income.
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Frequently asked questions about Dual Eligible
What is a dual eligible?+
Someone covered by both Medicare and Medicaid.
Who qualifies for a dual eligible?+
People who qualify for Medicare and also meet Medicaid income and asset rules.
How do I apply for a dual eligible?+
Apply for Medicaid through your state agency once you have Medicare.
Where can I get help?+
Call BenefitKarma at (866) 201-2604 or use our free benefit screener.