Dual Eligible Special Needs Plans serve members who are eligible for both Medicaid and Medicare. D-SNP health plans offer care coordination and provide supplemental benefits to their beneficiaries. D-SNP-eligible individuals have the option to enroll in a D-SNP health plan during their Medicare annual election period or quarterly during the special enrollment period.
Not all D-SNP plans in Indiana serve the entire state. To determine individual service areas, please call the health plans' customer service numbers provided (see below).
Medicare Advantage organizations interested in operating a D-SNP plan in Indiana should contact Taylor Walters at Taylor.Walters@fssa.IN.gov. Health plans must contract with the Indiana Health Coverage Programs and hold a contract with Medicare.
The following resources are available to provide more information:
- For additional information about D-SNP plans, visit the CMS website for Special Needs Plans
- For a copy of Indiana’s current State Medicaid Agency Contract, click here: IN SMAC (2023)
- To access all executed D-SNP contracts for 2022, visit the Indiana Transparency Portal
- Indiana Dually-Eligible Special Needs Plans: key plan resources
- To register as a trading partner with the IHCP to exchange electronic transactions for D-SNP, submit the D-SNP Trading Partner Agreement
- For in-depth guidance on the D-SNP submission of encounter data, see the following IHCP companion guides:
In Indiana, nine Dual Eligible Special Needs Plans serve the Medicaid and Medicare dually-eligible population. To enroll, eligible individuals should reach out to a specific health plan or contact Medicare at 800-MEDICARE.
To learn more about the health plan programs, contact the following customer service departments:
- Aetna
- Current Member: 866-409-1221 (TTY 711)
- Not a Member: 833-859-6031 (TTY 711)
- Allwell from Managed Health Services
- Current Member: 833-202-4704 (TTY 711)
- Not a Member: 866-277-6583 (TTY 711)
- Anthem MediBlue Dual Advantage
- Current Member: 844-533-2021 (TTY 711)
- Not a Member: 844-250-2334 (TTY 711)
- Arcadian Health Plan and Humana Benefit Plan of Illinois, Inc.
- Current Member: 800-457-4708 (TTY 711)
- Not a Member: 800-833-2364 (TTY 711)
- Ascension Complete
- Current Member: 833-542-1679 (TTY 771)
- Not a Member: 877-831-9411 (TTY 711)
- CareSource
- Current Member: 833-230-2020 (TTY 711)
- Not a Member: 844-607-2830 (TTY 711)
- MDwise
- Current Member: 833-358-2140 (TTY 711)
- Not a Member: 877-486-2046 (TTY 711)
- UnitedHealthcare
- Current Member: 855-263-1865 (TTY 711)
- Not a Member: 855-545-9340 (TTY 711)
- Zing Health
- Current Member: 866-946-4458 (TTY 711)
- Not a Member: 866-946-4458 (TTY 711)