People who are dually enrolled in both Medicare and Medicaid, also known as dually eligible individuals, fall into several eligibility categories. These individuals may either be enrolled first in Medicare and then qualify for Medicaid, or vice versa.
Dually eligible individuals are enrolled in Medicare Part A (Hospital Insurance) and/or Part B (Supplemental Medical Insurance), and are also enrolled in full-benefit Medicaid and/or the Medicare Savings Programs (MSPs) administered by each individual state. MSPs assist low income Medicare beneficiaries with some or all of their Medicare Parts A and B expenses.
Check out this resource that summarizes the eligibility categories for dually eligible individuals, including the degree to which individuals in each category receive assistance with Medicare Parts A and B premiums and cost sharing. Each eligibility category is mutually exclusive.
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