What does a fully integrated dual-eligible special needs plan (FIDE-SNP) provide for enrollees?

A fully integrated dual-eligible special needs plan (FIDE-SNP) is designed specifically to serve individuals who are eligible for both Medicare and Medicaid. The hallmark of this plan is that it streamlines access to both Medicare and Medicaid benefits under a single organization. This integration is crucial because it helps eliminate the confusion and complexity that often arises when individuals have to navigate separate systems for their Medicare and Medicaid services. By providing these benefits through one plan, FIDE-SNPs aim to enhance care coordination, improve health outcomes, and ensure that enrollees receive comprehensive support tailored to their unique health and social service needs.

This model not only facilitates easier access to necessary services but also promotes a more holistic approach to healthcare, ensuring that all aspects of a member's health and wellbeing are considered by their care team. The alignment of benefits helps in reducing gaps in care and promotes better overall management of health and social services.