Medicare Enrollment Requirements
There are five types of Medicare Advantage plans offered by Peoples Health. Each type has different Medicare enrollment requirements for plan eligibility.
Health Maintenance Organization (HMO-POS) Plans
If you meet the following Medicare enrollment requirements, you’re eligible to become an HMO-POS plan member:
- Be enrolled in Medicare Part A and Medicare Part B
- Continue to pay your Medicare Part B premium
- Live in the plan service area (service area varies by plan and may vary by year)
Chronic Condition Special Needs Plans (C-SNP)
If you meet the following Medicare enrollment requirements, you’re eligible to become an HMO-POS C-SNP plan member:
- Be enrolled in Medicare Part A and Medicare Part B
- Continue to pay your Medicare Part B premium
- Live in the plan service area (service area varies by plan and may vary by year)
- Have a chronic qualifying condition, such as diabetes, chronic heart failure or a cardiovascular disorder
Preferred Provider Organization (PPO) Plans
Chronic Condition Special Needs Plans (C-SNP)
If you meet the following Medicare enrollment requirements, you’re eligible to become a PPO plan member:
- Be enrolled in Medicare Part A and Medicare Part B
- Continue to pay your Medicare Part B premium
- Live in the plan service area (service area varies by plan and may vary by year)
Dual-Eligible Special Needs Plans (D-SNPs)
If you meet the following Medicare enrollment requirements, you’re eligible to become a D-SNP member:
- Be enrolled in Medicare Part A and Medicare Part B
- Continue to pay your Medicare Part B premium, unless paid for you by the state or another third party
- Live in the plan service area (service area varies by plan and may vary by year)
- Have medical assistance from the state or Louisiana Medicaid; for some of our D-SNPs, you must have full Medicaid benefits
Employer and Retiree Group Plans
If you meet the following enrollment requirements, you’re eligible to become an employer or retiree group plan member:
- Be enrolled in Medicare Part A and Medicare Part B
- Live in the service area determined individually by each employer or retiree group (contact the group benefits administrator for more information)
- Be a member of a participating employer or retiree group and meet any requirements determined by the group
Have Medicare and Medicaid?
Get the extra benefits you need. Learn more about our dual-eligible special needs plans.