What is D-SNP?

When you need care, your Medicare and Medicaid benefits can work together. This is called a Dual Eligible Special Needs Plan, or D-SNP for short. Your D-SNP coverage and programs can help with daily expenses like utility bills and transportation.

Your D-SNP coverage focuses on you

If you’re looking for new health care coverage or want to change your current health plan, Highmark Health Options Duals helps save time and money while keeping you healthy.

Eliminating Benefits Paperwork

If you’re changing your current coverage to a D-SNP, changing to your new plan will be completed for you.

Using Our Large Provider Network

For your convenience, our D-SNP coverage is accepted by thousands of board-certified doctors throughout Delaware.

Earning Healthy Rewards

The Healthy Rewards Program helps you earn rewards when you complete healthy activities.

How D-SNP works

When you’re covered by a D-SNP, the way you’ll get care is like getting care with a Health Maintenance Organization (HMO) health plan.

Visiting Network Doctors

When you have a D-SNP, you’ll choose your primary care provider (PCP) for regular care from our Highmark Health Options Duals provider network.

Coordinating Your Services 

Your PCP will manage all of your health care and get approval for you to work with other providers – like specialists – if you need it.

Paying For Prescriptions

In most cases, you'll use a Highmark Health Options Duals-preferred pharmacy to ensure your prescriptions are covered. 

Understanding benefits and costs

Before enrolling in a D-SNP plan, it's important to understand the benefits, costs, and rules. Here's a pre-enrollment checklist with valuable information and resources to help you make an informed decision.

Choosing Highmark Health Options Duals

Your D-SNP includes Medicare Part A and Part B, Medicaid, medication benefits and more. You can choose Highmark Health Options Duals if you:

• Have been on disability for the past 2+ years
• Are age 65 or older
• Have Medicare Part A, Medicare Part B and Medicaid cards
• Live in Delaware

Thinking about the care you’ll need may help you know if D-SNP could be right for you. You can also think about what’s most important to you, like out-of-pocket costs and benefits and programs.

In addition to not having to pay a monthly cost for your D-SNP, you’ll get prescription drug benefits and other helpful assistance programs. Other plan highlights include zero-dollar costs for:

• Preventive screenings
• Primary care provider office visits
• Emergency care