{"id":1151,"date":"2025-10-27T16:26:24","date_gmt":"2025-10-27T20:26:24","guid":{"rendered":"https:\/\/dhss.delaware.gov\/dmma\/?page_id=1151"},"modified":"2025-11-13T14:57:00","modified_gmt":"2025-11-13T18:57:00","slug":"dsnp","status":"publish","type":"page","link":"https:\/\/dhss.delaware.gov\/dmma\/dsnp\/","title":{"rendered":"Delaware Dual Eligible Special Needs Plans"},"content":{"rendered":"<div data-swiftype-index=\"true\">\r\n\r\n\r\n\r\n\r\n\r\n  <br>\r\n\r\n\r\n  \r\n\r\n\r\n  <div class=\"container\" id=\"main_header\">\r\n\r\n\r\n    <!-- BEGIN readspeaker div -->\r\n\r\n\r\n    <div class=\"rs_skip rsbtn rs_preserve\" id=\"readspeaker_button1\">\r\n\r\n\r\n      <a class=\"rsbtn_play\" href=\"https:\/\/app-na.readspeaker.com\/cgi-bin\/rsent?customerid=7262&amp;lang=en_us&amp;readid=main_content&amp;url=https:\/\/dhss.delaware.gov\/dmma\/dsnp\/\" title=\"Listen to this page using ReadSpeaker\">\r\n\r\n\r\n        <span class=\"rsbtn_left rsimg rspart\"><span class=\"rsbtn_text\"><span>Listen<\/span><\/span><\/span>\r\n\r\n\r\n        <span class=\"rsbtn_right rsimg rsplay rspart\"><\/span>\r\n\r\n\r\n      <\/a>\r\n\r\n\r\n    <\/div>\r\n\r\n\r\n    <!-- END readspeaker div -->\r\n\r\n\r\n\r\n\r\n\r\n    <header class=\"pull-left\">\r\n\r\n\r\n      <h1><!--[type=EDIT name=\"Page Title\"]--><!--[END]--><\/h1>\r\n\r\n\r\n    <\/header>\r\n\r\n\r\n  <\/div><br>\r\n\r\n\r\n \r\n\r\n\r\n  <div class=\"container\">\r\n\r\n\r\n    <div class=\"row\">\r\n\r\n\r\n      <div class=\"col-md-3\" id=\"leftCol\">\r\n\r\n\r\n        <div class=\"panel-group\" id=\"accordion\">\r\n\r\n\r\n          <div class=\"panel sectionmenu_panel\">\r\n\r\n\r\n            <div class=\"panel-heading\">\r\n\r\n\r\n              <p class=\"panel-title\"><a class=\"agency_nav\" data-parent=\"#accordion\" data-toggle=\"collapse\" href=\"#collapseOne\"><strong><i class=\"fa fa-align-justify fa-fw\"><\/i> Medicaid &amp; 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Delaware gives you the chance to join a special plan called a Dual Eligible Special Needs Plan (D-SNP). A D-SNP is a type of Medicare plan that also includes Medicaid benefits. It helps make sure your healthcare, medicines, and bills are all managed together. <\/p> \r\n<p>For example, if you see many doctors or take different medicines, your D-SNP will help your doctors work together and share information. This makes it easier for your doctors to give you the right care and plan your treatments. <\/p> \r\n\r\n          <\/p>\r\n        <\/div>\r\n      <\/div>\r\n    <\/details>\r\n\r\n    <!-- FAQ 2 -->\r\n    <details>\r\n      <summary>How do you know if you are eligible for a D-SNP?<\/summary>\r\n      <div class=\"faq-answer-outer\">\r\n        <div class=\"faq-answer-inner\">\r\n          <p>To join a D-SNP, you must:<\/p>\r\n          <ul>\r\n            <li><strong>Have Medicare Parts A and B. You can check this on your Medicare Card. <\/strong><\/li>\r\n            <li>\r\n              <strong>You must qualify for Delaware Medicaid. <\/strong> You can learn more about Medicaid eligibility <a href=\"https:\/\/dhss.delaware.gov\/dmma\/medicaid\/\" target=\"_blank\">here<\/a>.\r\n            <\/li>\r\n          <\/ul>\r\n        <\/div>\r\n      <\/div>\r\n    <\/details>\r\n\r\n    <!-- FAQ 3 -->\r\n    <details>\r\n      <summary>When and how can you enroll in a D-SNP?<\/summary>\r\n      <div class=\"faq-answer-outer\">\r\n        <div class=\"faq-answer-inner\">\r\n          <p>\r\n            There are several times when dual-eligible people can sign up for a D-SNP:\r\n          <\/p>\r\n\r\n          <p>\r\n            <strong>1. <\/strong> When you first become eligible for Medicare, you can join a D-SNP during the <strong>Initial Enrollment Period (IEP) <\/strong>. This usually happens when you turn 65 years old. The IEP lasts for seven months, starting three months before your 65th birthday and ending three months afterward. If you are born on the first day of the month, your IEP starts four months before and ends two months after your birthday. If you get Medicare early because of a disability, kidney failure, or ALS (Lou Gehrig\u2019s disease), and you also qualify for Medicaid, you can join a D-SNP at the same time. \r\n          <\/p>\r\n          <p>\r\n            <strong>2. <\/strong> You can also join a D-SNP during the <strong>Medicare Annual Enrollment Period<\/strong>, also called Medicare Open Enrollment. This runs from <strong>October 15 to December 7<\/strong> each year. \r\n          <\/p>\r\n\r\n          <p>\r\n            <strong>3. <\/strong> Some people might be able to join a D-SNP during a <strong>Special Enrollment Period<\/strong>, which is a different time outside the regular periods. \r\n          <\/p>\r\n\r\n          <p>\r\n            Each plan may have slightly different steps to sign up.\r\n            To learn more, visit their website or call.\r\n          <\/p>\r\n\r\n          <div class=\"plans-table-wrap\" role=\"region\" aria-label=\"D-SNP Plan Contacts\">\r\n            <table>\r\n              <thead>\r\n                <tr>\r\n                  <th scope=\"col\">D-SNP<\/th>\r\n                  <th scope=\"col\">Webpage<\/th>\r\n                  <th scope=\"col\">Phone Number<\/th>\r\n                <\/tr>\r\n              <\/thead>\r\n              <tbody>\r\n                <tr>\r\n                  <td><strong>AmeriHealth VIP Care<\/strong><\/td>\r\n                  <td>\r\n                    <a href=\"https:\/\/www.amerihealthcaritasvipcare.com\/de\">\r\n                      https:\/\/www.amerihealthcaritasvipcare.com\/de\r\n                    <\/a>\r\n                  <\/td>\r\n                  <td>\r\n                    <strong>Member services:<\/strong> 1&nbsp;833&nbsp;433&nbsp;3767<br \/>\r\n                    <strong>If you are not a member:<\/strong> 1&nbsp;800&nbsp;803&nbsp;8931\r\n                  <\/td>\r\n                <\/tr>\r\n\r\n                <tr>\r\n                  <td><strong>Delaware First Health (Wellcare)<\/strong><\/td>\r\n                  <td>\r\n                    <a href=\"https:\/\/www.delawarefirsthealth.com\/\">\r\n                      https:\/\/www.delawarefirsthealth.com\/\r\n                    <\/a>\r\n                  <\/td>\r\n                  <td>\r\n                    <strong>Member services:<\/strong> 1&nbsp;877&nbsp;236&nbsp;1341\r\n                  <\/td>\r\n                <\/tr>\r\n\r\n                <tr>\r\n                  <td><strong>Highmark Health Options Duals<\/strong><\/td>\r\n                  <td>\r\n                    <a href=\"https:\/\/www.highmark.com\/health-options-de\/duals\">\r\n                      https:\/\/www.highmark.com\/health-options-de\/duals\r\n                    <\/a>\r\n                  <\/td>\r\n                  <td>\r\n                    <strong>Member services:<\/strong> 1&nbsp;855&nbsp;401&nbsp;8251\r\n                  <\/td>\r\n                <\/tr>\r\n\r\n                <tr>\r\n                  <td>\r\n                    <strong>Aetna<\/strong><br \/>\r\n                    <em>(No longer available starting January&nbsp;1,&nbsp;2026)<\/em>\r\n                  <\/td>\r\n                  <td>\r\n                    <a href=\"https:\/\/www.aetna.com\/medicare\/compare-plans-enroll\/medicare-advantage-dsnp-plans.html\">\r\n                      https:\/\/www.aetna.com\/medicare\/compare-plans-enroll\/medicare-advantage-dsnp-plans.html\r\n                    <\/a>\r\n                  <\/td>\r\n                  <td>\r\n                    <strong>Member Services:<\/strong> 1&nbsp;833&nbsp;223&nbsp;0614\r\n                  <\/td>\r\n                <\/tr>\r\n\r\n                <tr>\r\n                  <td>\r\n                    <strong>Cigna<\/strong><br \/>\r\n                    <em>(No longer available starting January&nbsp;1,&nbsp;2026)<\/em>\r\n                  <\/td>\r\n                  <td>\r\n                    <a href=\"https:\/\/www.cigna.com\/medicare\/shop-plans\/medicare-advantage\/special-needs-plans\">\r\n                      https:\/\/www.cigna.com\/medicare\/shop-plans\/medicare-advantage\/special-needs-plans\r\n                    <\/a>\r\n                  <\/td>\r\n                  <td>\r\n                    <strong>Member Services:<\/strong> 1&nbsp;855&nbsp;984&nbsp;1401\r\n                  <\/td>\r\n                <\/tr>\r\n\r\n                <tr>\r\n                  <td>\r\n                    <strong>United HealthCare<\/strong><br \/>\r\n                    <em>(No longer available starting January&nbsp;1,&nbsp;2026)<\/em>\r\n                  <\/td>\r\n                  <td>\r\n                    <a href=\"https:\/\/www.uhc.com\/communityplan\/dual-special-needs-plans\">\r\n                      https:\/\/www.uhc.com\/communityplan\/dual-special-needs-plans\r\n                    <\/a>\r\n                  <\/td>\r\n                  <td>\r\n                    <strong>Member Services:<\/strong> 1&nbsp;866&nbsp;523&nbsp;7508\r\n                  <\/td>\r\n                <\/tr>\r\n              <\/tbody>\r\n            <\/table>\r\n          <\/div>\r\n\r\n          <p><strong>To sign up for a D-SNP, you can:<\/strong><\/p>\r\n          <ul>\r\n            <li>Call <strong>1-800-MEDICARE<\/strong> or go to <strong>Medicare.gov<\/strong>.<\/li>\r\n            <li>Contact the D-SNP plan directly.<\/li>\r\n            <li>Talk to an insurance agent or broker.<\/li>\r\n          <\/ul>\r\n        <\/div>\r\n      <\/div>\r\n    <\/details>\r\n\r\n    <!-- FAQ 4 -->\r\n    <details>\r\n      <summary>What are supplemental benefits?<\/summary>\r\n      <div class=\"faq-answer-outer\">\r\n        <div class=\"faq-answer-inner\">\r\n          <p>\r\n            Another good thing about signing up for a D-SNP is that some plans offer extra benefits beyond those covered by Medicaid and Medicare. These extra benefits can be different depending on the plan, and may include: \r\n          <\/p>\r\n          <ul>\r\n            <li>Telehealth and online doctor visits<\/li>\r\n            <li>Dental care<\/li>\r\n            <li>Foot doctor (podiatry) services<\/li>\r\n            <li>Emergency call systems you can wear or keep at home<\/li>\r\n            <li>More hearing benefits<\/li>\r\n            <li>Extra help at home<\/li>\r\n          <\/ul>\r\n        <\/div>\r\n      <\/div>\r\n    <\/details>\r\n\r\n    <!-- FAQ 5 -->\r\n    <details>\r\n      <summary>Where can I get more information?<\/summary>\r\n      <div class=\"faq-answer-outer\">\r\n        <div class=\"faq-answer-inner\">\r\n          <p>If you have additional questions, you can:<\/p>\r\n          <ul>\r\n            <li>Call the number on the back of your D-SNP member ID card.<\/li>\r\n            <li>Call <strong>Medicare<\/strong> at <strong>1-800-633-4227<\/strong>.<\/li>\r\n            <li>\r\n              Call the <strong>Delaware Medicare Assistance Bureau<\/strong> at\r\n              <strong>1-800-336-9500<\/strong>.\r\n            <\/li>\r\n          <\/ul>\r\n        <\/div>\r\n      <\/div>\r\n    <\/details>\r\n  <\/section>\r\n  <\/div>\r\n<\/div>\r\n<div class=\"info-box\">\r\n    <p><strong>Changes are coming. Action needed. <\/strong><\/p>\r\n    <p>\r\n      Delaware is making some new changes to help dual-eligible individuals get better care. Starting on <strong>January 1, 2026<\/strong>, Delaware will only allow D-SNPs that are &#8220;exclusively aligned.&#8221; An \u201cexclusively aligned\u201d plan means that your Medicare and Medicaid benefits come from the same plan. Delaware will use a \u201cMedicare first\u201d approach, meaning that the plan you pick for your Medicare will also take care of your Medicaid benefits. This means that if you are currently getting Medicare and Medicaid from two different plans, you will start getting both from just one plan. You will need to decide which plan you will enroll in during open enrollment.\r\n    <\/p>\r\n    <p>\r\n     If you are currently enrolled with United, Aetna, or Cigna, you will need to think about choosing a different plan during the Open Enrollment Period from <strong>October 15, 2025, to December 7, 2025<\/strong>. You may also be eligible for a special enrollment period if you are currently with United, Aetna, or Cigna. You can call 1-800-MEDICARE to see if you qualify for a special enrollment period.\r\n    <\/p>\r\n    <p>\r\n      Beginning in January 2026, only these D-SNP plans will be available in Delaware:\r\n    <\/p>\r\n    <ul>\r\n      <li>AmeriHealth VIP Care<\/li>\r\n      <li>Delaware First Health (Wellcare)<\/li>\r\n      <li>Highmark Health Options Duals<\/li>\r\n    <\/ul>\r\n    <p>\r\n      If you are with United, Aetna, or Cigna and do not want to switch to one of the plans above, you can also choose to go back to Traditional Medicare or sign up for a regular Medicare Advantage Plan. \r\n    <\/p>\r\n  <\/div>\r\n  \r\n\r\n\r\n      <\/div>\r\n\r\n\r\n    <\/div>\r\n\r\n\r\n  <\/div><!-- \/container -->\r\n\r\n\r\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Listen Medicaid &amp; Medical Assistance Menu Home About About DMMA Sections &amp; Programs FAQs Related Links Contact Information Office Locations Services Programs and Services A-Z of DHSS Services Adult Dental Benefits Developmental Disabilities Home &amp; Community Based Waiver Program Medical Assistance Programs Medicaid Healthy Children (CHIP) Prescription Assistance (DPAP) Long Term Care Children&#8217;s Community Alternative [&hellip;]<\/p>\n","protected":false},"author":19,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-1151","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/dhss.delaware.gov\/dmma\/wp-json\/wp\/v2\/pages\/1151","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dhss.delaware.gov\/dmma\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dhss.delaware.gov\/dmma\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dhss.delaware.gov\/dmma\/wp-json\/wp\/v2\/users\/19"}],"replies":[{"embeddable":true,"href":"https:\/\/dhss.delaware.gov\/dmma\/wp-json\/wp\/v2\/comments?post=1151"}],"version-history":[{"count":13,"href":"https:\/\/dhss.delaware.gov\/dmma\/wp-json\/wp\/v2\/pages\/1151\/revisions"}],"predecessor-version":[{"id":1164,"href":"https:\/\/dhss.delaware.gov\/dmma\/wp-json\/wp\/v2\/pages\/1151\/revisions\/1164"}],"wp:attachment":[{"href":"https:\/\/dhss.delaware.gov\/dmma\/wp-json\/wp\/v2\/media?parent=1151"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}