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Dual Eligible and Extra Help/LIS

Updated over 2 weeks ago

2025 Changes to Dual Eligible and LIS Beneficiaries

New Webinar recordings below with all the 2025 changes to Extra Help/LIS and Dual Eligible.

Videos

Understand Dual Eligible Plans


New in 2025

Starting in 2025, full dual-eligible beneficiaries will have access to a new monthly SEP, which allows enrollment in highly or fully integrated Dual Special Needs Plans (HIDE/FIDE SNPs). In addition, any beneficiary qualified for LIS or Medicaid will be eligible for a monthly SEP to disenroll from their Medicare Advantage plan, return to Original Medicare, and enroll in a Prescription Drug Plan (PDP).

The quarterly SEP that many have used in the past for dual-eligible individuals and those receiving Part D low-income subsidies (LIS) is no longer available. The SEP available for the first 3 quarters of the year ended on September 30, 2024.

UHC has state guides on Jarvis. Here are instructions: Jarvis>Knowledge Center>Medicare Product Resources>Dual Eligible Special Needs Plans>State-Level D-SNP Enrollment at a Glance Guides>State (click on state of client’s residence)

Carrier Specific Information

UHC has Individual State Guides

State Guides HERE or on Jarvis. Here are instructions to get there: Jarvis>Knowledge Center>Medicare Product Resources>Dual Eligible Special Needs Plans>State-Level D-SNP Enrollment at a Glance Guides>State (click on state of client’s residence)


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