Which characteristic describes a consumer who may benefit from a D-SNP?

A consumer who may benefit from a Dual Special Needs Plan (D-SNP) is one who is enrolled in their state Medicaid program. D-SNPs are specifically designed for individuals who are eligible for both Medicare and Medicaid, often helping to address the unique needs of this population by providing coordinated care and covering additional services that standard Medicare or Medicaid may not offer.

When someone is enrolled in Medicaid, they typically have access to services that can be complemented by having a D-SNP. This dual coverage can enhance their healthcare options and improve care coordination between providers, which is particularly beneficial for those with complex health needs.

In contrast, a consumer who is not enrolled in Medicaid or has private insurance would not qualify for a D-SNP, as these plans target individuals with dual eligibility. Thus, being enrolled in a state Medicaid program is a key characteristic for someone who would gain the most benefit from a D-SNP.