If you are covered by both Medicare and Medicaid (also known as "dual eligible") and you join STAR+PLUS, you will keep getting regular healthcare services through your Medicare doctor.You can get STAR+PLUS even if you get Medicare unless you get Medicaid 1915 (c) waiver services or live in facilities for people with Intellectual and Developmental Disabilities (IDD).Important notes for those covered by Medicare: Age 20 or younger and not in the Medicaid for Breast and Cervical Cancer program.People who are not able to get full Medicaid benefits, such as Frail Elderly program members, Qualified Medicare Beneficiaries, Specified Low-Income Medicare Beneficiaries, Qualified Disabled Working Individuals and illegal immigrants. People over 21 who get Medicaid 1915(c) waiver services or who live in community homes for people with Intellectual and Developmental Disabilities (IDD) and get Medicare.The following people can't be in the STAR+PLUS program: In the Medicaid for Breast and Cervical Cancer program.Age 21 or over residing in a nursing home and receiving Medicaid while in the nursing home.Age 21 or older, getting Medicaid through what are called "Social Security Exclusion programs" and meet program rules for income and asset levels.Not getting SSI and need the type of services in STAR+PLUS Home and Community-Based Services.Age 21 or older, getting Supplemental Security Income (SSI) benefits and able to get Medicaid due to low income.To get services through STAR+PLUS you must: (1) be approved for Medicaid, (2) be one or more of the following: A STAR+PLUS staff member works with the member, the member's family and the member's doctors and other providers to help the member get the medical and long-term services and support they need.
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