Am I Eligible?

To be eligible to enroll in a Medicare Advantage plan you:

  • Must have both Medicare Part A and Part B
  • Must continue to pay your Medicare Part B premium, if not otherwise paid for under Medicaid or by another third party
  • Must reside in the service area of the plan
  • Must not have end-stage renal disease (ESRD)*

If you are under age 65, permanently disabled and have received Social Security disability payments for at least two years, you are also eligible.

When can I enroll?

  1. You can join when you first become eligible for Medicare (three months before the month you turn age 65 until three months after the month you turn age 65). If you get Medicare due to a disability, you can join from three months before to three months after your 25th month of cash disability payments.
  2. If you didn’t join when you were first eligible, you can join between October 15th and December 7th. Your coverage will begin on January 1 of the following year.

Note: In certain situations, you may be able to join a Medicare Advantage plan or Medicare Prescription Drug Plan at other times. For example, if you:

  • Move out of your plan’s service area
  • Have both Medicare and Medicaid
  • Live in, or move into or out of an institution (such as a nursing home)
  • Have creditable prescription drug coverage and that coverage ends
  • Lost employer coverage or your plan coverage is no longer available in your area

If you have questions about whether or not you can join or switch Medicare plans, call 1-800-MEDICARE (1-800-633-4227) 24 hours a day, 7 days a week. TTY users should call 1-877-486-2048.

What information do I need to enroll?

You can save time and get through the enrollment process more easily if you have the following items and information close at hand:

  • Your Medicare card
  • Your Medicaid program number, if you have one
  • Your health insurance card(s) for any other insurance you carry besides Medicare and/or Medicaid

If you are under age 65, permanently disabled and have received Social Security disability payments for at least two years, you are also eligible.

What happens after I enroll?

After your eligibility is confirmed, we will submit your application to Medicare for approval. It may take up to one week for final approval. If you do not qualify to enroll at this time, you (or the applicant) will be informed in writing.

At this stage, your plan’s coverage start date is pending Medicare approval. Once your eligibility is approved by Medicare, you will receive your welcome letter along with your Member ID card. You will then receive an Enrollment Kit in the mail that includes details regarding your plan benefits.

Why enroll online?

Enrolling online is easy and convenient. When you complete the online application, you can trust that your information will be used only as permitted by law and as described in the online Privacy Policy.

For details about how your information is protected, review our Privacy Policy. And if you have questions or concerns during the enrollment process, feel free to call a Golden State Medicare Health Plan representative.

A Great State of Health Starts Here

Enrolling in the Golden State Medicare Health Plan, Golden (HMO) plan is easy.
You can enroll online, by telephone, or in-person at a meeting.

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