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N.Y.C. Council speaker calls on Mayor Eric Adams to resign; KY could do more to protect kids from accidental drug ingestion, shootings; OH food banks face fed funding uncertainty, DeWine budget cuts; Protesters say Trump administration actions 'cast aside democracy.'

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On a Middle East visit, Sen. Richard Blumenthal rejects a Gaza takeover. President's Day protests erupt around the country against White House moves, and another aviation accident draws attention to recent FAA cuts.

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Rural America struggles with opioids and homelessness in unexpected ways, Colorado's Lariat Ditch could help spur local recreation, and book deliveries revive rural communities hit by Hurricane Helene.

NY senior advocates see advantages to dual-use special needs plans

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Thursday, March 28, 2024   

Senior and older adult advocates in New York find certain healthcare plans are helping people get the best bang for their buck.

Dual-eligible special-needs plans offer Medicare and Medicaid coverage together for eligible people. These plans are designed for those who have low incomes, certain medical conditions, and unique health care requirements. In New York, 42% of eligible residents were registered for the plans in 2021.

Heather Leddick, the Health Insurance Information, Counseling, and Assistance Program's insurance information coordinator at the New York State Office for the Aging, described how the plans help those with chronic illnesses.

"They may have access to a network of providers who again specialize in their condition, and offer better coverage for prescription drugs used to treat their condition," Leddick outlined.

She added because the programs offer both Medicare and Medicaid coverage, they have Medicare's preventive benefits such as exams, shots, lab tests, and screenings. Along with Medicare Parts A and B coverage and Medicaid benefits, the plans can have other lifestyle benefits. Some include coverage for glasses and hearing aids, as well as allowances for daily items such as healthy foods and other over-the-counter products.

The pandemic has bolstered concerns about being insured, though a Centers for Disease Control and Prevention report found the uninsured rate dropped 18% during those years.

Dr. Gina Williams, associate medical director for UnitedHealthcare, said people should be better informed about preventive care post-pandemic.

"Everybody's kind of going into a phase where they're not only thinking about acute illness, but they're thinking about overall care," Williams observed. "What was the impact of the pandemic from a psychological standpoint? Do you need more support and then you also need more coordination of benefits?"

More people have been losing coverage because the public health emergency ended. The Commonwealth Fund reported as of midsummer 2023, close to 4 million people lost their Medicaid coverage. Overall estimates show nearly 15 million people will lose their coverage as the process continues.

Disclosure: UnitedHealthcare contributes to our fund for reporting on Health Issues. If you would like to help support news in the public interest, click here.


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