Can You Be Denied a Medicare Advantage Plan?

Question

Daniel Brechin · Accepted Answer

There are times you cannot change plans, if you have an enrollment period, you should be able to do that..

Daniel Brechin 
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Edward MacConnell · Answer

Yes you can be denied a Medicare Advantage plan if you do not have a valid election period or you do not live in the advantage plans geographic area.

Michael Andrews · Answer

This answer is provided in a video format. Watch the agent's video response here: https://medicareagentshub.com/questions/can-you-be-denied-a-medicare-advantage-plan#michael-andrews

Carly Cusack · Answer

If you have effective Part A and Part B coverage and you pay all your premiums, you can't be denied a Medicare Advantage Plan.

Charles Calvin · Answer

You cannot be denied a Medicare Advantage plan based on your health. However, you do have to have a valid enrollment/election period to be able to enroll, as well as having both Parts A & B of Medicare.

Answered by Charles Calvin on April 13, 2026

Broker Licensed in MO, FL, IA, IL, KY & SC

Answered by Charles Calvin Medicare Insurance Agent

JP Richardson · Answer

This answer is provided in a video format. Watch the agent's video response here: https://medicareagentshub.com/questions/can-you-be-denied-a-medicare-advantage-plan#jp-richardson

Pauline Weiland · Answer

Assuming you have Medicare Part A and Part B, an Advantage plan cannot discriminate for any reason. You are not automatically eligible for all Advantage plans. Some plans require you have your state Medicaid or a Doctor verification form of certain kinds of chronic conditions. Also if you have a State drug plan or VA, you can get the Advantage coverage with no Rx included. It's helpful to speak to a local agent representing multiple companies to best know your situation.

Answered by Pauline Weiland on April 13, 2026

Agent Licensed in AZ, CA, MS, NV & TX

Answered by Pauline Weiland Medicare Insurance Agent

Rodolfo Rojas · Answer

You can't be denied Medicare Advantage as long as you have part A and Part B, which is original Medicare.

Ashley King · Answer

Enrollment in a Medicare Advantage Plan may be denied if the beneficiary does not live in the plan service area, don't have both Parts A and B, or don't meet Medicaid level requirements for certain plans.

Answered by Ashley King on April 13, 2026

Broker Licensed in MD, AL, AR & 9 other states

Answered by Ashley King Medicare Insurance Agent

Lori Marion` · Answer

As long as you apply for a plan during a valid election period and you meet the eligibility requirements, you can't be denied. 
To qualify for a Medicare Advantage plan,  you must have both part A and part B of Medicare. Some plans have additional requirements such as plans designed for people who have a chronic condition such as diabetes or heart conditions. There are also plans designed specifically for people who also have Medicaid and may contain additional requirements that look into the level of Medicaid or state wavers. It's always best to work with an experienced agent to help guide you through the process of choosing and enrolling into a plan.

Brooke Smith · Answer

Medicare Advantage Plans do not deny applicants due to pre-existing conditions. As long as you live within the plan's service area and you are enrolled in Orginal Medicare Parts A and B, you shouldn't run into any problems.

Answered by Brooke Smith on April 13, 2026

Agent Licensed in UT, CA, ID, NV, OR & WY

Answered by Brooke Smith Medicare Insurance Agent

Destin Marks · Answer

As long as you qualify or currently receive medicare part a and b as well as have a special enrollment period you can not be denied for any any health conditions to be approved for coverage.

Can You Be Denied a Medicare Advantage Plan?

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Can You Be Denied a Medicare Advantage Plan?

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