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Since Medicare Advantage plans are offered by private insurance companies, some people may worry that they won’t qualify for Medicare Advantage plans.
Qualifying for a Medicare Advantage plan is actually not too different from qualifying for Original Medicare, Part A and Part B.
First, let’s briefly summarize how you can qualify for Original Medicare, Part A and Part B. Stay with us, because you need to be eligible for Part A and Part B in order to qualify for Medicare Advantage.
To qualify for Original Medicare, you must be:
In most cases, here’s all you need to qualify for a Medicare Advantage plan. You must:
Please note: You might not qualify for a Medicare Advantage plan in certain cases. See below.
If you have end-stage renal disease, you might not qualify for most Medicare Advantage plans. End-stage renal disease (ESRD) is permanent kidney failure that requires you to get dialysis regularly, or have a kidney transplant.
Do you have ESRD, but still want to enroll in a Medicare Advantage plan? You can:
Here’s one way you can find out, and it’s easy. Just enter your ZIP code in the box on this page and click the button. eHealth’s plan finder will display a list of Medicare Advantage plans in your area. Not only that – you can enter your medications and even your doctor to see what plans might cover your medications, and might have your doctor in the plan’s network.
Of course you are always welcome to contact a licensed eHealth insurance agent.
A plan’s formulary may change at any time. When required by law, you will receive notice from your plan of changes to the formulary.
eHealth's Medicare website is operated by eHealthInsurance Services, Inc., a licensed health insurance agency doing business as eHealth. The purpose of this site is the solicitation of insurance. Contact may be made by an insurance agent/producer or insurance company. eHealth and Medicare supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program. We offer plans from a number of insurance companies.