Carilion Clinic Medicare Health Plan: Are there any additional benefits? Additional coverage can improve your access to care

Am I Eligible?

Eligibility Guidelines

Determining if you're eligible to enroll in the Carilion Clinic Medicare Health Plan is easy! In fact, if you satisfy these Medicare enrollment requirements, you're eligible to become a Carilion Clinic Medicare Health Plan member.

To be eligible for the Carilion Clinic Medicare Health Plan, Medicare requires you to:

  • Be entitled to Medicare Part A and enrolled in Medicare Part B
  • Continue to pay your Medicare Part B premium
  • Not have ESRD (End Stage Renal Disease, except for current commercial members or individuals affected by the non-renewal of another Medicare Advantage Plan after December 31, 1998)

Additionally, you must reside within our Virginia service area, which includes:

  • The Following Cities:
    • Bedford
    • Buena Vista
    • Lexington
    • Radford
    • Roanoke
    • Salem
  • The Following Counties:
    • Bedford
    • Botetourt
    • Craig
    • Floyd
    • Franklin
    • Giles
    • Montgomery
    • Roanoke

Enrollment Periods

In addition to the above requirements, you must also enroll during one of the following periods:


Annual Election Period (AEP)
The AEP begins on October 15 and ends on December 7 with coverage effective on January 1. During this period, you may change prescription drug plans, change Medicare Advantage plans, return to original Medicare, or enroll in a Medicare Advantage plan for the first time.
Initial Coverage Election Period (ICEP)
The ICEP is the period where individuals newly eligible for Medicare can join a Medicare Advantage plan. This period begins 3 months before the person is eligible for Medicare and ends the last day of the month one’s Medicare benefits begin.
Special Election Period
A set time period triggered by certain events when a beneficiary can change health plans or return to Original Medicare. These events include when you move outside the service area, or your Medicare managed care plan violates its contract with you, or the plan does not renew its contract with the federal government, or other exceptional conditions. The Special Election Period is different from the Special Enrollment Period (SEP).

Enroll Now

Start the online enrollment process!