September 16, 2009 in Financial Services, Medicaid, Medicare
A Special Needs Plan (SNiP) is category of the Medicare Advantage plan designed to attract and enroll Medicare beneficiaries who fall into a certain special needs demographic. The main objective SNP plan is to accommodate Medicare enrollees who would benefit from a plan covering disease-specific specialists. These types of plans generally cover more benefits and ask ...
September 16, 2009 in Medicaid
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September 16, 2009 in Medicaid
People who are eligible for both Medicare and Medicaid coverage are “dually eligible”. Dual eligibility is available to people who have Medicare but need extra help paying some out-of-pocket Medicare expenses. These people may qualify to receive financial assistance from their state’s Medicaid program. If you have both Medicare and Medicaid, services will first be ...
September 10, 2009 in Health Insurance, Medicaid, Medicare
Access: The ability to obtain healthcare services. Accountable health plan: This term is used to refer to managed competition, including the health plans that are authorized to offer the uniform benefits package. Administrative services only (ASO): Usually associated with self-funded groups, this is when an insurance company, HMO, or third-party administrator provides claims-processing services, but ...
