Wellcare ACT Mastery – TeleAgent Practice Exam

The term "dual eligible" specifically refers to individuals who qualify for both Medicare and Medicaid. This classification is significant because it highlights those who have low income and resources, which allows them to receive assistance from both programs. Medicare typically covers healthcare services for older adults and individuals with certain disabilities, whereas Medicaid provides coverage for low-income individuals, including some families, children, pregnant women, elderly individuals, and those with disabilities.

This dual eligibility means that these individuals can access a broader range of services under both programs, which often leads to more comprehensive healthcare coverage and reduced out-of-pocket costs. Understanding this definition is crucial for comprehending how the healthcare system supports various populations, particularly the most vulnerable.

The other options focus on different groups that do not encompass the dual eligibility concept, such as those qualifying only for Medicaid, those under 65 without specifying any other qualifications, and individuals receiving Social Security benefits, who may not necessarily be eligible for both Medicare and Medicaid.