
Part D Home
Key
Facts
Dual Eligibles
Prescription Drug Coverage
Differences From Medicaid
Choosing a Drug Plan
Premiums
Auto-Assignment
Drug Formularies
Other Limits on Access
Excluded Medications
Off-Label Medications
Pharmacies
Cost Sharing
Long Term Care Facilities
Exceptions
and Appeals
Switching to Another Plan
Coverage Comparisons
Getting Help Choosing a Plan
Important Dates
Key Terms
Resources
Transition Policies
Acknowledgements
DUAL ELIGIBLES
Who is a dual eligible?
A dual eligible is an individual who receives both Medicare and Medicaid benefits. Dually eligible people with disabilities usually receive Social Security and Medicare benefits and Supplemental Security Income (SSI) and Medicaid benefits. (The Social Security benefits are usually Disability Insurance benefits or Disabled Adult Child benefits received due to the retirement, death, or disability of a parent). Receiving both Medicare and Medicaid is why we refer to these individuals as dual eligibles. Of the 6.4 million dual eligibles, an estimated 500,000 are people with developmental disabilities.
A Guide To Medicare Part D Prescription Drug Coverage
for people with developmental disabilities