How to keep your Medicaid coverage

Did you know state Medicaid agencies have resumed the renewal process for state Medicaid coverage? Some states call this redetermination, or recertification.

This process is usually done annually but was paused due to the COVID-19 pandemic. Federal law required states to start up the process again. Even if you’re still technically eligible for Medicaid, you could lose it if you don’t complete and return the necessary paperwork.

Keep reading to learn more about the process of renewing your Medicaid plan and get how-to advice on keeping your Medicaid coverage.

Keep your contact information up to date

Call your state Medicaid agency to make sure your address, phone number and email address are up to date. Doing so will help make sure you get important messages about the renewal period. Visit Medicaid.gov to find your state Medicaid agency contact information.

Know your options

If you’re no longer eligible for Medicaid, you can enroll in one of the following:

• Original Medicare
• A Medicare Advantage plan
• A Medicare Part D-only plan (if you need prescription drug coverage)

You’ll be able to pick a plan during a special enrollment period (SEP). SEPs are time periods outside of open enrollment where you can start or change your health care coverage.

Schedule your next flu shot

It’s a key step toward staying healthy this season, and it’s covered by your plan. Call us at 1-866-409-1221 (TTY: 711) between 8 AM and 8 PM, 7 days a week.

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Call your Member Services team

Aetna representatives on your Member Services team can help you with information and counseling about your health insurance options. Your D-SNP Member Advocate can help answer questions about the Medicaid renewal process. Just call us at 1-866-409-1221 (TTY: 711) between 8 AM and 8 PM local time, Monday through Friday.

Appeal, if needed

Understand that if you lose your Medicaid coverage during redetermination, you can appeal the decision. Call your state Medicaid agency to learn how to file an appeal.

If you’re at least 60 years old and need help making an appeal, you can contact Eldercare Locator. They can refer you to a free legal services program funded under the Older Americans Act. Eldercare Locator representatives are available at 1-800-677-1116 (TTY: 711) from 8 AM to 9 PM ET, Monday through Friday.

Is it time to renew your Medicaid? 

Aetna® Dual Eligible Special Needs Plan, or D-SNP, Medicaid members must renew their coverage to stay enrolled in their health plan. Learn more.

See Evidence of Coverage for a complete description of plan benefits, exclusions, limitations and conditions of coverage. Plan features and availability may vary by service area. This material is for informational purposes only and is not medical advice. Health information programs provide general health information and are not a substitute for diagnosis or treatment by a physician or other health care professional. Contact a health care professional with any questions or concerns about specific health care needs. Providers are independent contractors and are not agents of Aetna. Provider participation may change without notice. Aetna is not a provider of health care services and, therefore, cannot guarantee any results or outcomes. The availability of any particular provider cannot be guaranteed and is subject to change. Information is believed to be accurate as of the production date; however, it is subject to change. For more information about Aetna plans, refer to our website. If your plan’s Extra Benefits Card includes roll-over, any unused amount will rollover into the next month. The monthly amount can be rolled over through the end of the plan year but will not carry over into the next plan year.

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