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Am I Eligible For A D-SNP?
Medicare Advantage Dual Special Needs Plans are for people in New York who are eligible for both Medicare and Medicaid. These plans offer coordinated care and additional coverage not available with Original Medicare.‡ A D-SNP from Empire can make life easier and help you stretch your budget.
Count On Valuable Benefits With An Empire D-SNP
Depending on your D-SNP eligibility, you can get benefits like these that make life easier and support your health and budget. Plus, Empire offers both full and partial D-SNPs based on your Medicaid status.*
Over-the-counter health items, groceries, and utilities
$0 Premiums
Most plans have $0 monthly premiums which is good news for your pocketbook
$0 Copays
$0 prescription drug copays means your money goes further
Routine exams, cleanings, and a yearly eyewear allowance
Routine hearing exams and hearing aids
Rides included to plan-covered services
Stay in shape with free access to SilverSneakers® gym membership
This allowance supports your mobility and makes life a little easier
Get companionship and support to enhance your quality of life
*Partial D-SNP plans not available in all states.
Flex Card: Great Benefits On One Card
With a D-SNP, you can get an Empire Benefits Prepaid Card with a monthly or quarterly allowance that you can use to pay for everyday items and expenses, such as:
Over-the-counter (OTC) health items
Healthy groceries
Assistive devices
Utilities
Transportation costs
Dental, vision, or hearing out-of-pocket costs
Your card is preloaded, so it's ready to use just like a prepaid credit or debit card. Availability, benefits, and amounts may vary based on your state.
Smart Tip: Check to see if your doctors are in our network, and your prescriptions are covered with our easy-to-use tool.
How Do I Enroll In An Empire D-SNP?
You Don't Have To Wait
Once you've signed up for Original Medicare,‡ you can enroll in a Dual Special Needs Plan anytime if you have Medicaid or become eligible for Medicaid.
If you already have a D-SNP, you can switch your plan once per quarter from January 1 through September 30, and during the Medicare Annual Enrollment Period from October 15 through December 7 each year.
Smart Tip: If you're not eligible for a D-SNP, Empire offers other Special Needs Plans (SNPs) and Medicare Advantage plans that might be right for you.
Frequently Asked Questions About D-SNPs
Dual eligible means that you qualify both for Original Medicare‡ as well as Medicaid. The state you live in decides who qualifies for Medicaid, and what types of Medicaid benefits you can receive.
Original Medicare‡ is coverage managed by the federal government for people 65 or older, younger people with certain disabilities, and people with End-Stage Renal disease. Medicaid is a state program that provides medical and/or supplementary benefits based on your income level.
Most D-SNPs come with $0 premiums, copays, and deductibles. The amount you pay for a premium or out-of-pocket costs depends on whether you are fully or partially eligible. If you receive full Medicaid benefits, nearly all of your out-of-pocket costs should be covered by your state.
Full dual eligible means you receive full Medicaid benefits from your state’s program. Your Medicare Part A and B premiums and nearly all of your out-of-pocket costs may be paid based on your state’s program.
Partial dual eligible means you qualify for Medicaid but based on your income, you don’t receive full medical benefits. Depending on your state, you may have to pay some out-of-pocket costs for premiums and medical care.
No, not at all. A D-SNP lets you keep all your Medicaid benefits and coordinates them with your Medicare coverage. That way you can access all your benefits more easily. With an Empire D-SNP, you'll get valuable benefits and the support you need.
Read Our Medicare Articles
Compare the differences between Medicare and Medicaid plans. You can also take a deeper dive and learn about Medicare Advantage enrollment, benefits, and more.
Attend A Free Event
Sign up and find out how Empire Medicare plans help cover costs that Original Medicare‡ doesn’t. You can attend a virtual webinar, or a live seminar where a Medicare licensed agent will be present to answer your questions.
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‡ Original Medicare: Part A (Hospital Insurance) and Part B (Medical Insurance).
Empire BlueCross BlueShield is a Medicare Advantage plan with a Medicare contract. Empire BlueCross BlueShield is a SNP plan with a Medicare contract and a contract with the state Medicaid program. Enrollment in Empire BlueCross BlueShield depends on contract renewal.
Anthem Blue Cross and Blue Shield is a Medicare Advantage plan with a Medicare contract. Anthem Blue Cross and Blue Shield is a D-SNP plan with a Medicare contract and a contract with the state Medicaid program. Enrollment in Anthem Blue Cross and Blue Shield depends on contract renewal.