States with the largest dual-eligible populations

Around 20 percent of Medicare enrollees are also enrolled in Medicaid benefits, according to a report from Kaiser Family Foundation published Jan. 31. 

The dually eligible population receives primary coverage through Medicare and some assistance through Medicaid. 

Enrollment varies by state, according to the report, because in some states more people meet the financial criteria to be eligible, either because more people have lower incomes, or because states expand eligibility requirements. 

Here are the 11 states with the highest proportion of dual-eligible enrollees:

District of Columbia – 38 percent of Medicare beneficiaries

Connecticut — 28 percent

Louisiana — 28 percent 

Mississippi — 28 percent 

Maine — 27 percent 

New York — 27 percent 

California — 25 percent 

Massachusetts — 25 percent 

New Mexico — 25 percent 

Arkansas — 22 percent 

Rhode Island — 22 percent

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