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Does it mean that a non-par provider would bill the carrier over and above UCR? I wouldn't think the MBA would be billed since he would be Medi-Medi. Or is it like a DUAL CIP (Care Improvement Plus)?
What is a "Dual PPO."
- Thread starter wehotex
- Start date
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I think you are asking about MAPD PPO policies that are designed for "dual eligible" individuals. These are people who are eligible for both Medicare and Medicaid.
The plans are also known as dual Special Needs Plans (dSNP).
You can expect these plans to be very robust. The will have lower copays or $0 copays for most services.
The plans are also known as dual Special Needs Plans (dSNP).
You can expect these plans to be very robust. The will have lower copays or $0 copays for most services.
ritterim
New Member
If you're referring to dual special needs plans (DSNPs), then check out the Agent Survival Guide. There are a couple of good DSNP articles to get you started.
feels like you're gonna have to drop more jargon in there if you want to be sure no one here knows what you're trying to find out
Could you be referring to the dual demonstration plans being tested in Texas (and other states)? https://hhs.texas.gov/services/heal...s/texas-dual-eligible-integrated-care-project
