Dual eligible refers to individuals who are eligible for both Medicare and Medicaid benefits. These individuals typically have lower income and limited financial resources, and they may have specific healthcare needs.
Medicare is a federal health insurance program that primarily covers individuals who are 65 years of age or older, as well as some individuals with disabilities. Medicaid, on the other hand, is a joint federal and state program that provides health coverage for individuals with low income, including children, pregnant women, and people with disabilities.
Dual eligible individuals are eligible for both Medicare and Medicaid benefits, and they may receive full or partial coverage from both programs depending on their income and state of residence. Some dual eligible individuals may also be eligible for additional benefits such as long-term care services, and in-home care.
It is important to note that while Medicare and Medicaid provide different types of coverage, they both have different eligibility criteria and enrollment process, so it is important for dual eligible individuals to keep track of their coverage and renewal.
It's also recommended for dual eligible individuals to work with a licensed advisor to help them understand the benefits and coverage they are eligible for.