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When can you enroll in a dual health plan if you have Medicaid and Medicare?
Posted: January 17, 2020
Last updated date: December 01, 2023
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.
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Everything you need to know about Dual Special Needs plans in one, convenient guide.
You may not have to wait
The Medicare Annual Enrollment Period (AEP) happens once a year in the fall. That’s when anyone who’s eligible can change their health plan. But if you qualify for a Dual Special Needs plan, you may not have to wait. You may be able to enroll right away.
Reasons why you may be eligible to enroll today if you:
- You are 65 and newly eligible for Medicare or have a qualifying disability.
- You are retiring and losing your current coverage.
- You have moved out of your current Medicare plan's service area.
- You have a chronic condition like diabetes or chronic heart failure.
- You have Extra Help, Medicaid or a Medicare Savings Program (MSP) or recently experienced a change in coverage eligibility
- You have a Special Enrollment Period due to a weather-related event in your area
- You were enrolled in a plan by Medicare (or by the state) and want to choose a different plan.
What if you already have both Medicare and Medicaid?
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.
When will your coverage start?
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 |
Enroll as early as you can
The sooner you enroll, the sooner you can enjoy all the extra
benefits* that come with a dual health plan.
Key dates to get ready for the Medicare Annual Enrollment Period:
| 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 |
*Benefits and features vary by plan/area. Limitations and exclusions apply.
Dual-eligible or Medicaid plan benefits can change depending on where you live. Search using your ZIP code to find the right plan to meet your health care needs.