Prospective Member: 1-844-331-6334 (TTY: 711) October 1 – March 31 | 8 am – 8 pm EST | 7 days a week
April 1 – September 30 | 8 am – 8 pm EST | Monday – Friday
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Eligibility Requirements

You are eligible to join DualPrime if:

  • You are entitled to Medicare Parts A and B benefits due either to age or disability. You must continue to pay your Medicare Part B premium. If you do not have Medicare Part B, you are not eligible for CareFirst Medicare Advantage and must contact your nearest Social Security office and sign up for Part B.
  • You live in the service area – all counties in the state of Maryland: Allegany, Anne Arundel, Baltimore, Baltimore City, Caroline, Carroll, Cecil, Charles, Dorchester, Garrett, Harford, Howard, Kent, Montgomery, Prince Georges, Queen Anne’s, Talbot, Calvert, Frederick, St. Mary's, Somerset, Washington, Wicomico, and Worcester counties.
  • You must be eligible for both Medicare and Medicaid to enroll in our dual-eligible Special Needs Plan.

Medicare Prescription Drug benefits are only available to beneficiaries with Part D Prescription Drug coverage or members of a Medicare Advantage Prescription Drug plan like CareFirst Medicare Advantage. If your current or former employer helps pay for your drugs, it is advisable that you do not enroll in this plan.

Members must use plan providers except in emergency or urgent care situations or for out-of-area renal dialysis. If you obtain non-emergent, routine care from out-of-network providers, neither Medicare nor CareFirst Medicare Advantage will be responsible for the costs.

A  dual-eligible Special Needs Plan is available to anyone who has both Medical Assistance from the State and Medicare. Premiums, copays, coinsurance and deductibles may vary based on the level of extra help that you receive.

If you have any questions regarding eligibility requirements, call us toll-free at 1-844-811-6334 (TTY: 711), 8 a.m. to 8 p.m., local time, seven days a week from October 1 - March 31 and Monday through Friday,  April 1 - September 30.

You can also call 1-800-Medicare (1-800-633-4227) to ask questions or get free information booklets from Medicare. You can call this national Medicare helpline 24 hours a day, seven days a week. The TTY/TDD number is 1-877-486-2048.