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Eligibility Assessment

Discover which Medicare and health insurance services you're eligible for based on your age, income, location, and special circumstances.

🔍 Eligibility Assessment

Answer a few questions to discover which Medicare and health insurance services you're eligible for.

Special Circumstances

📋 Eligibility Programs Overview

Understanding the different eligibility criteria for various Medicare and health insurance programs

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Medicare Advantage

Age: 65+ or disability
Income: No limit
Enrollment: IEP, AEP, SEP
Cost: $0 - $150/month
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Medicare Supplement

Age: 65+ or disability
Income: No limit
Enrollment: Medigap OEP
Cost: $100 - $400/month
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Health Marketplace

Age: Under 65
Income: 100-400% FPL
Enrollment: OEP, SEP
Cost: Subsidized
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Medicare Extra Help

Age: Medicare eligible
Income: ≤150% FPL
Enrollment: Year-round
Cost: $0 - $10/month
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Medicaid

Age: Any age
Income: ≤138% FPL
Enrollment: Year-round
Cost: Low/no cost
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VA Health Benefits

Age: Any age
Income: Varies by priority
Enrollment: Year-round
Cost: Varies by group

🎯 Key Eligibility Factors

Understanding what determines your eligibility for different programs

Primary Factors

1

Age

Most Medicare programs require age 65+, but disability can provide early eligibility.

2

Income

Federal Poverty Level (FPL) determines eligibility for subsidies and assistance programs.

3

Location

State and county determine available plans and program variations.

4

Special Circumstances

Disability, veteran status, tribal membership, and other factors can provide eligibility.

Enrollment Periods

Initial Enrollment Period (IEP)

7 months around your 65th birthday or disability onset.

Annual Enrollment Period (AEP)

October 15 - December 7 each year for Medicare changes.

Open Enrollment (Marketplace)

November 1 - January 15 for ACA plans.

Special Enrollment Periods (SEP)

Available for qualifying life events throughout the year.

Ready to Check Your Eligibility?

Get personalized guidance and discover the best Medicare and health insurance options for your situation.