Have you been asked to renew your Medicaid plan? We're here to help.

You may not be sure if your Medicaid coverage is changing. If it is, one thing is sure — having health insurance is important to help protect you, your family and your health. Read on to check your Medicaid status and find other coverage options if you need a new plan.

What is Medicaid redetermination?

Medicaid redetermination is also called Medicaid renewal or Medicaid recertification. It all means the same thing. It’s when people on Medicaid are asked to show they still qualify to get Medicaid in their state.

Find out if you still qualify for a Medicaid plan

What to know about Medicaid renewal

How to renew Medicaid: 3 steps to take

Some people on Medicaid may have already learned that they need to renew their Medicaid. Others may likely get a notification and may need to take action soon.

Wondering what that may mean for you? Here are answers to some questions you may have.

Some people on Medicaid may have already learned that they need to renew their Medicaid. Others may likely get a notification and may need to take action soon.

Wondering what that may mean for you? Here are answers to some questions you may have.

You may be asked to provide information to help review your Medicaid eligibility. To get ready, there are a few important things to know – and actions you can take.

Here's what to know:

  1. State Medicaid agencies will likely contact you by mail and/or email.
  2. Watch for mail or an email about Medicaid renewal.

Here's what you can do:

  1. Make sure your address, phone number and other contact information is up to date with your state Medicaid agency.
  2. If you get a request or renewal packet from your state Medicaid agency, be sure to answer by the date it says on your packet.

Find out if you still qualify for a Medicaid plan

The exact date of your Medicaid eligibility renewal depends on your state.

State Medicaid agencies were able to start renewal process as of February 1, 2023. For people who are no longer eligible, states can end enrollment starting April 1, 2023.

Some facts to know:

  • State Medicaid agencies will contact you by mail and/or email.
  • You'll be given a date when your updates need to be completed.
  • Be sure to answer by that date it says in your packet.
  • You'll need to update your eligibility information, including income information and any changes in your situation.

Find out if you still qualify for a Medicaid plan

Be aware of Medicaid renewal scams

It’s important to be aware that scams about Medicaid renewal are on the rise. These scams may target people with Medicaid and ask them to pay money to renew or keep their health plan coverage. Your state Medicaid agency and health plan representatives will be in contact with you during the renewal process, but you should never be asked to pay money to keep your coverage.

You can report suspected fraud and follow these tips to help protect yourself.

No. Here's why:

In 2020, the COVID-19 pandemic created a public health emergency (PHE). During this time, people on Medicaid were not required to renew their Medicaid plan.

Now, new laws are in place and State Medicaid agencies were able to start the Medicaid renewal process on February 1, 2023, even while the PHE is still in effect.

States can end Medicaid coverage for people who are no longer eligible starting April 1, 2023.

If you have Medicaid benefits, you may need to take action.

If you find out you're no longer eligible for Medicaid, there are ways to stay covered with a new health plan. That's because losing Medicaid or other health coverage is called a qualifying life event. When that happens, it means you qualify for a Special Enrollment Period. That means you can choose a new plan right away.

One thing to know: the Special Enrollment Period won't last forever. Check with your state to find out when your Special Enrollment Period ends.

Find out if you still qualify for a Medicaid plan

In some cases, you may be helping another person with their Medicaid renewal – whether that’s your child or a family member or friend.

You can help your child or another person with Medicaid renewal by taking the following steps. Note: you may be asked to show that you are a legal guardian or authorized representative to complete an enrollment application for another person.

  1. Make sure the person’s address, phone number and other contact information is up to date with their state Medicaid agency.
  2. Watch for mail or an email about Medicaid renewal from the state.
  3. If the person gets a Medicaid request or renewal packet from the state Medicaid agency, be sure they answer by the date it says in their packet.

In some states, children who lose their Medicaid may be eligible for Children Health Insurance Program (CHIP) or other programs.

Find new coverage for you

We’re here to help you find budget-friendly coverage options that work for you.

Explore your coverage options

Want to understand your coverage options better? Medicaid may be what’s familiar to you. But if you’re not eligible for Medicaid, the good news is you can stay covered with a different kind of health plan. Let’s go over the options.

Medicaid

What it is: Medicaid is government health insurance that’s available if you have a low income. Sometimes other people may qualify for Medicaid, too. Medicaid is different in each state. It may be called different names depending on where you live.

Medicaid plan might be right for you if:

You have a low income. Sometimes other people may qualify for Medicaid, like:

  • Pregnant women
  • Children
  • Older people
  • People with disabilities


The exact requirements to qualify for Medicaid depend on where you live. Each state has different requirements.

Affordable Care Act (ACA) Marketplace plans

What it is: ACA Marketplace plans are sold on the health care Marketplace (also called the Exchange}. You may also hear these names: ObamaCare or Individual & Family plans. These are plans you can buy on your own for you — or for you and your family. After financial assistance, nearly 4 out of 5 customers can find a plan for $10 or less.1

An ACA Marketplace plan might be right for you if:

  • You don't currently qualify for Medicaid
  • You don't currently qualify for Medicare
  • You don't have access to health coverage through your job


When you shop, you’ll give household information. You’ll also give an estimate of your income. Then, you’ll get a quote. Depending on your situation, you may qualify for cost-sharing reductions like a subsidy or tax credits. These subsidies could help pay for your health care costs.

Plans through your work

What it is: Many employers offer health plans as part of their benefits package. In fact, around 49% of Americans get health insurance coverage through their employer.2 Often, an employer will pay a part of the premium toward your health plan each month.

A plan through your employer might be right for you if:

  • Your work offers health insurance benefits
  • The amount you'll pay is more affordable than other options


Ask your employer about health insurance options. If they offer a health plan, it may be your most affordable choice.

Medicare

What it is: Medicare is individual insurance through the government. It’s for people 65 and older who are United States citizens — or legal residents who have lived in the United States for at least 5 years in a row. Medicare is available to some others as well. It doesn't cover spouses or dependents. The program is divided into four parts: A, B, C and D, and is the same nationwide.

A Medicare plan might be right for you if:

  • You are age 65 or older
  • You are younger than 65 with a qualifying disability. Medicare eligibility begins after 20 months of receiving Social Security disability benefits.
  • You are any age with a diagnosis of End-Stage Renal Disease (ESRD) or Amyotrophic Lateral Sclerosis (ALS, also called Lou Gehrig's Disease)

Learn more about how health insurance works

There’s lots to know about health insurance. If you’d like to know more before you make your choice, take a look at these topics.

Ready to find a plan for you?

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