What Is Dual Entitlement For Medicare? 
Dual entitlement for Medicare is when someone qualifies for Medicare based on more than one criteria . E.g. . They have been receiving Medicare due to being disabled over 24 months , then develop qualified End Stage Renal Disease -LRB- ESRD -RRB- . This becomes an issue when there is a Group Health Plan -LRB- GHP -RRB- involved , and they must decide whether Medicare is the primary or secondary payor . 