A monthly integrated care SEP will allow full dual eligible individuals to select what type of plan starting in 2025?

A monthly integrated care SEP will allow full dual eligible individuals to select what type of plan starting in 2025?

• A. Standard Medicare Advantage Plan
• B. Integrated Dual Eligible Special Needs Plan (D-SNP)
• C. Original Medicare Plan
• D. Supplemental Insurance Plan

Answer: (B)

The correct choice is the Integrated Dual Eligible Special Needs Plan (D-SNP) because this type of plan is specifically designed for individuals who qualify for both Medicare and Medicaid, often referred to as dual eligible individuals. Starting in 2025, the availability of a monthly integrated care Special Enrollment Period (SEP) allows these individuals to have greater flexibility and options to select D-SNPs, which offer benefits tailored to their unique health care needs and sometimes even additional services beyond what is typically covered by standard Medicare Advantage plans. D-SNPs provide integrated care coordination, combining the Medicare and Medicaid programs to streamline services and enhance care management. This helps ensure that dual eligible beneficiaries receive the comprehensive support they need to navigate their health care. The other options are less applicable for dual eligible individuals. Standard Medicare Advantage Plans do not specifically cater to the unique needs of these members. Original Medicare doesn't offer the same integrated approach, and a Supplemental Insurance Plan, or Medigap, is designed to cover costs not paid by Medicare which does not address the dual eligibility aspect directly.

The correct choice is the Integrated Dual Eligible Special Needs Plan (D-SNP) because this type of plan is specifically designed for individuals who qualify for both Medicare and Medicaid, often referred to as dual eligible individuals. Starting in 2025, the availability of a monthly integrated care Special Enrollment Period (SEP) allows these individuals to have greater flexibility and options to select D-SNPs, which offer benefits tailored to their unique health care needs and sometimes even additional services beyond what is typically covered by standard Medicare Advantage plans.

D-SNPs provide integrated care coordination, combining the Medicare and Medicaid programs to streamline services and enhance care management. This helps ensure that dual eligible beneficiaries receive the comprehensive support they need to navigate their health care.

The other options are less applicable for dual eligible individuals. Standard Medicare Advantage Plans do not specifically cater to the unique needs of these members. Original Medicare doesn't offer the same integrated approach, and a Supplemental Insurance Plan, or Medigap, is designed to cover costs not paid by Medicare which does not address the dual eligibility aspect directly.