The Health Care Experiences of People Dually Eligible for Medicare and Medicaid

Commonwealth Fund June 27, 2024
Janet P. Sutton, Gretchen Jacobson, Faith Leonard

Comparing Traditional Medicare and Medicare Advantage

TOPLINES

The number of Americans enrolled in both Medicare and Medicaid is increasing, and a growing share are covered by a private Medicare Advantage plan

Whether enrolled in traditional Medicare or Medicare Advantage, dual-eligible beneficiaries’ coverage and care experiences are largely similar

People enrolled in both Medicare and Medicaid coverage are known as dual-eligible beneficiaries. They qualify for Medicare because they’re at least 65 years old or because they’re under age 65 and have a qualifying disability or medical condition. They qualify for Medicaid because they have low income and few resources.

In 2024, about 12.8 million Americans are dual-eligible beneficiaries. Typically, they have more complex health care needs than the average Medicare enrollee....

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