Medicare
For people who are generally age 65 or older, or who qualify earlier because of disability, ESRD, or ALS.
- Medicare Advantage
- Medicare Supplement
- Prescription Drug Plans
Medicare & Medicaid Plan Shopping
Medicare & Medicaid.
Understand Medicare, Medicaid, full-benefit dual eligibility, Medicare Savings Programs and D-SNPs—then continue to secure Medicare plan shopping with licensed assistance.
Licensed Plan Assistance
Multiple Insurance Companies
No-Cost Personal Guidance
What type of help do you need?
Select the option that best describes your situation. Your selection will be carried into the contact form below.
Medicare & Medicaid
For people who have Medicare and also receive Medicaid or a Medicare Savings Program.
- Dual Eligible Special Needs Plans
- Help with eligible Medicare costs
- Coordinated benefits and services
Not Sure Yet
Tell us what coverage you currently have and a licensed advisor can help explain the next step.
- Eligibility questions
- Medicaid status review
- Plan and benefit guidance
Benefits you may be able to receive
Covered services, supplemental benefits, eligibility criteria, costs and availability vary by program, plan, county and individual qualification.
🏥
Hospital Care
Inpatient hospital services and other medically necessary care.
🩺
Doctors & Specialists
Primary care, specialist visits and preventive services.
💊
Prescription Drugs
Part D or Medicaid drug coverage, subject to formulary rules.
🦷
Dental Benefits
Some plans include routine dental services and allowances.
👓
Vision Benefits
Some plans help with routine exams, lenses and frames.
🦻
Hearing Benefits
Some plans include hearing exams and hearing-aid benefits.
🚐
Transportation
Certain plans may provide eligible non-emergency transportation.
🛒
Special Benefits
Qualified members may receive eligible OTC, food or utility support on certain plans.
Important: Supplemental benefits are not available to everyone. Some benefits are limited to members who meet plan-specific clinical or socioeconomic eligibility criteria.
How Medicare and Medicaid fit together
People who have Medicare and qualifying Medicaid assistance are called dually eligible. The amount of Medicaid help depends on the person’s eligibility category.
Partial-Benefit Dual
The person has Medicare and receives limited Medicaid assistance through a Medicare Savings Program, but does not necessarily receive the state’s full Medicaid healthcare benefit package.
- May include QMB-only, SLMB or QI
- May help with Medicare premiums
- QMB may also protect against Medicare cost-sharing bills
Full-Benefit Dual Eligible (FBDE)
The person has Medicare and independently qualifies for full Medicaid benefits under the state’s rules.
- May include QMB Plus or SLMB Plus
- May include additional Medicaid-covered services
- May qualify for D-SNP options available in the service area
Important: FBDE is an eligibility classification, not an insurance plan. Medicaid benefits, provider access, cost-sharing assistance and long-term-care services vary by state and individual eligibility.
Medicare Savings Programs
Your state Medicaid agency determines eligibility. Income and resource limits can vary by state.
QMB
May help pay Part A and Part B premiums and Medicare-covered deductibles, coinsurance and copayments.
SLMB
Helps eligible beneficiaries pay the Medicare Part B premium.
QI
Helps pay the Part B premium, subject to available state program funding.
QDWI
May help certain working individuals with disabilities pay the Medicare Part A premium.
Extra Help: People approved for QMB, SLMB or QI generally qualify automatically for Medicare Part D Extra Help. Prescription costs may be reduced, but are not necessarily $0.
What is generally needed to qualify?
Final eligibility is determined by Medicare, Social Security, and the applicable state Medicaid agency—not by an insurance agency.
Medicare eligibility
1
Age or qualifying condition
Generally age 65+, or earlier eligibility due to certain disabilities, ESRD, or ALS.
2
Citizenship or residency rules
You must meet Medicare citizenship or lawful permanent residency requirements.
3
Medicare Parts A and B
You generally need both Part A and Part B to enroll in a Medicare Advantage plan.
4
Valid enrollment opportunity
You must be within an available Medicare enrollment period or qualify for a Special Enrollment Period.
Medicaid eligibility
Medicaid rules differ by state. Eligibility may consider:
- Household income and household size
- Age, pregnancy, disability or caregiver status
- State residency and immigration status
- Assets or resources for certain eligibility groups
- Need for long-term services and supports
For dual-eligible plan options: you generally need active Medicare and qualifying Medicaid or Medicare Savings Program status. The plan verifies eligibility before enrollment.
Ready to review Medicare plans?
Complete the contact and consent form before continuing to the secure enrollment website.
Frequently asked questions
Can I have Medicare and Medicaid together?
Yes. People who qualify for both programs are commonly called dual eligible. Medicaid may help with certain Medicare costs, depending on the person’s Medicaid category and state rules.
Does checking the consent box enroll me?
No. The consent box only gives Accurate Health Plans permission to contact you about insurance products. Enrollment requires a separate application and plan approval.
Can Accurate Health Plans approve Medicaid?
No. Final Medicaid eligibility is determined by the applicable state Medicaid agency. We can help explain Medicare plan options that may be available after your eligibility is established.
What should I have available when comparing plans?
Your Medicare card, Medicaid information if applicable, prescription list, preferred doctors, pharmacy, ZIP Code and county are helpful when reviewing plans. Do not enter sensitive identification numbers into this contact form.
Accurate Health Plans | 800-235-0876
This page provides general educational information and is not a determination of Medicare or Medicaid eligibility. Plan availability, premiums, copayments, benefits and eligibility requirements vary by plan and service area.
This page provides general educational information and is not a determination of Medicare or Medicaid eligibility. Plan availability, premiums, copayments, benefits and eligibility requirements vary by plan and service area.