Help from Medicaid is broader than full Medicaid. CMS lists full Medicaid and each of the Medicare Savings Programs, which help pay Medicare costs: QMB, SLMB, QI and QDWI, with or without other Medicaid. A plan can be limited to some of those groups, so one D-SNP may take only people with full Medicaid while another also takes people with a Medicare Savings Program alone. Every D-SNP includes Part D drug coverage, and you can stay in one only while you keep meeting its eligibility rules.
| D-SNPs in Broward | Plans |
|---|---|
| All D-SNPs | 33 |
| HMO | 24 |
| HMO-POS | 4 |
| PPO | 4 |
| Regional PPO | 1 |
| With a $0 monthly premium | 29 |
| Set up as Medicare zero-dollar cost sharing plans | 16 |
How a D-SNP works
A D-SNP covers everything Original Medicare covers, adds Part D, and can help coordinate your Medicare and Medicaid benefits. 28 of Broward’s 33 are HMOs or HMO-POS plans, which means a provider network. CMS asks every D-SNP to declare whether it is a Medicare zero-dollar cost sharing plan, and 16 of the 33 in Broward are. The need is large here: in June 2026, 83,971 people with Medicare in Broward were dually eligible, 37,640 with full Medicaid and 46,331 with partial help.
What changes in 2027
From 2027 a federal rule ties some D-SNPs to Medicaid managed care. Where the company behind a D-SNP, or a company with the same parent, also runs a Medicaid managed care plan for people with full Medicaid in the same area, it may offer only one D-SNP for them there, and new members must be enrolled in, or enrolling in, that company’s Medicaid plan. From 2030 those D-SNPs may cover only people in the matching Medicaid plan. If your full Medicaid comes through a managed care plan, the company that runs it now matters when you choose a D-SNP.
What to do next
Start with your Medicaid notice, because the group it puts you in decides which D-SNPs will take you. Then check which company runs your Medicaid plan, since from 2027 that can narrow your choice, and compare the D-SNPs open to you on the doctors in their networks and the drugs on their 2027 lists. Keep your Medicaid renewal current: a D-SNP can keep you only while you meet its rules, and if you lose eligibility you may get a Special Enrollment Period to change plans.
Read the full guide: D-SNPs and aligned enrollment for 2027
Related questions
Can I join a D-SNP with only a Medicare Savings Program?
You may be able to. CMS counts QMB, SLMB, QI and QDWI among the Medicaid groups a D-SNP can serve, but each plan can be limited to some of them, so check what the plan accepts.
Do D-SNPs include drug coverage?
Yes. Every Special Needs Plan, including every D-SNP, must include Medicare Part D drug coverage.
Do I pay a premium for a D-SNP in Broward?
For most of them, no. 29 of the 33 D-SNPs offered in Broward for 2027 have a $0 monthly premium. The Part B premium is separate, and Medicaid or a Medicare Savings Program may pay it for you.
Sources
- Dual Eligible Special Needs Plans (D-SNPs) — Centers for Medicare & Medicaid Services · read 2026-10-30
- Special Needs Plans (SNP) — Medicare.gov (CMS) · read 2026-10-30
- 42 CFR 422.514, Enrollment requirements — Electronic Code of Federal Regulations (Office of the Federal Register) · read 2026-10-30
- CY2027 Medicare Advantage / Part D Landscape Source Files — Centers for Medicare & Medicaid Services · 2026-09-28 · read 2026-10-30
- Medicare Monthly Enrollment (June 2026) — Centers for Medicare & Medicaid Services · 2026-09-23 · read 2026-10-12
This page explains published rules and figures, with the source for each one. It is not advice about your own situation.