Current Size: 100%
Plans with Individuals with Both Medicare and Medicaid Coverage
Optimum HealthCare offers Special Needs Plans (SNPs) for members who are Dual Eligible (receive both Medicare and Medicaid benefits). Dual eligible beneficiaries are classified as either full or partial dual eligible depending on income level and other qualifying criteria. At the time of enrollment, the level will be determined using the best available evidence. The Centers for Medicaid and Medicare will later confirm the actual level. Use our Plan Finder to learn more about availability in your county and other plan-specific information.
Emerald Partial & Full (HMO SNP)
Plan ID: 016, 017
- Premiums vary defined by LIS level
- $0 Deductible
- $0 PCP Co-pay
- Low drug copays defined by LIS level
- Transportation Benefit (12 one-way trips: $0)
- OTC (up to $50)
- Vision, Dental, Hearing, Fitness and more
- Eligibility Requirements: Dual Eligible
To review plans for your area – click Plan Finder
Limitations, copays and restrictions may apply. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details. This plan is available to anyone who has both Medical Assistance from the State and Medicare.