10.3: Dual-Eligibles
[Give] States the option to "top up" the Medicare defined-contribution amount for dual-eligibles who choose to enroll in a
private health plan.
Other Information:
Additional Assistance for Dual-Eligibles. Medicaid, the federal-state program for the poor and the indigent, provides supplemental
coverage for about 8 million Medicare beneficiaries. These are poor people, and most qualify for full Medicaid benefits, including
long-term care services in nursing homes. They receive subsidies for Medicare premiums and cost-sharing and for the Medicare
Part D drug coverage. Beginning five years after enactment, states have the option to "top up" the Medicare defined-contribution
amount for dual-eligibles who choose to enroll in a private health plan. Dual-eligible enrollees who stay with the revamped
Medicare FFS plan continue to receive Medicaid coverage as they do today.
Indicator(s):
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