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    Dual Eligible Special Needs Plans (D-SNP)

    Find the right coverage through Highmark to help you meet your health care needs.

    Dual Eligible Special Needs Plans (D-SNP)

    Find the right coverage through Highmark to help you meet your health care needs.

    D-SNP and eligibility

    Dual Eligible Special Needs Plans are a type of Medicare Advantage Plan for individuals who are entitled to both Medicare and medical assistance from a state plan under Medicaid.

    Depending on the state and your eligibility, the state may cover some Medicare costs. You can join a Dual Eligible Special Needs Plan (D-SNP) if you qualify for both Medicare and Medicaid. There are a few basic requirements. You must:

    • Be a U.S. citizen or a lawful, permanent resident.
    • Live in an area where D-SNP's are offered.
    • Meet the financial requirements for your state's Medicaid program.
    • Qualify for Original Medicare (Parts A & B).

    If you're not sure whether you meet these requirements, that's okay. We can help you figure out if you're eligible for a D-SNP and help you find a great plan. Give us a call at 1-800-241-5704 and someone can get you in touch with a rep in your area.

    SSBCI eligibility requirements

    You may be eligible for additional support with Special Supplemental Benefits for the Chronically Ill (SSBCI). However, you must meet specific requirements to qualify for SSBCI. Review these requirements.

    D-SNP plans through Highmark

    Highmark proudly covers the insurance needs of nearly 7 million members in Delaware, New York, Pennsylvania and West Virginia. If you're looking for a D-SNP plan, you can check below to see if we currently offer a plan in your state.

    Delaware

    We currently offer full state coverage with our Highmark Health Options Duals plan.

    New York

    We don't offer D-SNP plans in your area at this time. Let's find you a great Medicare Advantage plan.

    Pennsylvania

    We currently offer Highmark Wholecare Medicare Assured dual eligible plans in 62 of the 67 counties.

    West Virginia

    We currently offer a Highmark Health Options Duals plan in 18 of the 55 counties.

    Why choose a Highmark plan

    When you enroll in a Highmark plan, you're getting more than just medical coverage. We're committed to improving the health of people in our local communities. We also know that health and wellness go hand-in-hand, so we offer a variety of personalized lifestyle tools and programs to help you reach your goals.

    Not eligible for a D-SNP plan?

    Not eligible for a D-SNP plan?

    Having a health plan means knowing what you want to achieve for your well-being. With Highmark, you can find a Medicare plan that suits your needs and budget.

    Having a health plan means knowing what you want to achieve for your well-being. With Highmark, you can find a Medicare plan that suits your needs and budget.