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Dual-eligible beneficiaries (Medicare dual eligibles or "duals") refers to those qualifying for both Medicare and Medicaid benefits. In the United States, approximately 9.2 million people are eligible for "dual" status. [1][2] Dual-eligibles make up 14% of Medicaid enrollment, yet they are responsible for approximately 36% of Medicaid ...
22 paź 2024 · Medicare beneficiaries who are only eligible for Medicaid through the Medicare Savings Programs are “partial-benefit” dual-eligible individuals because they only receive coverage of Medicare...
31 sty 2023 · The 12.5 million people who are jointly enrolled in Medicare and Medicaid, Medicare-Medicaid enrollees (also referred to as dually-eligible beneficiaries or dual eligibles), receive their...
Dually eligible individuals must navigate two separate programs: Medicare for the coverage of most preventive, primary, and acute health care services and prescription drugs, and. Medicaid for the coverage of LTSS, certain behavioral health services, and Medicare premiums and cost-sharing. FIGURE 1.
31 lip 2023 · Medicare and Medicaid provide health coverage to 12.5 million individuals who are enrolled in both programs, known as “dual-eligible individuals.” Medicare is their primary source of...
Since 2005, states Medicaid agencies have been submitting files at least monthly to CMS to identify all people who are dually enrolled in both Medicare and Medicaid, also known as dually eligible beneficiaries.