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Medicare Eligibility Requirements

What are the eligibility requirements?

 

To be eligible for enrollment in all our Medicare Advantage Plans, you must live in one of the following Western New York counties (You must reside in Erie or Niagara County to enroll in Forever Blue PPO). 

  • Allegany
  • Cattaraugus
  • Chautauqua
  • Erie
  • Genesee
  • Niagara
  • Orleans
  • Wyoming

Learn more about when to enroll


When can you join, drop, or switch a Medicare Advantage Plan?


You may enroll in a Medicare Advantage plan only during specific times of the year: 

  • When you first become eligible for Medicare, the seven month period - beginning 3 months before you turn age 65, the month of your 65th birthday, and the 3 months following. 
  • If you get Medicare due to a disability.
  • During the Annual Enrollment Period, October 15 - December 7. 

In most cases, you must stay enrolled for the calendar year that starts the date your coverage begins. 

You may be able to join, drop, or switch a Medicare Advantage Plan in certain situations. Some of these circumstances include: 

  • During the Medicare Advantage Disenrollment period, between January 1 and February 14, you may drop your Medicare Advantage Plan and return to Original Medicare.
  • If you move out of the plan's service area.
  • If you have both Medicare and Medicaid.
  • If you qualify for extra help to pay for your prescription drugs.
  • If you live in an institution.

 

If you have any questions or need assistance, contact our customer service team

Medicare Questions?

We're here to help.

1-833-735-4511 (TTY 711)
Oct. 1 - Mar. 31, 8 a.m. - 8 p.m., 7 days a week
Apr. 1 - Sept. 30, 8 a.m. to 8 p.m., Monday - Friday

A division of HealthNow New York Inc., an independent licensee of the Blue Cross and  Blue Shield Association. BlueCross BlueShield of Western New York is a Medicare Advantage plan with a Medicare contract and enrollment depends on contract renewal. This information is not a complete description of benefits. Call 1-800-329-2792 (TTY 711) for more information. BlueCross BlueShield of Western New York complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-833-735-4515 (TTY: 711).注意:如果您使用繁體中文,您可以免費獲得語言援助服務。請致電 1-833-735-4515 (TTY: 711).

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Content Last Updated October 1, 2018.