What is a potential outcome of having dual eligibility in health insurance?

Having dual eligibility in health insurance typically refers to an individual qualifying for both Medicare and Medicaid. This status provides access to a wider range of services and coverage compared to being enrolled in just one of these programs alone. For individuals who are dual-eligible, Medicare may offer primary coverage for hospital and medical services, while Medicaid can cover additional services such as long-term care, prescription drugs, and copayments or deductibles that Medicare beneficiaries might face.

This combination can lead to enhanced healthcare resources and support for individuals who may have complex medical needs, thereby improving their overall access to healthcare services. Furthermore, it helps in reducing out-of-pocket costs significantly, as Medicaid may cover costs that Medicare does not. Therefore, dual eligibility not only increases the scope of available healthcare services but also minimizes financial barriers to accessing necessary care.