When Mrs. W switched to a coordination-only dual-eligible special needs plan, the lowest standard of integration, she didn’t get the more seamless experience she was promised.
Mrs. E’s Story
One missing recertification packet cost Mrs. E her Medicaid, Medicare Savings Program, and her dual-eligible special needs plan.
Mr. Y’s Story
Mr. Y accidentally lost health coverage. His care manager immediately provided the support every person who is dually eligible should have.
Ms. T’s Story
Ms. T’s limited-coordination special needs plan sent her to a therapist who did not take Medicaid, causing billing issues that cost her a trusted mental health provider.
Mr. G’s Story
After surgery, Mr. G’s Medicare and Medicaid plans each said the other should pay for his orthotic inserts, leaving him with the bill.
Mr. A’s Story
Mr. A, who is blind, lost coverage when his state failed to send his renewal paperwork in braille.