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How Medicare and Medicaid Work Together

Some Peoples Health plans offer additional benefits for people with both Medicare and Medicaid

If you have Medicare and get additional medical assistance from the state of Louisiana or Louisiana Medicaid, you could be getting even richer benefits than you’re getting now.

Special Needs Plans

Medicare uses the term “dual-eligible” for people who qualify for Medicare and Medicaid. Peoples Health offers dual-eligibles what Medicare calls “special needs plans.” Taken together, these are called Dual-Eligible Special Needs Plans (D-SNPs).

Peoples Health special needs plans are available to anyone who has both Medicare and medical assistance from the state or Louisiana Medicaid. Some companies that offer these special needs plans require dual-eligibles to have full coverage from Medicaid to join the plan. Some Peoples Health special needs plans, however, are available to those with full Medicaid coverage as well as those who have partial Medicaid coverage (for example, Medicaid pays their Part B premium).

If you have Medicare and Medicaid, ask us about:

  • Comprehensive physical exams
  • Tests and screenings
  • Rides to doctors’ appointments*
  • Fitness center membership*
  • Meals after inpatient hospital stay
  • Over-the-counter health-related items*
  • Respite care sessions for members with dementia, including Alzheimer’s disease*
  • Hearing services including hearing aids*
  • Routine vision coverage*
  • Routine dental coverage including dentures*
  • Prescription drug coverage, including coverage for brand drugs
  • A Peoples Health plan ID card that’s widely accepted and easy to use

*May not be available with all special needs plans

Many people with Medicaid have faced tremendous hurdles to achieve good health throughout their lives. We’ve designed our special needs plans to help lower or remove those hurdles through enhanced benefits and coordinated care.

Three senior women embracing.

Questions about special needs plans?

For more information about our special needs plans, please call to speak with one of our plan representatives toll-free at 1-800-978-9765, seven days a week, from 8 a.m. to 8 p.m. TTY users may call 711.

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