2025 Changes to Dual Eligible and LIS Beneficiaries
New Webinar recordings below with all the 2025 changes to Extra Help/LIS and Dual Eligibles.
Informational Spark Pages
Extra Help (LIS) | Why it mattersHelp a client enroll in LIS or MSPHelpful Resources
Understanding LIS
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)
Devoted 2025 SNP FAQ
Wellcare 2025 Dual Eligible Plan Enrollment guide
Humana HIDE/FIDE D-SNP guide
Aetna has 2025 D-SNP Hot Sheets by State
State Hot Sheets HERE
Molina has a 2025 Plan guide which shows HIDE/FIDE/AIP
Elevance SNP 2025 Enrollment Guide