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}}
Part B Effective Date:	{{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 Plan Type:	{{medicareResultsModel.planTypeIndicator}}
Current Drug Coverage:	{{medicareResultsModel.drugTypeIndicator}}

Contact PHD at this time for SEP verification.

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

Ensure consumer is also Medicare eligible before enrolling in a Dual Special Needs Plan.

First Name:	{{medicaidResultsModel.chcResponse.chcfirstName}}
Last Name:	{{medicaidResultsModel.chcResponse.chclastName}}
Medicaid Number:	{{medicaidResultsModel.chcResponse.chcmedicaidId}}
Has the quarterly Maintaining Dual / LIS SEP Election been used?	{{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

Need Help?

Contact the Producer Help Desk (PHD)

Monday – Friday 7am – 9pm CST

Monday - Friday 9am - 9pm CST

Monday – Friday 7am – 9pm CST

phd@uhc.com ACABrokerSupport@uhc.com 888-381-8581 866-235-4095

Please select a chat topic from the list below Please select a chat topic from the list below

Login As :

Applications

Commissions

Tools

Sales & Marketing

Knowledge Center