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Elizabeth M. Whitehorn, Director

What is a FIDE SNP?

  • A FIDE SNP is a fully integrated dual eligible special needs plan, which is a type of Medicare Advantage plan that provides both Medicare and Medicaid benefits through a single managed care plan.
  • Illinois FIDE SNPs are designed for Illinoisans who receive both Medicaid and Medicare benefits (dually eligible members).
  • Medicare is the primary payer for most health care services for dually eligible members, including primary care, specialty care, acute and post-acute care services, home health, and medical equipment. Medicaid wraps around Medicare by helping with Medicare premiums and cost sharing, and by covering some services that Medicare does not cover, such as long-term services and supports (LTSS). 
  • FIDE SNPs simplify the delivery of Medicare and Medicaid benefits and coordinate  member care with the member as the focus.
  • Illinois FIDE SNPs must have an approved contract with Centers for Medicare & Medicaid Services (CMS) to cover Medicare benefits and a contract with HFS to cover Medicaid benefits. They are the only type of Medicare Advantage plan subject to regulatory oversight by the state and the only D-SNP model available in Illinois.  

When will FIDE SNPs be available?

FIDE SNPs will be available on January 1, 2026.  

Where will FIDE SNPs be available?

FIDE SNPs will be available in every county in the State of Illinois.

FIDE SNP Benefits

See Comparing MMAI, FIDE SNP, and Medicare Advantage Plans

Who is eligible for a FIDE SNP?

To be eligible for a FIDE SNP, a member must be:

  • Receiving full Illinois Medicaid benefits and enrolled in either the Medicaid Aid to the Aged, Blind, and Disabled (AABD) or the FamilyCare category of assistance;
  • Age 21 and older at the time of enrollment;
  • Have Medicare Part A (Hospital Insurance) and Part B (Medical Insurance);
  • Live in the service area of the plan you want to join; and
  • A United States Citizens or lawfully present in the United States.

Who is not eligible For a FIDE SNP?

Members are not eligible to enroll in FIDE SNPs if they are:

  • Under the age of 21;
  • Receiving developmental disability institutional services or participating in the HCBS waiver for Adults with Developmental Disabilities;
  • In the Medicaid Spend-down population;
  • In the Illinois Medicaid Breast and Cervical Cancer program;
  • Enrolled in partial-benefit Medicaid programs; or
  • Receiving Comprehensive Third Party Insurance.

Illinois FIDE SNPs

Through a competitive procurement process, Illinois has chosen the following managed care plans to deliver services to dually eligible members through a FIDE SNP:

  • Aetna
  • Humana
  • Meridian
  • Molina