Medicare Enrollment Requirements


Peoples Health offers four types of Medicare Advantage plans. Each type has different enrollment requirements.

Health Maintenance Organization (HMO-POS) Plans

If you meet the following Medicare enrollment requirements, you may be eligible to become an HMO-POS member.

Chronic Condition Special Needs Plans (C-SNPs)

If you meet the following Medicare enrollment requirements, you may be eligible to become an HMO-POS C-SNP member:

  • Be enrolled in Medicare Part A and Medicare Part B
  • Live in the plan service area (service area varies by plan and may vary by year)
  • Have a chronic qualifying condition, such as diabetes, chronic heart failure or a cardiovascular disorder

Dual-Eligible Special Needs Plans (D-SNPs)

If you meet the following Medicare enrollment requirements, you may be eligible to become a D-SNP member:

  • Be enrolled in Medicare Part A and Medicare Part B
  • Live in the plan service area (service area varies by plan and may vary by year)
  • Have medical assistance from the state or Louisiana Medicaid; for some of our D-SNPs, you must have full Medicaid benefits

Employer and Retiree Group Plans

If you meet the following enrollment requirements, you may be eligible to become an employer or retiree group plan member:

  • Be enrolled in Medicare Part A and Medicare Part B
  • Live in the service area determined individually by each employer or retiree group (contact the group benefits administrator for more information)
  • Be a member of a participating employer or retiree group and meet any requirements determined by the group