Enrollment and Eligibility (ENR) FAQ
Guidance for FAQ regarding Eligibility and Redeterminations
Program Area: Enrollment and Eligibility (ENR)
Question: Is a person who is eligible for Medicare who is less than age 65 (SSDI eligible) also eligible to apply for the Exchange?
Answer: Consistent with the longstanding prohibitions on the sale and issuance of duplicate coverage to Medicare beneficiaries (section 1882(d) of the Social Security Act), it is illegal to knowingly sell or issue a Qualified Health Plan (QHP) to a Medicare beneficiary. This is a correction of previously issued guidance. This prohibition does not apply in the SHOP market.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: November 22, 2013
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