Medicare & Medicaid Eligibility Lookup

Eligibility Lookup

Sorry, Medicare Eligibility lookup is currently unavailable

Sorry, Medicaid Eligibility lookup is currently unavailable

null

First Name (Optional)

First Name is required

Last Name (Optional)

Last Name is required

Date of Birth

DOB is required

You must enter a valid Year

You must enter a valid Month

You must enter a valid date

Proposed Effective Date

Proposed Effective Date is required

You can only enter the current year for a proposed effective date

You must select a valid month

Medicare Number (MBI)

Medicare Number is required

Medicare Eligibility

Medicare Eligible?	{{medicareResultsModel.medicareEligible}}
MBI (Medicare Number):	{{medicareResultsModel.medicareNumber}}
Part A Effective Date:	{{medicareResultsModel.medicarePartAEffDate}}
Part A End Date:	{{medicareResultsModel.medicarePartAEndDate}}
null	{{medicareResultsModel.medicarePartBEffDate}}
Part B End Date:	{{medicareResultsModel.medicarePartBEndDate}}
Part D Effective Date:	{{medicareResultsModel.medicarePartDEffDate}}
Part D End Date:	{{medicareResultsModel.medicarePartDEndDate}}
LIS for Proposed Effective Date?	{{medicareResultsModel.lisForProposedEffDate}} What is this?
LIS Percentage:	{{medicareResultsModel.lisPercentage}}
Has the quarterly Maintaining Dual / LIS SEP Election been used?	{{medicareResultsModel.lastUsedDualDate}}
Current Member Plan	{{medicareResultsModel.activeMemberPlanCode}}
Current Plan Type:	{{medicareResultsModel.planTypeIndicator}}
Current Drug Coverage:	{{medicareResultsModel.drugTypeIndicator}}

If you need MA-OEP enrollment information for a consumer please call PHD at 888-381-8581

State

Please select a State

Zip Code

A valid 5 digit zip code is required

County

Please select a County

First Name

First Name is required

Last Name

Last Name is required

Middle Initial

Middle Initial Required

Gender

Please select a gender

Date of Birth

DOB is required

You must enter a valid Year

You must enter a valid Month

You must enter a valid date

Proposed Effective Date

Proposed Effective Date is required

You can only enter the current year for a proposed effective date

You must enter a valid month

Medicaid Number{{eligibilityModel.medicaid.ma_state == 'LA' ? "/CCN" : ""}} {{medicaidNumberRequired ? "" : optionalLabelText}} SSN {{alternateIdOptional ? optionalLabelText : ""}}

Medicaid Number{{eligibilityModel.medicaid.ma_state == 'LA' ? "/CCN" : ""}} SSN

Medicaid Number is required

SSN is Required

Medicare Number (Optional)

Permission to verify the consumer's Medicaid Status?

Yes No

The results below only indicate Medicaid Eligibility, you must also do the following prior to submitting an enrollment.

Ensure consumer is also Medicare eligible. This can be completed by using the Medicare Eligibility Search tool located above.

Provide the consumer with the LIS Summary table.

Review plan details with the consumer. Important plan information including cost sharing can be found in the Medicare Product Portal.

First Name:	{{medicaidResultsModel.chcResponse.chcfirstName}}
Last Name:	{{medicaidResultsModel.chcResponse.chclastName}}
Medicaid Number:	{{medicaidResultsModel.chcResponse.chcmedicaidId}}
null	{{medicaidResultsModel.lastUsedDate}}
LIS for Proposed Effective Date?	{{medicaidResultsModel.lisProposedEffDate}} What is this?

Available Plans	Eligible (Yes/No)	Consumer's Medicaid Level
{{planname}} ({{val.contract}}-{{val.pbp}}-{{val.segmentId}})	{{eligLevel2String[$index]}} {{val.specialCondition}}	{{eligLevel3String[$index]}}

Available Cost-Sharing Plans	Medicaid Status
{{planname}}({{val.contract}}-{{val.pbp}}-{{val.segmentId}})	{{resolveConditions(val,medicaidResultsModel.medicaidActive)}} {{val.specialCondition}}

Important Cost-Sharing Plan Info

Chronic condition eligibility information

This area at the bottom of the results page is for disclamer/notes that are AEM content authorable to display on the Medicare results UI page If AEM content author creates a message in AEM to be displayed to agents

LIS Percentage: