Wellcare by Health Net California Dual Eligible Special Needs Plans (D-SNP)
California
Wellcare by Health Net offers 4 Medicare-Medicaid Dual Eligible plans in California. The average government quality score of these plans is 3.0 out of 5 stars (2024 plan ratings).
All of these plans include Part D Prescription Drug coverage because Medicare-Medicaid Dual Eligible Plans are required to include prescription drug coverage. All of these plans include coverage for additional benefits such as dental, vision, or hearing. There may not be a plan in your area that has all of these benefits in one plan.
Summary of Available Medicare-Medicaid Dual Eligible Plans from Wellcare by Health Net in California
- Rx
- Dental
- Vision
- Hearing
- Rx
- Dental
- Vision
- Hearing
- Rx
- Dental
- Vision
- Hearing
- Rx
- Dental
- Vision
- Hearing
Frequently Asked Questions
About Medicare-Medicaid Dual Eligible SNP
Medicare and Medicaid coordinate benefits and coverage for Dual Eligible Plans. Medicare is primary and pays first for medical services, while Medicaid is secondary and may cover medical costs not covered, or partially covered, by Medicare.
There are several different types of dual eligible beneficiaries, which can determine how Medicare and Medicaid coordinate coverage:-
QMB (Qualified Medicare Beneficiary)
- Medicaid pays premiums and cost sharing for Medicare Part A and Part B benefits
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QMB Plus (Qualified Medicare Beneficiary Plus)
- Same as QMB, but Medicaid also pays for full Medicaid benefits
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SLMB (Specified Low-Income Medicare Beneficiary)
- Medicaid pays for Medicare Part B premium
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SLMB Plus (Specified Low-Income Medicare Beneficiary Plus)
- Same as SLMB, but Medicaid also pays for full Medicaid benefits
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Other FBDE (Full Benefit Dual Eligible)
- Medicaid pays Medicare Part B premium and full Medicaid benefits
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QDWI (Qualified Disabled & Working Individual)
- Medicaid pays Medicare Part A premium
For more information on this topic please visit Medicare.gov