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Qualified Health Plan

Making Part B enrollment decisions with QHP coverage

If you have a Qualified Health Plan (QHP), deciding what to do as you approach Medicare eligibility depends on your circumstances. In most cases, you should enroll in Medicare and disenroll from your QHP, but there are two exceptions: You have End-Stage Renal Disease (ESRD). If you have kidney disease

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Qualified Health Plan (QHP) basics

Qualified Health Plans (QHPs) are health insurance policies that meet protections and requirements set by the Affordable Care Act (ACA). Specifically, QHPs must: Follow federally established cost-sharing limits Provide essential health benefits Meet the “minimum essential coverage” (MEC) requirement, also known as the individual mandate If you are not enrolled

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