Care Improvement Plus Dual Advantage Plan
Care Improvement Plus' Dual Advantage Special Needs Plan (D-SNP) is uniquely designed for Medicare beneficiaries with both Medicare and full Medicaid (dual eligible), providing access to comprehensive Medicare and Medicaid benefits, plus valuable supplemental services in a single plan.
Care Improvement Plus' Dual Advantage Plan features
- $0 monthly plan premium for those who have Medicare and full Medicaid (QMB, QMB Plus)
- $0 cost sharing (no copayments, coinsurance or deductibles) for most covered medical services, for those who have Medicare and full Medicaid
- Vision benefits
- Preventive dental coverage and denture benefits
- Transportation benefits
- Podiatry care
- Nursing support
- Preventive healthcare
- Emergency care
- Durable Medical Equipment benefits
- Social Service Coordinators – helping members better manage out-of-pocket expenses for healthcare, prescription drugs, utility bills and more.
Why offer a health plan for those with both Medicare and Medicaid?
Care Improvement Plus currently covers more than 20,000 beneficiaries with Medicare and Medicaid benefits. For these beneficiaries, it can be confusing to understand what is covered by Medicare and Medicaid. Care Improvement Plus Dual Advantage offers support services to help dual-eligible beneficiaries access more benefits, coordinating their care and ensuring that they obtain necessary services.
Key Dual Eligible Beneficiary and D-SNP Statistics:
- According to CMS data, approximately 7 million beneficiaries are considered dual-eligible.1
- Dual eligible beneficiaries cost Medicare approximately 60 percent more than non-dual beneficiaries, and tend to report lower overall health status.2
- A disproportionate number of dual eligible beneficiaries lack a high school diploma, and are African American or Hispanic.2
- Total annual healthcare spending for dual eligible beneficiaries averages about $20,840 per person. 2
- As of August 2009, over 900,000 Medicare beneficiaries are currently enrolled in dual special needs plans. 3
Sources
- 1 Milligan, C. and Woodcock, C. (2008) Coordinating care for dual eligibles: Options for linking state medicaid programs with medicare advantage special needs plans. The Commonwealth Fund. Issue Brief.
- 2 Medpac. (2004) Dual eligible beneficiaries: An overview. Report to the Congress: New approaches in Medicare.
- 3 CMS HPMS data, August 2009.
This page was last updated on: 11/30/2009 12:11:08 PM
