What does the term 'Dual Eligible Beneficiaries' refer to?

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The term 'Dual Eligible Beneficiaries' specifically refers to individuals who qualify for both Medicare and Medicaid. This designation is important as it highlights the intersection of these two government-funded programs designed to provide health coverage for distinct populations. Medicare primarily serves older adults and certain individuals with disabilities, while Medicaid assists low-income individuals and families.

Dual eligible beneficiaries can access services from both programs, offering them a broader range of healthcare services and support. This dual eligibility can lead to additional benefits, such as lower out-of-pocket costs for medical services, prescription drug coverage, and long-term care options. Consequently, understanding the unique healthcare needs and services available to dual eligible beneficiaries is crucial for healthcare providers and policymakers in ensuring comprehensive care for this population.

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