Eligibility Overview

Please review the items below to see if you qualify for an Amerivantage plan.

1. You must be eligible for Medicare Part A (hospital insurance) and enrolled in Part B (medical insurance). To check your eligibility, review your red, white and blue Medicare card for Part A and Part B effective dates.
   
   
2. You must also be eligible for Medicare Part D prescription drug coverage.
   
   
3. If you once had End-Stage Renal Disease (ESRD) but have had a successful kidney transplant or were able to regain native kidney function and no longer require a regular course of dialysis, you may be eligible to enroll in one of our plans.
   
   
4. You must reside in our service area. In 2017, our service area in New Jersey includes Atlantic, Bergen, Burlington, Cumberland, Essex, Gloucester, Hudson, Mercer, Middlesex, Monmouth, Morris, Ocean, Passaic, Somerset and Union counties.
   
   
5. You must be in one of the following Medicaid eligibility categories which covers Medicare premiums and cost-sharing (deductible, Copay, coinsurance): Qualified Medicare Beneficiary Plus (QMB Plus), Specified Low-income Medicare Beneficiary (SLMB Plus), or Full Benefit Dual Eligible (FBDE).