What is the term for an individual entitled to both Medicare and Medicaid benefits?

The term "dual eligible" refers to individuals who are eligible for both Medicare and Medicaid benefits. This designation is significant because it highlights the intersection of these two critical government programs that provide health coverage to different populations.

Medicare primarily serves individuals age 65 and older, as well as some younger individuals with disabilities, focusing on hospital and medical insurance. In contrast, Medicaid offers assistance for those with limited income and resources, often supporting low-income families, children, pregnant women, and individuals with disabilities.

Being "dual eligible" means that a person can access a broader range of services and benefits, as both Medicare and Medicaid may cover different aspects of care. For instance, Medicare might cover hospital stays and outpatient care, while Medicaid can help with long-term care and assistance with premiums and cost-sharing. This coordinated care can significantly enhance health outcomes for individuals who qualify under both programs.

The other terms listed do not accurately reflect the combination of these two programs. "Qualifying consumer" lacks specificity regarding health care programs, "co-insured patient" typically describes individuals who are covered by more than one insurance plan without conveying the specific context of government programs, and "benevolent beneficiary" is not a recognized term in the context of Medicare and Medicaid. Therefore, "