What is the primary purpose of Dual Eligible Special Needs Plans (D-SNP)?

• A. To provide hospital coverage only
• B. To coordinate Medicare and Medicaid for dual-eligible individuals
• C. To replace Medicaid
• D. To offer dental coverage only

Answer: (B)

D-SNPs are Medicare Advantage plans created for people who are eligible for both Medicare and Medicaid. The main purpose is to coordinate benefits from the two programs so a single plan can manage medical services, prescription coverage, and Medicaid benefits in a unified way. This coordination helps simplify enrollment, ensure consistent access to care, and improve care management by aligning services, networks, and costs across both programs. It’s not about providing hospital coverage alone, replacing Medicaid, or offering dental coverage exclusively—the core goal is integrated, coordinated benefits for those who qualify for both programs.