Dually Eligible Individuals: The Basics

Dually Eligible Individuals: The Basics

Published: Sep 01, 2026
Publisher: Mathematica

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Associated Project

Supporting States in Improving Care for Dually Eligible Individuals through the Integrated Care Resource Center

Time frame: 2011-2029

Prepared for:

U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services, Medicare - Medicaid Coordination Office

Authors

Haley Gallo Sutherland

Tida Sonetirot

Katerín Fernandez

This fact sheet provides basic information about people who are dually eligible for both Medicare and Medicaid, including information about how a person qualifies for both programs, the difference between “full-benefit” and “partial-benefit” dual eligibility, and certain characteristics of dually eligible individuals, like Medicare plan enrollment and use of certain kinds of health care services.

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