If you are enrolled in a Medicare Special Needs Plan (SNP), but no longer meet its eligibility requirements (for example, if you lose Medicaid coverage), the SNP may continue to provide coverage for a period of time if it seems likely that you will regain eligibility for the SNP within
Archive for September, 2018
Enrolling in a SNP
To qualify for a Medicare SNP, you must apply and prove that you meet the SNP’s eligibility criteria. The SNP will require periodic proof that you continue to meet these criteria. To enroll in a SNP, call Medicare (1-800-633-4227) or the plan directly.Chronic Condition SNP (C-SNP) eligibility requirements: You must
Medicare Special Needs Plans (SNPs)
Medicare Special Needs Plans (SNPs) SNP basics SNP costs and coverage Enrolling in a SNP Losing SNP eligibility Questions to ask before enrolling in a SNP
How to enroll in Medicare if you are turning 65
Most people become eligible for Medicare when they turn 65. Your Medicare enrollment steps will differ depending on whether or not you are collecting retirement benefits when you enter your Initial Enrollment Period (IEP). If you are receiving Social Security retirement benefits or Railroad Retirement benefits, you should be automatically
How Medicare enrollment works with Railroad Retirement benefits
ou are typically eligible for Medicare if you are eligible for either Social Security benefits or Railroad Retirement benefits. There are a few important differences when you enroll in Medicare if you are or were a railroad worker. Your enrollment will be processed by the Railroad Retirement Board (RRB) instead
Medicaid overview
Medicaid is a federal and state program that provides health coverage for certain people with limited income and assets. Each state runs different Medicaid-funded programs for different groups of people, including: Older adults People with disabilities Children Pregnant people Parents and/or caretakers of children All states also have Medicaid programs
Resources if you need dental coverage
If you need dental coverage, you may be able to get assistance through the programs listed below. Medicare Advantage Plans: Some Medicare Advantage Plans offer routine dental coverage. Contact your plan to learn about services it may cover, any rules or restrictions, and costs. If you are considering joining Medicare
Qualified Health Plan (QHP) basics
Qualified Health Plans (QHPs) are health insurance policies that meet protections and requirements set by the Affordable Care Act (ACA). Specifically, QHPs must: Follow federally established cost-sharing limits Provide essential health benefits Meet the “minimum essential coverage” (MEC) requirement, also known as the individual mandate If you are not enrolled
Help understanding Medicare benefits and options
If you need help understanding your Medicare rights and how to exercise them, there is free information and assistance that you can access. Below are examples of places you can get help: State Health Insurance Assistance Program (SHIP) – Each state offers a SHIP, partly funded by the federal government,
Appealing the Part D late enrollment penalty
If you were without Part D or creditable drug coverage for more than 63 days while eligible for Medicare, you may face a Part D late enrollment penalty (LEP). The purpose of the LEP is to encourage Medicare beneficiaries to maintain adequate drug coverage. The penalty is 1% of the