State Profiles for Dual-Eligible Individuals
United States Demographics of Dual-Eligible Individuals
Age, sex, race/ethnicity, & rurality
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Overall, dual-eligible individuals have lower incomes and are more racially and ethnically diverse than Medicare beneficiaries without Medicaid coverage. While virtually all dual-eligible individuals have low incomes and very modest savings, they are otherwise a diverse group in age, sex, race and ethnicity, and geography.
Summary of Demographic Indicators, United States
| Indicator | Value |
|---|---|
| Summary Text | Nationally, more than a third of dual-eligible individuals are under 65, nearly 60% are female, half are non-Hispanic White, and nearly a fifth live in rural areas. |
Dual-Eligible Individuals by Age, 2021, United States
| Indicator | Value |
|---|---|
| Under 65 | 0.36 |
| 65 and Over | 0.64 |
See Number of Dual-Eligible Individuals by Age for more information. Totals may not equal 100% due to data suppression and rounding.
Source: KFF analytic file of merged 2021 MBSF and 2021 T-MSIS data.
Dual-Eligible Individuals by Sex, 2021, United States
| Indicator | Value |
|---|---|
| Male | 0.41 |
| Female | 0.59 |
Totals may not equal 100% due to data suppression and rounding.
Source: KFF analytic file of merged 2021 MBSF and 2021 T-MSIS data.
Distribution of Dual-Eligible Individuals by Race/Ethnicity, 2021, United States
| Indicator | Value |
|---|---|
| Non-Hispanic White | 0.51 |
| Black | 0.20 |
| Hispanic | 0.18 |
| Asian/Pacific Islander | 0.07 |
| American Indian/Alaska Native | 0.01 |
| Other | 0.01 |
| Unknown | 0.02 |
Race/ethnicity categories defined using RTI race codes. Totals may not equal 100% due to data suppression and rounding.
Source: KFF analytic file of merged 2021 MBSF and 2021 T-MSIS data.
Distribution of Dual-Eligible Individuals by Rurality, 2021, United States
| Indicator | Value |
|---|---|
| Urban | 0.82 |
| Rural | 0.18 |
| Unknown/Missing | 0.00 |
Counties and county equivalents as urban (metropolitan) or rural (nonmetropolitan) areas based on 2024 Urban Influence Codes from the USDA. Urban: 2024 Urban Influence Codes equal to 1 or 4. Rural: 2024 Urban Influence Codes equal to 2, 3, 5, 6, 7, 8, or 9. Totals may not equal 100% due to data suppression and rounding.
Source: KFF analytic file of merged 2021 MBSF and 2021 T-MSIS data.