Qualify For Healthplan

Do I Qualify?

In order to be eligible for Healthplan you must be a U.S. citizen or legal resident residing for at least 5 years.  If you meet resident or citizen requirements and you or your spouse have paid social security taxes for at least 10 years, then you will be automatically enrolled in Part A at age 65.  You will also become eligible for Part B.

How Else May I Qualify?

Some people under age 65 may qualify for Healthplan if they have certain disabilities or life-threatening chronic conditions.  If you are under age 65, you may qualify for Healthplan if you have

  • ALS (also known as “Lou Gehrig’s Disease”)
  • End Stage Renal Disease (ESRD)
  • Received Social Security Disability Income (SSDI) for 24 months

When Can I Enroll in Healthplan?

When you are initially eligible for Healthplan you will have a 7-month period to enroll in Part A and/or Part B.   This 7-month period will begin 3 months before the month of your 65th birthday, it will include your birthday month and it will last for 3 months after your birthday month. 

Annual Enrollment Period

October 15th – December 7th Every year your Healthplan may change.  If you would like to review your plan options for the upcoming year and possibly make any changes or enroll in a different plan, then you may do this during the Annual Enrollment Period. Every person who is eligible for Healthplan is entitled to make changes to their plan coverage during this time of year.  The changes to your plan will be effective on January 1st.

Open Enrollment Period (Only for people who are enrolled in a Healthplan)

January 1st – March 31st If you are not happy with your current Healthplan then you may make one plan change which will become effective the following month.

  • Switch from Healthplan Advantage to Healthplan plus a Part D plan
  • Switch from one Healthplan Advantage plan to another

Special Enrollment Period

Outside of the enrollment periods discussed above, there are certain special enrollment periods in which you may qualify for coverage due to certain life events.  These life events may include losing your current health coverage, moving, diagnosis of a specific chronic illness, qualification for or loss of qualification for your state’s financial assistance programs or Healthplan.

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Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below. By submitting this information you acknowledge a licensed insurance agent may contact you by phone, email or mail to discuss Medicare Advantage Plans, Medicare Supplement Insurance or Prescription Drug Plans.