Background on Integrated Care

Dually Eligible Individuals: The Basics

This fact sheet provides basic information about people who are dually eligible for both Medicare and Medicaid, including information about how a person qualifies for both programs, the difference between “full-benefit” and “partial-benefit” dual eligibility, and certain characteristics of dually eligible individuals, like Medicare plan enrollment and use of certain kinds of health care services.

People Dually Eligible for Medicare and Medicaid

In 2017, there were 12 million individuals dually eligible for Medicare and Medicaid. This fact sheet provides information on their reasons for Medicare eligibility, costs of care, and enrollment in managed care as well as the proportion of these beneficiaries who receive their care through arrangements that integrate their Medicare and Medicaid benefits.