If you are enrolled in a SNP, but no longer meet its eligibility requirements (for example you lose Medicaid coverage), the SNP may continue to provide coverage for a period of time if it seems likely that you will regain eligibility for the SNP within that time (between 30 days and six months depending on the plan). If you do not in fact regain eligibility within that time period, you will be dropped from the SNP.

Within 10 days of learning that you no longer meet SNP requirements, the plan must give you a written notice that you will be disenrolled from the plan if you do not regain eligibility within a certain period (30 days to six months) Then, if you have still not met the requirements during the time period, the SNP must provide you with another 10-day advance notice (30 days if you are a dual eligible), to inform you that your plan coverage will be terminated. You will have a Special Enrollment Period (SEP) during which you can enroll in a new plan or take Original Medicare.

For more information about your Medicare coverage options, click on the link in the GO TO box.

For questions to ask if you are considering joining a SNP, click on the link in the GO TO box.