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Eligibility

You can generally join a Medicare Advantage Plan if you meet these conditions:

  • You have Part A and Part B
  • You live in the plan's service area
  • You don't have End-Stage Renal Disease (ESRD) (permanent kidney failure requiring dialysis or a kidney transplant) except under certain circumstances
Note: to enroll in a Special Needs Plans (SNP), some additional requirements apply such as:
  • You have both Medicare and Medicaid
  • You are a resident and or agree to reside in a nursing home that has a contract with the plan
  • You are living in the community but require the same level of care as someone in a nursing home
  • Meet certain eligibility requirements for Chronic Special Needs Plans (CSNP)

When Can You Enroll?

You can join, switch, or drop a Medicare Advantage Plan at these times:
  • When you first become eligible for Medicare
  • If you have Medicare due to a disability
  • Between October 15 - December 7
  • Between January 1 through February 14th, you can disenroll from a Medicare Advantage plan and switch to Original Medicare. In this period you may also enroll in a stand-alone Part D plan, regardless of whether or not you had Part D coverage previously
There may be special circumstances that allow you to enroll outside of the time periods listed above, including:
  • If you move out of your plan's service area
  • If you have both Medicare and Medicaid
  • If you qualify for "Extra Help"
  • If you live in an institution
  • Other special circumstances
Member's and Plan's Rights and Responsibilities Upon Disenrollment (English / Spanish)
Last Updated: 
July 29, 2016