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Reminder: Helping Newly Enrolled Medicare Members

October 23, 2020

When a Health Connector member is found to be enrolled in Medicare, they are no longer eligible for the same Health Connector benefits: 

  • Subsidized coverage. If someone is enrolled in health insurance coverage that meets Minimum Essential Coverage (MEC) standards, such as Medicare, they are not eligible for subsidized Health Connector coverage. If someone is found to be enrolled in Medicare during the calendar year, they will lose eligibility for subsidies through the Health Connector for the rest of the year.
  • Unsubsidized coverage. Individuals enrolled in Medicare cannot sign up for new coverage through the Health Connector, including unsubsidized coverage. In addition, those enrolled in Medicare can no longer renew their unsubsidized coverage through the Health Connector. 

Similar to plan year 2020, both subsidized and unsubsidized Health Connector members who are identified as enrolled in Medicare during the 2020 Health Connector Redeterminations and Renewals process, or Health Connector members who update their application to report that they have Medicare, can expect to:

  • Stay enrolled in a Health Connector health plan (QHP) through the end of 2020 only
  • Lose their Health Connector coverage for plan year 2021 
  • Continue their enrollment in Dental plans
  • Potentially renew coverage in their same unsubsidized plan directly through their carrier, if the carrier offers the same policy off-Exchange (outside of the Health Connector

Download and review the detailed job aid to learn more about how you can best help Health Connector members during this transition.