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).
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 information on the Indiana PathWays for Aging program, visit the program website.
- For a copy of Indiana’s current State Medicaid Agency Contract, click here: IN SMAC (2024)
- 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 and Supplemental Benefits, see the following IHCP companion guides:
- Indiana Dual Eligible Special Needs Plans 837P and 837I Encounters Data Submitter Information Companion Guide
- Indiana Dual Eligible Special Needs Plans Prescription Drug Event (PDE) Data Submitter Information Companion Guide
- Indiana Dual Eligible Special Needs Plans Supplemental Benefits Companion Guide
In Indiana, six 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:
PathWays Awarded D-SNPs
- Anthem
- Current Member: 844-533-2021 (TTY 711)
- Not a Member: 844-250-2334 (TTY 711)
- Arcadian Health Plan
- Current Member: 800-457-4708 (TTY 711)
- Not a Member: 800-833-2364 (TTY 711)
- UnitedHealthcare
- Current Member: 855-263-1865 (TTY 711)
- Not a Member: 855-545-9340 (TTY 711)
Non-PathWays D-SNPs
- 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)
- Zing Health
- Current Member: 866-946-4458 (TTY 711)
- Not a Member: 866-946-4458 (TTY 711)