If you are eligible for Medicare and Medicaid, you can enjoy an enhanced and streamlined health care experience with a Dual Eligible Special Needs Plan (D-SNP).

D-SNPs like the Align DUALPartnership Plan can give members better overall health coverage compared to other Medicare Advantage plans because of their additional benefits. Here are some of the most notable perks you can benefit from by enrolling in a D-SNP.

Simplified care coordination

Since D-SNPs offer joint coverage from both Medicare and Medicaid, these plans are required to provide greater coordination of care. This includes coordination for medical, behavioral and social services which help ensure members receive comprehensive care tailored to their needs.

As an Align DUALPartnership member, you will also have your own personal care team to help support your health and wellness.

Cost management

By integrating Medicare and Medicaid benefits, D-SNPs can manage costs more effectively. Members of these plans typically face lower out-of-pocket expenses since the plans cover premiums, deductibles and copays that would otherwise be paid separately under Medicare and Medicaid.

This financial coordination helps reduce members’ burdens and ensures they can access necessary care without worrying about costs.

Enhanced benefits

D-SNPs often provide additional support services that are not typically available through traditional Medicare or Medicaid plans. These services are designed to improve overall health outcomes and quality of life for members.

With an Align DUALPartnership plan, members receive:

• A monthly allowance for healthy food, utility bills and over-the-counter health products
• $0 copays for prescriptions, including generics and brand names 
• $0 copays for routine eye exams and lenses, plus an allowance for eyewear
• A yearly allowance for dental care including preventive and comprehensive dental services
• A yearly allowance for hearing aids, which includes a broad selection of OTC and brand-name devices
• A monthly transportation allowance for trips to or from doctor visits or the pharmacy

Streamlined communication

With a D-SNP, there is a single point of contact for all health care needs, simplifying the communication process between members, health care providers and the insurance plan. This ensures all parties are on the same page regarding the member’s care plan and any necessary treatments or interventions.

Improved health outcomes

The coordinated approach of D-SNPs can improve health outcomes by providing more consistent and comprehensive care to the member. Coordinated care addresses both medical and social determinants of health, giving D-SNPs the ability to help members reach a higher level of health and well-being.

Choosing a D-SNP

The goal of a D-SNP is to create a more seamless, cost-effective and efficient health care experience for dual-eligible members. By signing up for a D-SNP with a Medicare partner and provider network you can trust like Align powered by Sanford Health Plan, you can ensure all your health needs are taken care of.

To assist you in the enrollment process, we have created an easy-to-use buyer’s guide for D-SNPs .

If you have questions or would like help choosing a plan, we have local, licensed agents who provide free assistance (with no obligation to purchase). Call (866) 404-6597 (TTY: 711) Monday–Friday, 8 a.m.–8 p.m. local time for more information, or visit align.sanfordhealthplan.com/dual.

Sanford Health Plan and Sanford Health Plan of Minnesota have HMO and PPO plans with a Medicare contract. Sanford Health Plan D-SNPs have contracts with State Medicaid programs. Enrollment in our plans depends on contract renewal. Sanford Health Plan complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex, or any other classification protected under the law. This information is not a complete list of benefits. Call (888) 605-9277 ( TTY: 711) for more information. If you need language services or information given in a different format please call (888) 278-6485 (TTY: (888) 279-1549). ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al (888) 278-6485 (TTY: (888) 279-1549). 注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電(888) 278-6485 (TTY: (888) 279-1549). Our customer service lines are available 8 a.m. to 8 p.m. CST, 7 days a week, October 1-March 31 except on Christmas and Thanksgiving, and Monday through Friday all other dates except on federal holidays.