lucille is no longer eligible for her state medicaid program and has lost her eligibility for the dsnp in which she is enrolled. what is her responsibility for cost sharing?

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05-10-2021
Health

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lucille is no longer eligible for her state medicaid program and has lost her eligibility for the dsnp in which she is enrolled. what is her responsibility for cost sharing?

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Michell96idn Michell96idn · Answer 1 · 2021-10-14T10:42:20-04:00

Lucille will need to be responsible for all costs including premiums, copayments, deductibles, among others.

Health programs such as Medicaid or the DNSP (Dual Eligible Special Needs Plans) are designed to help individuals get healthcare services. These programs are beneficial for people with low income because it is cheaper than paying for private healthcare services.

Moreover, the programs include services such as:

Dental care
Vision care
Access to medical appointments with specialists
Low monthly premiums

These services are guaranteed as long as the patient is covered; however, once the eligibility or coverage ends the patient will need to pay for each of the services.

According to this, Lucy will need to pay for all costs such as premiums or copayments because she is not covered by the programs.

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