In Virginia, D-SNPs are Dual Special Needs Plans, a type of Medicare Advantage plan designed for individuals eligible for both Medicare and Medicaid. These plans combine benefits from both programs, offering comprehensive care, typically at no premium cost, and including enhanced benefits like dental, vision, transportation, and care coordination services. Each D-SNP has specific services and benefits, so individuals should contact a plan directly to understand what they offer and ensure it meets their health needs. 

Key aspects of D-SNPs in Virginia:

• Integration of Medicare and Medicaid – D-SNPs integrate benefits from both programs into a single plan, simplifying healthcare management for eligible individuals. 
• Comprehensive Coverage – They cover all medically necessary services and preventive care under Medicare Parts A and B, plus Part D prescription drug coverage. 
• Enhanced Benefits – D-SNPs often provide “extra” benefits beyond what traditional Medicare and Medicaid offer, which can include vision, dental, hearing, and transportation services. 
• Care Coordination – A core component is care coordination, with health plans assessing members’ needs and creating tailored care plans and individual care teams to manage complex health needs. 
• Cost-Effectiveness – D-SNPs are often a cost-effective choice as they typically do not have a monthly premium. 
• Specialized Focus – These plans are designed for individuals with specific health and financial constraints, providing tailored services to meet their complex needs. 

Who can benefit from a Virginia D-SNP?

• Individuals who are eligible for both Medicare (Parts A and B) and Medicaid.
• People living in the D-SNP’s coverage area.