What does it mean when a customer is described as dual eligible?

A customer described as dual eligible refers specifically to individuals who qualify for both Medicare and Medicaid. This designation is important because it often indicates that the person has low income or limited resources, allowing them to receive benefits from both programs. Medicare typically provides health insurance to those aged 65 or older, as well as certain younger individuals with disabilities, while Medicaid assists with medical costs for eligible low-income individuals and families.

Being dual eligible often allows for more comprehensive healthcare coverage, as Medicaid can help pay for costs not covered by Medicare, such as long-term care or specific services like personal assistance. Understanding this distinction is crucial when navigating healthcare options and services available to individuals who fall into this category.