When you have Original Medicare (Parts A and B) and full Medicaid, Medicare pays $80% of the medical services covered by Medicare and Medicaid pays the remaining 20%. If you have Original Medicare and Medicaid together, you are likely to have full coverage for your medical services. If you do, you have a unique opportunity to access additional benefits such as an over the counter spending allowance, a monthly healthy foods shopping allowance, home-delivered meals, home health care services, a standard gym membership at no cost, and other accessories like a Fitbit watch, and a personal emergency response system through a Medicare Advantage plan. These additional benefits are included in special Medicare Advantage plans called, Dual Special Needs Plan. You are considered dual-eligible when you have both Original Medicare and full Medicaid.