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 that time. Depending on the plan, you may have between 30 days and six months to regain eligibility. If you do not regain eligibility during this time, you will be disenrolled from the SNP.

You should receive a written notice from your plan within 10 days of learning that you no longer meet your SNP’s eligibility requirements. This notice explains that you will be disenrolled if you do not regain eligibility within a certain period. If you remain ineligible, your SNP must send a second notice informing you that your coverage will be terminated.

You will have a Special Enrollment Period (SEP) to enroll in a new Medicare Advantage Plan or Original Medicare and a Part D plan starting the month you no longer qualify for the SNP. To enroll in a new plan, call 1-800-MEDICARE (633-4227).

Return to: Medicare Advantage

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