What must beneficiaries be entitled to in order to qualify for enrollment in a DSNP?

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Beneficiaries must be entitled to both Medicare and Medicaid to qualify for enrollment in a Dual Special Needs Plan (DSNP). This type of plan is specifically designed to provide additional benefits and resources for individuals who are eligible for both types of government healthcare programs. By being dual-eligible, beneficiaries can access a wider range of healthcare services and assistance tailored to their unique needs, such as coordination of care, medication management, and additional supplemental benefits that may not be available in standard Medicare plans.

Having dual eligibility means that the beneficiary can receive comprehensive coverage that addresses their medical and financial needs, making DSNP a vital option for those who qualify. Each aspect of Medicare and Medicaid serves to enhance the overall healthcare experience for these individuals, which is why the requirement stipulates that they must have both forms of coverage.

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