When can you enroll in a dual health plan if you have Medicaid and Medicare?
Posted: January 17, 2020
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Posted: January 17, 2020
So, once you’ve figured out you’re eligible for a dual health plan, what’s next? When can you enroll? The answer may depend on your specific situation. Below is what you need to know to be able to tell when you can enroll or switch to a dual health plan.
The Medicare Annual Enrollment Period (AEP) happens once a year in the fall. That’s when anyone who’s eligible [for Medicare] can change their health plan. But if you qualify for a Dual Special Needs Plan [DSNP], you may not have to wait. You may be able to enroll right away.
You can enroll or switch dual plans once per Special Enrollment Period (SEP) or during the Medicare Annual Enrollment Period (AEP). After you’re enrolled in a dual health plan you don’t have to renew. As long as you stay eligible, your dual health plan will renew automatically each year. But you do need to recertify for Medicaid every year to stay qualified for a dual health plan.
That depends on when you enroll in a dual health plan.
If You Enroll: | Your Coverage Begins: |
When you first become eligible | The first day of the month you qualify for Medicare |
In a Special Enrollment Period (SEP) | The first day of the next month |
In the Annual Enrollment Period (AEP) | The first day of the next year |
Note: if your SEP also happens to be during AEP, your coverage will begin the first day of the next month. |
The sooner you enroll, the sooner you can enjoy all the extra benefits that come with a dual health plan.
Key Date | Description |
October 1 | Start looking for dual health plans available where you live. |
October 15 | First day of AEP, when you can enroll or switch to a dual health plan for the next calendar year. |
December 7 | Last day you can enroll in a plan before AEP ends. |
January 1 | The day your new plan becomes active if you enroll during AEP. |
Please note that the specific benefits dual health plans include can change depending on where you live. Search by your ZIP code to find the right plan to meet your health care needs.
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