Can I have both Medicare and Medicaid?

Quick Answer

Yes. Having both Medicare and Medicaid at the same time is common and has a name: dual eligibility. Each program covers different things, and together they can significantly reduce your out-of-pocket costs.

Detailed Explanation

People who qualify for both Medicare and Medicaid are often called dual eligible beneficiaries. Medicare is a federal program based primarily on age or disability. Medicaid is a joint federal and state program based on income and assets. Qualifying for one does not disqualify you from the other. When you have both, Medicare is typically the primary payer, meaning it pays first. Medicaid then acts as secondary coverage and can help pay costs that Medicare doesn't fully cover, like premiums, copays, and deductibles, depending on your specific Medicaid eligibility level. There are also special Medicare Advantage plans designed specifically for people with both coverages. These are called D-SNPs, which stands for Dual Eligible Special Needs Plans. They coordinate your Medicare and Medicaid benefits in one plan and often include extra benefits like dental, vision, transportation, and over-the-counter allowances. Not every state's Medicaid program works the same way, so the exact benefits and coordination rules depend on where you live. It is worth getting help from a counselor or licensed agent to make sure your coverage is set up correctly.

How This Applies in Utah

In Utah, Medicaid is administered by the Utah Department of Health and Human Services. Dual eligible residents may have access to D-SNP plans from carriers like UHC, Humana, Molina, and Devoted Health, depending on the county. The Utah ADRC network can help you understand what you qualify for and how your benefits work together, at no cost to you.

What This Means For You

For you, this means that if your income is limited, having both programs can work together to cover a much larger share of your health care costs than either program would alone.

Disclaimer

How Resting Sycamore Advisors Uses CMS Data

Our Commitment to Reliable Medicare Information

At Resting Sycamore Advisors, we work to provide accurate, current, and trustworthy information about Medicare Advantage, Medicare Part D, and Special Needs Plans.

To do that, we use data published by the Centers for Medicare & Medicaid Services (CMS), which is the official source for Medicare plan and enrollment information.

CMS Data Sources We Rely On

Our Medicare plan pages and comparison tools are powered by CMS datasets, including:

  • Medicare Advantage and Part D Landscape Files for annual plan availability and benefit details
  • Plan Benefits Package (PBP) Files for detailed benefit and coverage information
  • Part C and Part D Performance Data for quality ratings and plan performance measures
  • Monthly Enrollment Data for enrollment counts by contract, plan, state, and county

When possible, we link to the original CMS resources so you can review the source material directly.

How Often We Update Our Data

We follow the CMS release schedule and update our website as new data becomes available.

Annual Plan Year Updates (September)

We load new plan year Landscape and PBP files before the Medicare Annual Enrollment Period (October 15 through December 7). We also monitor CMS.gov for updates or revisions and refresh our content when needed.

Mid-Year Updates

We update enrollment and performance data as CMS publishes revised files, which are typically released monthly or quarterly.

Ongoing Maintenance

We routinely monitor CMS announcements for corrections, reissued files, or other changes and update our pages accordingly.

Each plan page includes a Last Accessed date so visitors can see when the source information was most recently reviewed.

How We Prepare CMS Data for Our Website

CMS data can be difficult to read in raw form. To make it easier to use, we format and organize the data for clarity.

This includes:

  • Standardizing plan identifiers such as contract ID, plan ID, and segment
  • Normalizing terminology so common Medicare terms are presented consistently
  • Organizing plan information by state, county, and ZIP code to match how people shop for coverage

All data values come from CMS. We do not change the underlying values beyond formatting, organization, and presentation.

Version Tracking and Transparency

We keep internal records of the CMS dataset versions used on our site.

Major Version History

  • Current Version: CY2025 Medicare Advantage and Part D Landscape Files (v1.0, published October 2025)
  • Prior Version: None. Resting Sycamore Advisors first began publishing structured Medicare plan information in March 2025

If CMS issues corrected or revised files, we update our website to reflect the latest available version.

Important Limitations

Please keep the following in mind:

  • CMS is the official source of truth. For enrollment and coverage decisions, always confirm details with Medicare.gov or 1-800-MEDICARE.
  • Data timing can vary. Enrollment and performance updates may appear on our website a few weeks after CMS publishes changes.
  • Plan details can change. Plan availability, costs, and benefits may change. Always verify current details directly with the plan provider.

Need Help From Official Medicare Resources?

For personalized Medicare assistance, please use these official resources:

  • Medicare.gov Help Center — https://www.medicare.gov
  • 1-800-MEDICARE (1-800-633-4227) TTY: 1-877-486-2048
  • State Health Insurance Assistance Program (SHIP) — free local counseling for Medicare beneficiariesIf you want, I can also give you a shorter legal-style version for a footer or /disclaimer page summary.