Questions about D-SNP?

Medicare is a federal program that provides health care coverage to people 65 and older and some people with disabilities.

Medicaid is a federal- and state-run government program that provides health care coverage for people with qualifying income. The federal government program provides Medicaid funding and resources to each state, which design and run their own Medicaid programs.

Medicare and Medicaid have different missions. Medicare provides health care coverage for people 65 and older and with certain disabilities. Medicaid provides health care coverage for people of all ages who don’t earn enough income to cover their health care costs. Learn more about Medicare and Medicaid.

A Dual-Eligible Special Needs Plan, or D-SNP, is a Medicare plan for those who are eligible for both Medicare and full Medicaid coverage. If you’re 65 or older with a qualifying income, you may be eligible for a D-SNP plan.

To be dual-eligible means that you qualify for both Medicare and Medicaid at the same time. Learn more about dual eligibility.

People who are eligible for both Medicare and Medicaid are eligible for D-SNP.

You qualify for PriorityMedicare D-SNP^SM (HMO) if:

• You’re currently enrolled in Medicare Parts A and B.
• You’re currently eligible for full Medicaid benefits.
• You live in the Priority Health Medicare service area (all 68 counties in Michigan’s Lower Peninsula).
• You are 21 years of age or older.

Learn more about eligibility requirements.

With D-SNP, your Medicare and Medicaid coverage work together to get you more care for less cost. Plus, D-SNP is no-cost as long as you have full Medicaid coverage.

See the supplemental benefits section below to learn more.

First, you’ll need to provide your ZIP code to make sure you live within the Priority Health Medicare service area.

Your ability to enroll is based on verification that you are eligible for both Medicare and full Medicaid assistance. If for some reason you don’t qualify or your enrollment isn’t accepted, we’ll notify you right away.

Before you enroll, have your red, white and blue Medicare card ready or your letter from the Social Security Administration about your entitlement. You'll also need your Medicaid ID number.

You can view and search for drugs covered by PriorityMedicare D-SNP^SM using the Approved Drug List.

PriorityMedicare D-SNP^SM (HMO) will provide supplemental benefits to its enrollees. These are extra benefits that are available to Medicare Advantage enrollees. They’re not covered under Medicare Part A and Part B. They include:

You can enroll in D-SNP year-round. If you already have Medicaid and Medicare, you may qualify for D-SNP. Learn more about eligibility For questions about eligibility and enrollment, give us a call at 888.379.0018 (TTY 711) from 8 a.m. to 8 p.m., seven days a week.