
Dual eligible
"Dual eligible" refers to individuals who qualify for both Medicare and Medicaid. These individuals are sometimes called Medicare-Medicaid enrollees. To be considered dually eligible, a person must be enrolled in Medicare Part A (hospital insurance) and/or Medicare Part B (medical insurance). Additionally, they must be enrolled in either full coverage Medicaid or one of Medicaid's Medicare Savings Programs (MSPs).
Full dual eligibility means that a person qualifies for full state Medicaid benefits as well as Medicare. This can include coverage for physician visits, hospital services, and long-term care, among other benefits. Partial dual eligibility means that a person qualifies for a Medicare Savings Program, which helps cover certain Medicare costs like premiums, but does not provide full Medicaid medical benefits.