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District of Columbia health plans
Looking for low-cost or no-cost health insurance? We offer dual health plans for people with Medicaid and Medicare.
1 result for District of Columbia
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You may qualify for a dual health plan if:
- You are under age 65 and qualify on the basis of disability or other special situation OR you are at least 65 years old and receive Extra Help or assistance from your state.
- You're a U.S. citizen or a legal resident who has lived in the U.S. for at least five consecutive years.
- You live in the plan's service area.
Before selecting a specific dual health plan, review the plan’s full or partial Medicaid coverage requirements.
Monthly premium: $0.00*
* Your costs may be as low as $0, depending on your level of Medicaid eligibility.
This dual health plan is for people who qualify for both Medicaid and Medicare Parts A & B (Original Medicare).
This is a Preferred Provider Organization (PPO) plan. You have access to a local network of doctors and hospitals. Plus, you can see any provider outside the network nationwide that participates in Medicare and accepts the plan. You may pay a higher copay or coinsurance when you see an out-of-network provider.
This plan is available in all counties.
Benefits & FeaturesBenefits & Features
Up to $2000 for covered types of preventive and comprehensive dental
$80 a month on a prepaid card for OTC and covered groceries in-store or online
Prescription drug coverage
$0 copay on covered generic and brand-name prescriptions including home delivery
Have questions? 8 a.m. – 8 p.m. local time, 7 days a week 1-844-812-5967 TTY 711
Need help finding a plan?
Answer a few quick questions to see what type of plan may be a good fit for you.
Dual eligible plans
What is D-SNP?
A dual eligible plan is a type of health insurance plan for people who have both Medicaid and Medicare. It works together with your Medicaid health plan. You'll keep all your Medicaid benefits. Most dual plans also give you more benefits and features than you get with Original Medicare. All for a $0 plan premium.
- Who is eligible?
When can you enroll?
The Medicare Annual Enrollment Period (AEP) happens once a year in the fall. If you qualify for a dual eligible plan, you may not have to wait.
You may be able to enroll right away if you
- Are 65 and newly eligible for Medicare or have a qualifying disability
- Are retiring and losing your current coverage
- Have moved out of your current Medicare plan's service area
- Have a chronic condition like diabetes or chronic heart failures
- Receive Medicaid benefits
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